Inspection Reports for Newport Beach Memory Care

The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements at the Newport Beach Memory Care Facility.

Two Type B deficiencies were cited related to missing or incomplete admission agreements and hot water temperature exceeding 120F at multiple taps. The facility met fire safety requirements and maintained secure medication storage and adequate food stock.

An unannounced complaint investigation visit was conducted in response to an allegation that staff did not provide care and supervision resulting in multiple falls.

The investigation found that resident R1 had multiple falls reported on several dates, but after staff in-service training on fall prevention and implementation of precautionary measures, no further falls occurred. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged inadequate care and supervision leading to multiple falls. The allegation was found unsubstantiated after review of incident reports, interviews, and records.

An unannounced visit was conducted for the purpose of a Required Annual Inspection of the Newport Beach Memory Care Facility.

The facility was found to be in compliance with no deficiencies cited. Observations included a secure and well-maintained environment, proper emergency plans, adequate food supplies, and secure medication storage. A Technical Violation Advisory Note was issued regarding a pending exemption transfer.

An unannounced visit was conducted to investigate a complaint alleging that staff did not properly safeguard confidential information.

The investigation found no evidence of confidential information being left out in public view or improperly safeguarded. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff did not properly safeguard confidential information. The investigation was unsubstantiated.

An unannounced complaint investigation was conducted in response to an allegation that the facility failed to ensure the safety of residents after admitting a new resident with behavior issues.

The investigation included interviews with staff and observations, which found that the alleged resident's behavior was not considered problematic by staff. There was insufficient evidence to substantiate the complaint, and the allegation was deemed unsubstantiated.

The complaint alleged that the facility failed to ensure resident safety after admitting a new resident with behavior issues. The investigation found no preponderance of evidence to prove or refute the allegation, resulting in an unsubstantiated finding.

An unannounced complaint investigation visit was conducted due to an allegation that the facility's staff is insufficient to adequately provide care and supervision to the residents in care.

The investigation found that staffing issues were substantiated, with 5 of 5 staff interviews confirming the need for additional staffing. There were instances of caregivers calling off and quitting without notice, and on the initial complaint visit only two staff members were present with the Wellness Director covering for a Med Tech who called off.

The complaint was substantiated based on interviews, observation, and document review. The allegation that the facility's staff is insufficient to adequately provide care and supervision was confirmed.

The visit was a case management inspection conducted due to information discovered during the investigation of complaint control #22-AS-20240109140428 regarding staff fingerprint clearance.

It was found that Staff 1 (S1) was working at the facility for a year without fingerprint clearance, which is a violation posing an immediate health, safety, or personal rights risk. Deficiencies were cited as a result of this finding.

The visit was triggered by a complaint investigation into fingerprint clearance of staff. The complaint was substantiated by the finding that S1 was not fingerprint cleared.

The inspection was an unannounced visit to investigate complaints alleging that one of the facility's routes of egress was in disrepair and that an inoperant alarm allowed unsupervised exits from residents with dementia.

The investigation found that the delayed egress systems on both exit routes were operational and alarms were functional with appropriate staff response. No evidence supported the allegations, resulting in the complaints being found Unfounded and Unsubstantiated respectively. A Technical Violation Advisory Note was issued regarding obstruction near an egress gate.

The complaint investigation was triggered by allegations of a disrepair in one of the facility's routes of egress and an inoperant alarm allowing unsupervised exits from residents with dementia. After observation, staff interviews, and testing of alarms and egress routes, the allegation of disrepair was found Unfounded and the alarm allegation Unsubstantiated due to lack of evidence.

An unannounced visit was conducted to investigate a complaint alleging that staff did not have proper training to care for a resident in care.

The investigation confirmed that the resident's ostomy care was continuously provided by skilled professionals, and the allegation that staff lacked proper training was found to be unfounded.

The complaint alleged improper staff training to care for a resident. The investigation found the allegation to be unfounded, meaning it was false or without reasonable basis.

