Inspection Reports for Aegis Living Ventura

The inspection was conducted as a complaint investigation following an allegation that staff did not ensure adequate supervision, resulting in a resident sustaining injury.

The investigation found that although the resident did fall and sustain a hip fracture, staff were present and the resident did not require 1:1 supervision. There was insufficient evidence to substantiate the allegation of inadequate supervision, and the complaint was deemed unsubstantiated.

The complaint alleged that due to lack of supervision, Resident #1 fell resulting in a hip fracture. The investigation included interviews, document reviews, and observations. It was found that staff were present during the incident, and the resident was typically independent with transfers. The allegation was unsubstantiated due to lack of sufficient evidence.

The inspection was an unannounced required annual visit to evaluate the facility's compliance with licensing regulations and health and safety standards.

The facility was found to be in compliance with all applicable regulations, with no deficiencies cited. The inspection included review of fire safety systems, resident rooms, bathrooms, common areas, grounds, infection control, records, medication management, kitchen, and interviews with residents and staff.

An unannounced case management visit was conducted to issue an amended report related to a previous annual inspection citation for Criminal Record Clearance.

The report revises a citation issued on 07/23/2024 regarding a failure to obtain a transfer of criminal record clearance for one staff member, posing a potential health, safety, or personal rights risk to persons in care.

An unannounced complaint investigation visit was conducted in response to allegations received on 2024-03-18 regarding medication protocol, response to resident call pendants, special diet orders, and cancellation of medical appointments at Aegis Living Ventura.

All allegations were investigated through staff and resident interviews, record reviews, and observations. The investigation found that medication protocols were followed, staff responded timely to call pendants, special diet orders were adhered to, and no staff cancellations of medical appointments occurred. All allegations were deemed unsubstantiated.

The complaint included allegations that staff did not follow medication protocol, did not respond timely to resident call pendants, did not follow special diet orders, and canceled a resident's medical appointment. After investigation, all allegations were found to be unsubstantiated based on interviews, record reviews, and observations.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-09-17 regarding staff not ensuring residents' care needs are met, transportation arrangements are provided, and residents are spoken to appropriately.

The investigation found all allegations to be unsubstantiated based on interviews with residents and staff, and review of records. Residents' care needs were met, transportation arrangements were provided, and no inappropriate language by staff was witnessed. No deficiencies were observed.

The complaint investigation was unsubstantiated. Allegations included staff not ensuring residents' care needs were met, not providing transportation arrangements, and not speaking to residents appropriately. Interviews and record reviews did not support these allegations.

An unannounced complaint investigation visit was conducted in response to allegations that staff were not properly caring for residents, not checking on residents during the night, and that staff took away residents' medication.

The investigation found that the allegations were unsubstantiated. Interviews with residents, staff, and family members indicated that residents were checked frequently, including at night, and that staff provided adequate care. The allegation regarding medication was also unsubstantiated as medication management protocols were followed.

The complaint investigation was triggered by allegations that staff were not properly caring for residents, not checking on residents during the night, and taking away residents' medication. After interviews and file reviews, all allegations were deemed unsubstantiated.

The inspection was conducted as a follow-up on a self-reported incident received on 07/10/2024 regarding a stolen vehicle taken by a staff member.

No immediate health and safety concerns were observed during the inspection. The Licensing Program Analyst conducted interviews and a physical plant tour as part of the investigation.

The complaint involved Resident #1 reporting a stolen vehicle taken by Staff #1. The investigation included interviews with the administrator and the resident, and review of pertinent documents.

The inspection was an unannounced required annual visit to evaluate compliance with Title 22 regulations and assess the facility's health, safety, and operational standards.

The facility was generally found to be in compliance with regulations, including proper maintenance of fire safety equipment, clean kitchen and common areas, adequate resident rooms and bathrooms, and proper medication management. However, one deficiency was cited related to a staff member lacking a transfer of criminal record clearance, posing an immediate risk.

