NARRATIVE |
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Jennifer Semin conducted a case management visit while conducting a visit to deliver findings for complaint # 18-AS-20210318100048. LPA met with Administrator Anna Bella Vito.
At 2:03pm, LPA observed the backyard to have a unfilled in ground swimming pool with the gate open and unlocked and accessible to residents in care. Facilities providing services to residents who have physical or mental disabilities shall assure the inaccessibility of fishponds, wading pools, hot tubs, swimming pools, or similar bodies of water, when not in active use by residents, through fencing, covering or other means. This requirement was not met as evidence by LPA observed the unfilled in ground swimming pool in the backyard to have the gate open and unlocked. This poses an immediate health and safety risk to residents in care. A deficiency will be cited.
At 2:49 pm Ms. Vito stated Resident 1 had refused 911 assistance but did not report this incident to CCLD.
A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidence by administrator admitted to Resident 1 requiring 911 assistance but did not report the incident to CCLD. This poses an immediate health and safety risk to residents in care. A deficiency will be cited.
An exit interview was conducted where is report was discussed and provided to Ms. Vito. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
11/09/2021
Section Cited
CCR
87307(e)
| 1
2
3
4
5
6
7 | Personal Accommodations and Services: Facilities providing services to residents who have physical or mental disabilities shall assure the inaccessibility of fishponds, wading pools, hot tubs, swimming pools, or similar bodies of water, when not in active use by residents, | 1
2
3
4
5
6
7 | LIcensee shall read the regulation in it's entirety, train staff on this regulation, submiot a statemwent of understanding and trasining log to CCL by the POC due date of 11/9/2021.
Staff locked and secured the pool while LPA was present. |
 | 8
9
10
11
12
13
14 | through fencing, covering or other means. This requirement was not met as evidence by LPA observed the unfilled swimming pool in the backyard to have the gate open and unlocked. This poses an immediate health and safety risk to residents in care | 8
9
10
11
12
13
14 | |
Type A
11/09/2021
Section Cited
CCR87211(a)(1)(D)
| 1
2
3
4
5
6
7 | Reporting Requirements: Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below... | 1
2
3
4
5
6
7 | LIcensee shall read the regulation in it's entirety, train staff on this regulation, submit a statemwent of understanding and trasining log to CCL by the POC due date of 11/9/2021 |
| 8
9
10
11
12
13
14 | ....Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.his requirement was not met as evidence by administrator admitted to Resident 1 requiring 911 assistance but did not report the incident to CCLD. This poses an immediate health and safety risk to residents in care. | 8
9
10
11
12
13
14 | |