Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Follow-up on corrections

LEXINGTON ASSISTED LIVINGLicense 5658501112 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Teresa Camara conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control # 29-AS-20240829092756). The purpose of the visit is to issue citations for deficiencies observed during the initial complaint investigation unrelated to the complaint. During today’s visit, LPA met with administrator Jill Morris Chapman and the reason for the visit was explained. During the complaint investigation, the following deficiencies were observed: The facility Clinical Director indicated the practice for new residents who arrived at the facility with medication was to centrally store the medication and manually input each medication into their MAR (Medication Assistance Record) system. However, the physical medication was not cross-referenced with the LIC602 Physician Report medication list. The Clinical Director was unable to confirm R1’s medication list was cross referenced with the centrally stored medication R1 arrived with to ensure all of R1’s prescribed medication was accounted for and available. This caused R1 to not receive one of the seizure medications for 10-days, which resulted in a seizure and hospitalization. A review of R1’s Physician Report revealed the report was not complete as the physician’s signature was missing. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were issued.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87458(a)Type B

    Obtain baseline medical assessment before resident admission

    87458(a) Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. R1’s medical assessment was missing physician signature, which posed a potential health and safety risk to residents in care.

  • 87465(j)Type A

    Incidental Medical and Dental Care(j) In all facilities licensed for 16 persons or more, one or more employees shall be designated…for assisting residents as needed with self-administration of medications... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. R1’s medication was not cross referenced with the prescribed medication list which caused R1 to not receive one of the seizure medications for 10 days, which resulted in a seizure and hospitalization, which posed an immediate health and safety risk to residents in care.

  • 87465(a)(4)Type A

    Assist residents with self-administered medication

    Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility...(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Staff did not dispense prescribed medication to R1, which resulted in a seizure and required medical attention, which posed an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 21, 2025 inspection of LEXINGTON ASSISTED LIVING?

This was an other inspection of LEXINGTON ASSISTED LIVING on January 21, 2025. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to LEXINGTON ASSISTED LIVING on January 21, 2025?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87458(a) Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.