Inspection Reports for Clearwater at South Bay

The visit was an unannounced complaint investigation triggered by an allegation that staff did not ensure the air conditioner was working properly, resulting in the facility not being kept at a comfortable temperature.

The investigation included facility inspection, staff and resident interviews, and document review. The allegation was found to be unsubstantiated as the HVAC system was maintained quarterly, temperatures in common areas and resident rooms were within comfortable ranges, and no evidence supported the claim of malfunctioning air conditioning.

The complaint alleged that staff did not ensure the air conditioner was working properly, causing uncomfortable temperatures. The investigation found no preponderance of evidence to substantiate the allegation, and it was determined to be unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not ensuring all staff were criminally record cleared before working on the floor.

The investigation included interviews with the Executive Director and Business Office Director, review of staff files and schedules, and found that all 10 staff files reviewed had the required criminal and medical clearances. There was insufficient evidence to substantiate the allegation, and no deficiencies were cited.

The complaint alleged that applicants were hired and scheduled before passing live scan and medical testing. Interviews and record reviews did not support this allegation, resulting in an unsubstantiated finding.

An unannounced Case Management Visit was conducted to deliver an Immediate Exclusion Letter for a staff member due to conduct inimical.

No deficiencies were observed or cited during the visit. An Immediate Exclusion Letter was delivered to exclude Daniel Castro from contact with clients and presence at the facility.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations including failure to provide authorized representatives copies of residents' files, staff neglect causing a resident wound, double diapering residents, and leaving residents in soiled diapers.

The investigation substantiated the allegation that staff failed to provide authorized representatives copies of residents' files within two business days as required by regulation. The other allegations regarding staff neglect causing wounds, double diapering residents, and leaving residents in soiled diapers were unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited during the visit.

The complaint investigation was triggered by allegations that staff did not provide authorized representatives copies of residents' rental agreements and visitor logs, a resident sustained a wound due to staff neglect, residents were double diapered, and residents were left in soiled diapers. The allegation regarding failure to provide records was substantiated, while the others were unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to a complaint received on 2024-10-16 regarding allegations of staff not providing authorized representatives copies of residents' files, resident wounds due to staff neglect, double diapering residents, and residents being left in soiled diapers.

The investigation reviewed multiple documents, interviewed staff and residents, and found no preponderance of evidence to substantiate any of the allegations. All allegations were determined to be unsubstantiated, and no deficiencies were cited during the visit.

The complaint included allegations that staff failed to provide authorized representatives with copies of residents' files, a resident sustained a wound due to staff neglect, residents were double diapered, and residents were left in soiled diapers. The investigation included document reviews, staff and resident interviews, and found no evidence to support the allegations. The complaint was unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to a complaint received on 2023-12-14 regarding multiple allegations against the facility.

The investigation reviewed multiple allegations including safeguarding residents' personal items, documentation and reporting of incidents, provision of activities, medication management, safeguarding confidential information, provision of utensils, and staff communication with residents. The investigation found no preponderance of evidence to support the allegations and determined them to be unsubstantiated. No deficiencies were cited during the visit.

The complaint included allegations that staff did not safeguard residents' personal items, failed to document or report incidents to residents' authorized persons, did not provide activities, mismanaged medication, failed to safeguard confidential information, did not provide utensils, and were unable to communicate with residents. The investigation found these allegations unsubstantiated due to lack of evidence.

The visit was an unannounced required 1-year inspection to evaluate the facility's compliance with licensing regulations for serving non-ambulatory elderly adults.

The facility was found to be clean, well-maintained, and in good repair with no deficiencies observed or cited. Resident rooms, common areas, kitchen, safety equipment, medication storage, files, and infection control measures were all compliant with regulatory standards.

The visit was an unannounced complaint investigation regarding an allegation that the facility HVAC system was in disrepair.

The investigation included facility tour, temperature measurements, staff and resident interviews, and document review. The HVAC system was found to be functioning with thermostats set within comfortable ranges, and maintenance was documented. Some residents had difficulty operating thermostats, but no deficiencies were observed or cited. The allegation was unsubstantiated due to lack of evidence.

The complaint alleged that the facility had a broken air conditioning and heating system for about two years. The investigation found no preponderance of evidence to prove the alleged violation(s) occurred, and the allegation was unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to an allegation that facility staff do not store cleaning chemicals locked and inaccessible to residents in care.

The investigation found that all cleaning chemicals were stored securely in locked cabinets and inaccessible to residents. Staff confirmed they received training on chemical storage, and residents reported not seeing cleaning chemicals left out. No evidence was found to support the allegation, and no deficiencies were cited.

The complaint alleged that cleaning products were left out or stored in unsecured cabinets accessible to residents in the memory care unit. The allegation was unsubstantiated due to lack of evidence.

The visit was an unannounced complaint investigation triggered by an allegation of neglect/lack of supervision resulting in severe injury.

The investigation found no preponderance of evidence to substantiate the allegation. Medical records showed Resident #1 did not sustain a fracture from the alleged fall, and the facility had implemented preventative measures following the incident.

