Inspection Reports for
Yuba Sutter Care Home

The facility was toured and files reviewed with no deficiencies cited. The kitchen was observed to have sharps locked and ample food supply was noted. Staff and resident files were complete.

The Licensing Program Analyst reviewed resident and staff files and discussed multiple topics with the facility manager. The licensee failed to notify responsible parties and ombudsman about the commencement of license suspension or revocation proceedings as required by California Health and Safety Code.

The complaint investigation concluded that a resident sustained severe pressure injury due to staff neglect, the facility failed to seek medical attention, and staff left the resident in a soiled diaper for an extended period. The complaint was substantiated.

The Department determined that a civil penalty is warranted for serious bodily injury due to the facility's failure to provide proper care and timely medical intervention, resulting in hospitalization and surgeries for the resident.

No deficiencies were cited during the visit. The Licensing Program Analyst met with the licensee and left several documents.

The inspection found no deficiencies. The facility was toured, files reviewed, and multiple topics discussed. The kitchen had locked sharps and ample food supply.

The discussion focused on change of location procedures and floor plans. Licensees were advised to contact the Central Application Bureau for more information and to keep Licensing Program Analyst Hiratsuka updated on progress.

The facility was toured including resident rooms, kitchen, and common areas. Staff and resident files were reviewed and found to be complete. Several suggestions were made regarding lighting in a shower, smoke detector placement, and bathroom window privacy. No deficiencies were cited.

The complaint was substantiated as discussed during the non-compliance conference.

The facility was cited 29 times in the last year, including 15 Type A citations and 14 Type B citations. Issues included staffing and training problems, communication breakdown, lack of administrator oversight, insufficient wound care supplies, failure to seek medical attention, night supervision deficiencies, lack of incontinence care plans, personal rights violations, and accountability concerns.

The inspection found outdated needs and service plans for residents, missing medications compared to physician orders, and a caregiver performing glucose testing and insulin injections despite the resident being unable to do so. Additionally, some staff training was ongoing and reappraisals for residents were overdue.

The visit was complaint-related, investigating Complaints 59-AS-20230731122901 and 59-AS-20230717132508. The report documents multiple substantiated deficiencies related to resident care and facility management.

Multiple deficiencies were found including lack of overnight incontinent care, absence of required staff training and qualifications, missing written agreements and communication with home health agency, failure to document and manage a resident's pressure injury, and inadequate resident assessments and records.

A citation was issued because staff did not have required medication training as per California Health and Safety Code §1569.69(a)(2). The plan of correction was submitted late on 11/10/2023, resulting in civil penalties. The cited deficiency was cleared as of 11/10/2023 after the licensee submitted proof of purchasing training.

The visit was complaint-related, with deficiencies observed by Licensing Program Analyst Hiratsuka during the investigation. The report does not explicitly state substantiation status.

The investigation found that staff lacked required medication training and annual training since 2021, and the licensee had not paid the annual licensing fees, which were overdue. These deficiencies posed potential health, safety, or personal rights risks to residents.

No deficiencies were cited during this visit.

No deficiencies were cited during this visit. The Licensing Program Analyst obtained a resident's file to make a copy and planned to return it the same day.

The visit was complaint-related and substantiated by the observation of a caregiver working without required criminal record clearance.

The licensing program analyst observed that a caregiver without criminal record clearance was working alone, which is not allowed and poses an immediate health and safety risk. Immediate civil penalties of $500 were issued.

The inspection found that the side gate was locked with a padlock without fire clearance and a smoke detector was chirping due to low battery. Civil penalties were assessed and a plan of correction was required by 04/25/2023. All other deficiencies from the annual inspection on 03/06/2023 were cleared.

Several deficiencies were cited related to staff training, fire clearance, use of storage room as staff room, locked exterior doors, and care of persons with dementia. Plans of correction were submitted with due dates for compliance.

Deficiencies cited under Title 22 Regulations have been cleared. The licensee complied with the terms of the Plan of Correction by the due date and was provided a POC cleared letter.

The inspection found multiple deficiencies including locked exits restricting residents' ability to leave, medications accessible to residents with dementia, lack of fire clearance for a storage room used as a staff bedroom, incomplete annual medical assessments for residents with dementia, and non-operational auditory exit devices posing health and safety risks.

The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.