Inspection Reports for La Marea Senior Living

The inspection was an unannounced complaint investigation visit conducted in response to an allegation that facility staff failed to keep a resident hydrated, resulting in acute kidney injury.

Based on interviews, observations, and records review, the department determined that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegation was unsubstantiated.

The complaint alleged that facility staff failed to keep a resident hydrated resulting in acute kidney injury. Staff interviews and records indicated the resident was regularly offered and consumed fluids, and the nurse practitioner noted no signs of dehydration. The allegation was found unsubstantiated.

An unannounced complaint investigation visit was conducted in response to allegations that the facility neglected a resident resulting in fractures, failed to provide timely medical assistance after a fall, did not notify the resident’s family of condition changes, and failed to report the incident as required.

The investigation substantiated the allegations, finding that the facility failed to implement fall prevention measures, delayed medical care and notification to the resident’s responsible party, and did not report a serious incident timely. Multiple unexplained injuries occurred, and staff did not update the resident’s care plan after falls, posing immediate health and safety risks.

The complaint was substantiated. Allegations included neglect causing fractures, failure to provide timely medical assistance, failure to notify family of condition changes, and failure to report incidents. Evidence from interviews, records, and outside sources confirmed these issues.

An unannounced complaint investigation visit was conducted in response to allegations that staff did not handle residents with dignity and yelled at residents.

The investigation found no preponderance of evidence to substantiate the allegations that staff handled residents roughly or yelled at them. The allegations were determined to be unsubstantiated after review of records and interviews.

The complaint alleged that Staff #1 abruptly pushed Resident #1 in their wheelchair and yelled at them, and that Resident #1 had been roughly handled by an unknown staff member previously. The investigation included an unannounced visit, records review, and interviews. Resident #1 had dementia and behavioral disturbances, limiting their reliability as a historian. No evidence was found to support the allegations.

An unannounced continuation required annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.

The inspection found the facility to be in full compliance with no deficiencies cited. The facility was well maintained with all safety equipment in working order and proper storage of medications and food.

An unannounced required annual inspection was conducted to review facility records, tour the facility, and verify compliance with licensing requirements.

No deficiencies were cited during the inspection. Due to time constraints, the annual inspection could not be completed and a return visit is needed.

The visit was conducted in response to a self-reported incident regarding a medication error for Resident #1 that occurred on 2024-12-12.

During the unannounced case management visit, a brief facility tour was conducted, records were reviewed, and staff interviewed. No deficiencies were cited during the visit.

The visit was complaint-related due to a medication error incident reported by the facility. No deficiencies were cited, indicating no substantiated violations during this visit.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-06-25 regarding resident hygiene, facility odor, assistance to dining hall, staff training, and staff handling of residents.

The investigation found all allegations unsubstantiated based on staff and resident interviews, observations, and records review. Staff were found to provide adequate hygiene assistance, maintain cleanliness, assist residents to the dining hall, be properly trained, and handle residents gently.

The complaint included allegations that staff did not ensure residents' hygiene needs were met, the facility was malodorous, staff did not assist residents to the dining hall, untrained staff provided care and supervision, and staff handled residents roughly. All allegations were found unsubstantiated after investigation.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not respond to a resident's call button in a timely manner.

The investigation found that staff response times to call buttons exceeded 20 minutes on 76 occasions between 01/22/2024 and 02/05/2024, with some waits up to 30 minutes. The allegation was substantiated based on interviews, observations, and record reviews.

The complaint alleged that staff did not respond to resident's call button in a timely manner. The allegation was substantiated based on a preponderance of evidence including interviews and record reviews.

An unannounced complaint investigation was conducted following an allegation received on 07/09/2024 that staff did not provide adequate food service for residents.

The investigation found that staff provided adequate food service during the complaint timeframe. Observations, interviews, and records review confirmed food quality was good, staff were adequately trained, and food safety procedures were followed. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleging inadequate food service was investigated and found unsubstantiated. Resident interviews and staff records did not corroborate the allegation.

