Inspection Reports for Crestavilla

The inspection was an unannounced complaint investigation visit triggered by allegations including staff not providing timely medical care for a resident, lack of supervision leading to a resident fall, and failure to provide an incident report to authorized representatives.

The investigation found the allegation of untimely medical care to be unfounded, the allegation of lack of supervision causing a resident fall to be unsubstantiated, and substantiated the allegation that the facility failed to provide a timely written incident report to the responsible party and licensing agency, citing a delay of 9 days beyond the required 7-day reporting period.

The complaint investigation addressed three allegations: 1) staff did not get timely medical care for a resident (unfounded), 2) due to lack of supervision, a resident fell sustaining an injury (unsubstantiated), and 3) staff did not provide an incident report to authorized representatives (substantiated).

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2024-10-15 regarding a resident being denied telephone use, visitation wishes not being respected, and the resident not receiving their mail.

The investigation found conflicting and insufficient evidence to substantiate the allegations. The facility staff and documentation indicated that the resident was allowed telephone access with a delay due to an emergency, visitation wishes were generally respected though there were conflicting reports about undue influence by family members, and the facility did not withhold mail but mail was directed to the resident's conservator. The allegations were deemed unsubstantiated.

The complaint involved three allegations: 1) Resident was not allowed to use the telephone; 2) Facility did not respect residents' visitation wishes; 3) Facility did not allow resident to have their mail. The investigation included interviews with the Administrator, Memory Care Director, resident, family members, conservator, and 20 other residents, as well as review of relevant documents. The complaint was found to be unsubstantiated due to lack of preponderance of evidence.

An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.

The facility was found to be generally well-maintained with adequate supplies, functioning emergency systems, and proper infection control practices. However, deficiencies were noted related to staff criminal clearance transfer and expired CPR/First Aid certification.

An unannounced collateral visit was conducted in conjunction with complaint investigation 22-AS-20231004114033 at another licensed facility to gather information related to the complaint.

The Licensing Program Analyst met with the General Manager and a resident to gather information pertaining to the complaint. An exit interview was conducted and a copy of the report was provided to the General Manager.

Visit was related to complaint investigation 22-AS-20231004114033. Resident agreed to speak with the Licensing Program Analyst. No substantiation status stated.

This unannounced inspection was conducted as a health and safety check and to conclude the follow-up on a report that Resident #1 had recently passed away.

The facility was found to be clean and organized with no health and safety issues. The facility had adequate food supplies and utilities were functioning. No deficiencies were cited based on the investigation.

This unannounced inspection was conducted for the purpose of a health and safety check and to follow up on a report that Resident #1 had recently passed away.

The facility was observed to be clean and organized with no health and safety issues. The resident's spouse was checked and found to be doing well. The facility had adequate food supplies and utilities were functioning properly.

An announced pre-licensing inspection was conducted to evaluate the facility's readiness to operate as a Residential Care Facility for the Elderly (RCFE) with a capacity of 250 residents, including 240 non-ambulatory and 10 bedridden residents, and a hospice waiver for 20.

The facility was found to be in substantial compliance with Title 22 requirements, with no deficiencies observed during the visit. The facility is ready to be licensed and meets all regulatory requirements including safety, hygiene, and emergency preparedness.

The visit was conducted as part of the original licensing process involving a Component II (COMP II) evaluation to verify the applicant/administrator's understanding of California Code Title 22 Regulations and readiness for licensing.

The Component II completion was successful, confirming the applicant/administrator's knowledge of facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.