The allegation was that neglect or lack of supervision resulted in severe injury to Resident #1. The investigation included medical record reviews, interviews with staff, residents, and witnesses, and found the allegation to be unsubstantiated.

An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations for the facility serving non-ambulatory elderly adults.

The facility was found to be sanitary, appropriately furnished, and compliant with infection control practices. However, deficiencies were cited related to medication documentation and storage of cleaning agents accessible to memory care residents.

An unannounced complaint investigation visit was conducted in response to an allegation that staff were not providing a safe environment for residents in care.

The investigation found that a single verbal altercation occurred between residents regarding seating in the dining area, which was resolved. Staff and other residents denied ongoing safety concerns. The allegation was determined to be unsubstantiated due to insufficient evidence.

The complaint alleged that staff were not providing a safe environment for residents. Interviews with staff, residents, and review of documentation revealed a single verbal altercation between residents, with no further incidents. The allegation was unsubstantiated.

Licensing Program Analyst Jeremiah Randle conducted an unannounced visit to the facility for the purpose of the required annual inspection.

The facility was inspected thoroughly including resident rooms, bathrooms, medication storage, staff and resident files, fire safety, food service, and hygiene supplies. No deficiencies or citations were observed during the inspection.

The visit was a Plan of Correction (POC) unannounced follow-up to verify correction of a previously substantiated complaint regarding the facility's air conditioning system being in disrepair.

The facility's main air conditioning unit remained unrepaired and not fully operational, affecting multiple resident rooms and common areas. The facility had purchased and rented portable A/C units to mitigate heat issues while awaiting bids to replace the main A/C unit.

The visit followed a substantiated complaint from 04/08/22 regarding the facility's air conditioning being in disrepair and not working in several resident rooms for over two months.

The inspection was an unannounced complaint investigation visit conducted in response to allegations that the facility was not maintained at a comfortable temperature and that the facility's A/C was in disrepair.

The investigation found that while some residents felt the temperature could be cooler, the common areas were maintained at a comfortable temperature. However, the allegation that the A/C was in disrepair was substantiated, with the A/C not working in certain resident rooms for over two months. The facility was actively trying to repair the A/C and provided personal fans to affected residents.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Ana Soto. The allegation that the facility was not maintained at a comfortable temperature was unsubstantiated, but the allegation that the facility's A/C was in disrepair was substantiated. The facility had been trying to repair the A/C for over two months and provided personal fans to affected residents. The investigation included interviews with staff and residents, tours of the facility, and review of repair invoices.

An unannounced Case Management visit was conducted to serve an Order to Licensee/Facility of Immediate Exclusion from Facility for Staff #1 due to violation of client’s personal rights.

The investigation determined that Staff #1 violated California Code of Regulations Title 22 regarding client’s personal rights, resulting in an immediate exclusion order. A health and safety inspection was also conducted, reviewing the physical plant and food supply.

An unannounced annual required visit was conducted with a primary focus on Infection Control measures using the new CARE Inspection Tool.

The facility was found to be sanitary, appropriately furnished, and compliant with infection control practices. One deficiency was cited regarding water temperature in the Memory Care building not meeting Title 22 regulations. No other deficiencies were cited during this inspection.

The inspection was an unannounced complaint investigation visit conducted due to an allegation that resident care needs were not being met.

The investigation included interviews with residents, staff, and facility directors, as well as records and plant inspections. The Licensing Program Analyst found no evidence to support the allegation, and the complaint was determined to be unsubstantiated.

The complaint alleged that resident care needs were not being met. After investigation, including interviews and records review, the allegation was found to be unsubstantiated.

An unannounced complaint investigation was conducted following allegations received on 2021-02-08 regarding staff hitting residents, residents sustaining injuries while in care, improper medication administration, and failure to ensure residents receive their meals.

The investigation included interviews with residents, staff, and a witness, as well as review of records and a plant inspection. No evidence was found to substantiate the allegations; medication administration and meal service were found to be compliant, and no staff abuse or resident injury issues were confirmed.

The complaint investigation was unsubstantiated. Allegations included staff hitting residents, residents sustaining injuries, improper medication administration, and failure to ensure residents receive meals. Interviews and record reviews found no evidence to support these allegations.

The visit was a Case Management - Incident visit conducted virtually due to COVID-19, to gather information regarding unwitnessed falls of a resident on 04/24/2021 and 04/29/2021.

No deficiencies were found during the visit. Additional information was requested including the resident's physician report, needs and service plan, progress notes, prescription order chart, current medications/treatments, and fall risk plan.

The visit was an unannounced Case Management - Incident report conducted telephonically due to COVID-19 mitigation measures.

The Licensing Program Analyst was unable to tour the area under construction due to internet issues but reviewed videos showing construction areas safely masked off to prevent resident access. Drywall replacement was underway in the laundry room, break room, and three resident rooms, with affected residents relocated to the second floor.