The visit was conducted in response to a licensee self-reported medication error involving nine residents who missed their medications due to staff inability to meet the two-hour medication assistance timeframe.

The investigation found no safety concerns during the welfare check. The medication error was attributed to staff shortage. No residents experienced adverse effects. The facility implemented a plan to hire additional Med Tech staff and conducted in-service training on medication management.

The visit was complaint-related due to a licensee self-reported medication error. The incident was substantiated with one deficiency cited.

The visit was conducted in response to an LIC624 Incident Report submitted by the Licensee regarding a medication incident involving Resident #1.

During the visit, the Licensing Program Analyst performed a facility tour and welfare check on the resident involved, interviewed relevant parties, and reviewed medical records. No deficiencies were observed or cited during the visit.

The visit was complaint-related, triggered by a medication incident reported in an LIC624 Incident Report received on 02/09/2024. The resident was found alert, safe, and feeling well. No deficiencies were cited.

The visit was an unannounced Case Management - Incident inspection conducted in response to two LIC624 Incident Reports submitted by the Licensee regarding allegations of staff mistreatment of residents.

The investigation found that Staff #1 mistreated three residents by handling one roughly during personal care, giving another a cold shower, and neglecting a third resident. The staff member was suspended and subsequently terminated. Two deficiencies were cited, including a repeat violation, and a civil penalty was assessed.

The visit was complaint-related based on allegations of mistreatment by Staff #1 involving Residents #1, #2, and #3. The allegations were substantiated by staff interviews and records. Staff #1 was suspended and later terminated for patient abuse/neglect. Licensee failed to report one incident involving Resident #3 as required.

An unannounced required annual inspection was conducted to evaluate compliance with licensing regulations for the facility.

The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and documentation were present and in order.

The inspection was an unannounced complaint investigation visit triggered by an allegation received on 2023-05-15 that the Licensee did not follow Covid-19 protocols.

The investigation included facility tours, record reviews, staff and resident interviews, and direct observations. No evidence was found to substantiate the allegation; staff and residents confirmed adherence to Covid-19 protocols, and records showed proper infection control measures and communication with public health authorities.

The complaint alleged that the Licensee did not follow Covid-19 protocols. The investigation found the allegation to be unsubstantiated based on interviews, observations, and records review.

An unannounced complaint investigation was conducted regarding an allegation that the facility did not include its license number in a local newspaper advertisement during January 2023.

The investigation found that all online and print advertisements during January 2023 included the facility's license number. The allegation was determined to be unfounded and dismissed.

The complaint alleged that the license number was not included in an advertisement as required. The allegation was found to be unfounded based on review of outside source records showing all advertisements included the license number.

The inspection was conducted as an unannounced complaint investigation regarding an allegation that the licensee was not providing hygiene supplies to residents in care.

The investigation found that a resident with dementia used excessive toilet paper to wipe surfaces, which led to a shortage of toilet paper in a shared bathroom. However, there was no evidence that the facility failed to provide toilet paper to meet resident care needs. The allegation was unsubstantiated due to lack of corroborating evidence.

The complaint alleged that the licensee was not providing hygiene supplies, specifically that staff were not stocking a bathroom with toilet paper, causing residents to use a towel instead. The allegation was unsubstantiated after investigation.

An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements, including infection control measures.

No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated the facility's infection control mitigation plan.

The inspection was a pre-licensing visit conducted virtually via FaceTime to ensure the facility complies with California Code of Regulations, Title 22, Division 6, prior to licensing.

The facility was found to be clean, in good repair, with no pathway obstructions. Resident bedrooms, bathrooms, kitchen, and common areas were inspected and found compliant. All required postings were present, and no firearms or ammunition were on the premises.

Initial licensing evaluation for a new Residential Care Facility for the Elderly with dementia care and delayed egress, with new construction expected to be completed by March 2021.

The applicant and administrator participated in a Component II call with the licensing analyst, confirming understanding of Title 22 requirements including facility operation, staff qualifications, program policies, and application document review. The Component II was successfully completed with no deficiencies noted.

report_4_374604411_inx3_2024-01-24.pdf