Inspection Reports for Carefield Pleasanton Memory Care

The inspection was an unannounced Required - 1 Year inspection conducted to evaluate the facility's compliance with licensing regulations.

The inspection found that the facility generally met regulatory requirements including safety equipment, emergency plans, and food storage. However, a deficiency was cited for hot water temperature exceeding the allowed maximum, posing an immediate health and safety risk.

The visit was an unannounced case management inspection conducted in response to an incident report received on 2025-01-23 regarding a resident who was found outside the facility unassisted.

The inspection found that a resident left the facility unassisted due to a door being left propped open, which violated the California Code of Regulation, Title 22. This deficiency was cited and poses a potential health and safety risk.

The complaint was substantiated based on the incident report and investigation showing a resident left the facility unassisted, contrary to physician's orders and safety regulations.

The visit was an unannounced case management inspection conducted in response to a death report received on 2025-01-20.

The inspection found that a resident (R1) was found unresponsive and later passed away at the hospital on 2025-01-15. Staff followed appropriate procedures including calling 911 and notifying family. No deficiencies were cited during this visit.

The visit was an unannounced complaint investigation conducted in response to allegations that the facility was not allowing family members to visit residents and was not allowing residents to receive phone calls.

The investigation found that family members do visit residents and residents are receiving phone calls. After reviewing visitor logs and phone call records, the allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated as evidence showed residents were receiving visitors and phone calls as alleged restrictions were not occurring.

The inspection was an unannounced Required - 1 Year inspection conducted to evaluate compliance with licensing regulations.

The inspection found deficiencies related to staff training and fingerprint clearance. Specifically, one staff member (S3) did not have current annual training completed, and another staff member (S6) was not fingerprint cleared, posing potential health and safety risks.

Unannounced complaint investigation conducted due to allegations including medication overdose, untimely staff response after resident falls, and residents being left in urine and feces for extended periods.

The investigation found no preponderance of evidence to substantiate the allegations. Medication administration was according to doctor's orders, staff response times to pull cords were less than 16 minutes, and diaper checks occurred every 2-3 hours or more frequently.

The complaint investigation was unsubstantiated as evidence did not prove the alleged violations occurred.

The visit was an unannounced case management inspection conducted during the course of investigation for complaint #15-AS-20230329161525.

A deficiency was observed where staff member S1 was not fingerprint cleared, which is a violation of California Code of Regulations, Title 22. A civil penalty of $500 was assessed.

The visit was triggered by complaint #15-AS-20230329161525. The deficiency related to fingerprint clearance was substantiated and a civil penalty was assessed.

Unannounced complaint investigation conducted due to allegations including failure to safeguard resident's personal belongings, resident injury, multiple falls, inadequate assistance with toileting and showering, inadequate staffing, failure to respond to call bells, and difficulty using pull cords.

The investigation substantiated the allegation that the facility failed to safeguard a resident's personal belongings, posing a potential health and safety risk. Other allegations including resident injury, multiple falls, toileting and showering assistance, staffing adequacy, call bell response, and pull cord use were found to be unsubstantiated due to lack of preponderance of evidence.

Complaint investigation was triggered by multiple allegations including failure to safeguard resident belongings, resident injury, multiple falls, inadequate assistance with toileting and showering, inadequate staffing, failure to respond to call bells, and difficulty using pull cords. The allegation regarding safeguarding belongings was substantiated; others were unsubstantiated.

The visit was an unannounced Case Management - Annual Continuation inspection to review staff training, resident care, and compliance with regulations.

The inspection found deficiencies including the lack of a written home health agency agreement and medication discrepancies involving Acetaminophen dosages. The facility has submitted plans of correction and clarification requests to the physician.

The visit was an unannounced case management inspection conducted during the course of investigation for complaint #15-AS-20221229131014.

The facility failed to submit incident reports for all falls experienced by resident R1, with only three falls reported despite additional unreported falls. This deficiency was cited under California Code of Regulations, Title 22.

The visit was complaint-related, investigating complaint #15-AS-20221229131014. The deficiency involved failure to report all falls of resident R1, posing a potential health and safety risk.

The inspection was an unannounced Required - 1 Year annual inspection conducted to evaluate compliance with licensing regulations.

The inspection found deficiencies including missing TB test results for two residents, lack of current first aid training for one staff member, and an initial hot water temperature that was too high but was corrected during the visit.

The inspection visit was conducted unannounced on 12/30/2022 as a health and safety check resulting from a priority 2 complaint.

The Licensing Program Analyst toured the facility and found all conditions satisfactory, including proper temperature controls, sufficient food supplies, secure medication storage, and functional safety equipment. No deficiencies were cited during this visit.

Visit was triggered by a priority 2 complaint. No deficiencies were cited, indicating no substantiated violations.

An unannounced complaint investigation was conducted in response to an allegation that the facility failed to provide adequate supervision resulting in a resident pushing another resident.

The investigation included interviews with staff and a resident, and review of relevant documents. It was found that although the incident may have occurred, there was insufficient evidence to substantiate the allegation. No deficiencies were cited.

The complaint was unsubstantiated due to lack of preponderance of evidence proving the alleged violation occurred.

The visit was an unannounced case management inspection conducted in response to a death report received on 2022-07-26 regarding a resident who passed away at the facility on 2022-07-22.

The Licensing Program Analyst reviewed the resident's file and physician's report, confirming the resident's diagnoses and circumstances of death. No deficiencies were cited during this visit.

The inspection was an unannounced infection control inspection conducted as a required one-year visit to assess compliance with infection control guidelines.

The facility was found to be in compliance with infection control practices, including proper use of PPE, hand hygiene, and COVID-19 screening protocols. No deficiencies were cited, and technical assistance was provided regarding infection control guidelines.