An unannounced Annual Continuation Visit was conducted to continue the annual inspection visit initiated on 07/11/2023, including a medication audit and record review.

Deficiencies were found related to medication documentation, specifically expiration dates and start dates not properly documented for multiple medications during audits of two residents. Staff corrected the documentation upon observation.

The inspection was an unannounced required annual visit to evaluate compliance with health and safety regulations and Title 22 requirements at the assisted living and memory care facility.

The facility was generally in compliance with regulations, including fire safety and infection control. However, deficiencies were noted including unlocked beauty salon with accessible chemicals posing immediate risk, incomplete staff training hours for some employees, and minor cleanliness issues in bathrooms and furniture condition.

The visit was conducted as a complaint investigation following an allegation that facility staff were not meeting the needs of a resident in care.

The investigation found the allegation unsubstantiated. Interviews with residents, staff, and the resident's family indicated that staff were responsive and providing appropriate care. No citations were issued.

The complaint alleged that staff were neglecting a resident who was observed hanging off the bed with a leaking cancer wound and other issues. The resident's physician report indicated the resident required extensive assistance but could communicate needs and feed self. Interviews and reviews showed staff were attentive and the resident's family had no concerns. The allegation was deemed unsubstantiated.

The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 03/28/2022 regarding the facility's alleged failure to respond to residents' responsible persons' correspondence.

The investigation found insufficient evidence to support the allegation that the facility failed to respond to residents' responsible persons' correspondence. Therefore, the allegation was deemed unsubstantiated.

The complaint alleged that the facility failed to respond to residents' responsible persons' correspondence. After interviews with facility staff and residents' responsible persons on multiple dates, the allegation was found unsubstantiated.

The inspection was conducted as a complaint investigation following an allegation of neglect/lack of care and supervision resulting in resident #1 falling and sustaining a fractured wrist.

The investigation found that resident #1 had two falls, one witnessed and one unwitnessed, resulting in injuries including a fractured wrist and brain bleed. The facility staff denied neglect and reported adequate staffing levels. The evidence did not support the allegation, and the complaint was deemed unsubstantiated.

The complaint alleged neglect/lack of care and supervision causing resident #1 to fall and sustain a fractured wrist. After interviews, document reviews, and medical record analysis, no neglect or lack of supervision was observed or supported by evidence. The allegation was unsubstantiated.

The visit was an unannounced complaint investigation conducted to investigate allegations of lack of supervision resulting in resident eloping from the facility and failure to report the elopement incident.

The investigation found that Resident #1 resides in the Assisted Living section and is able to leave the facility unassisted. Records and interviews confirmed the resident is self-responsible and able to leave the facility unassisted. The allegations were deemed unfounded.

The complaint investigation was triggered by allegations of lack of supervision resulting in resident eloping and failure to report the elopement incident. The allegations were found to be unfounded.

An unannounced Required - 1 Year inspection was conducted to evaluate the facility's compliance with regulations including infection control, safety, and medication storage.

The inspection found several deficiencies related to unsecured medication carts, accessible scissors in the activities director's office, and toxic substances accessible to residents with dementia, all posing immediate health and safety risks. The facility took corrective actions during the visit and planned staff training.

Pre-licensing visit conducted as part of a change of ownership application from Aegis of Ventura #565800683, including inspection of fire safety, personal accommodations, medication procedures, and food service.

The facility was inspected and found to have adequate supplies, proper fire safety equipment, and appropriate accommodations including private bathrooms and approved bedridden rooms. However, the physical plant was not in compliance with Title 22 regulations at the time of inspection, with some medications and cleaning supplies accessible to residents.

The visit was conducted as part of the original licensing process involving a telephone call with the Community Care Licensing analyst to complete Component II of the application process and verify the applicant and administrator's understanding of Title 22 regulations.

The applicant and administrator successfully completed Component II, demonstrating understanding of facility operation, staff qualifications, program policies, grievance procedures, physical plant, and application document requirements. They were advised to submit required documentation including signed LIC 809 and photo ID.