An unannounced visit was conducted to investigate the complaint alleging that the facility administrator does not have proper qualifications.

The allegation was found to be unfounded as the interim supervising administrator was confirmed to have an active administrator certificate, and the Operations Manager was operating under the guidance of a certified administrator.

The complaint alleging that the facility administrator does not have proper qualifications was investigated and found to be unfounded.

An unannounced complaint investigation was conducted in response to allegations that the facility refused to disclose information regarding an incident and did not report a fall that occurred to a resident.

The investigation revealed that on 10/06/2021, a resident was found with an abrasion and hip pain, later diagnosed with a hip fracture. The facility denied witnessing any fall and was unsure how the injury occurred. Due to conflicting information, the allegations were found to be unsubstantiated.

The complaint was unsubstantiated as the department was unable to corroborate the allegations due to conflicting information regarding the incident and reporting of a fall.

An unannounced complaint investigation visit was conducted in response to a complaint alleging that staff were unable to communicate due to a language barrier.

The investigation found that staff member S1 was present on the day reported and was fluent in English. The allegation was determined to be unfounded, meaning it was false or without reasonable basis.

The complaint alleged that staff were unable to communicate due to a language barrier. The allegation was found to be unfounded after review of documents and staff interviews.

An unannounced complaint investigation visit was conducted to investigate multiple allegations received on 2023-01-31 regarding resident care, including temperature maintenance, medication administration timeliness, provision of activities, staff training, and resident restraint.

The investigation found all allegations except one to be unsubstantiated or unfounded. The allegation that staff were restraining residents while in care was substantiated, with evidence including incident reports of falls related to recliner use. A Type B citation was issued for this deficiency.

The complaint investigation was triggered by allegations including staff restraining residents, failure to maintain comfortable temperatures, untimely medication administration, lack of activities, and insufficient staff training. The allegation of restraint was substantiated; others were unsubstantiated or unfounded.

The inspection was an unannounced complaint investigation visit triggered by complaints received on 12/28/2022 regarding facility heater units being in disrepair, the facility operating without an administrator, and insufficient staffing to meet resident needs.

The investigation substantiated that the facility heater units were previously dysfunctional but have since been repaired and are now functional. It was also substantiated that the facility operated without an administrator for several weeks until a new administrator was hired on December 19, 2022. The allegation of insufficient staff to meet resident needs was found to be unsubstantiated, with records showing adequate staffing coverage.

The complaint investigation was substantiated for allegations that facility heater units were in disrepair and that the facility was operating without an administrator. The allegation that staff were insufficient in numbers to meet resident needs was unsubstantiated.

An unannounced visit was made to deliver an amended form LIC9099 for a complaint investigation conducted on February 3, 2023.

The original facility visit report was marked as concluded with allegations unsubstantiated, but the narrative and exit interview indicated the allegations required further investigation. The report was amended to reflect the correct status for the ongoing investigation.

The complaint investigation 22-AS-20230131162326 was ongoing with allegations requiring further investigation; the original allegations were marked unsubstantiated but amended to reflect ongoing status.

An unannounced case management inspection was conducted to review resident records and ensure compliance with regulations.

One deficiency was cited due to missing resident records, specifically the entire file for resident R6 and the physician report for resident R5, posing a potential risk to health, safety, and personal rights.

The visit was an unannounced delivery of an amended complaint investigation report regarding complaint 22-AS-20221003102027.

The Licensing Program Analyst delivered the amended complaint investigation report and provided an exit interview to the facility representative. No additional findings or deficiencies were detailed in the report.

The visit was related to complaint 22-AS-20221003102027 and involved delivery of an amended complaint investigation report.

An unannounced complaint investigation was conducted due to an allegation that the facility did not provide the authorized representative with a refund.

The investigation found that the facility failed to issue a refund within the 15-day period as required by the admission agreement, which poses a potential health, safety, or personal rights risk to persons in care. The allegation was substantiated based on staff interviews, record reviews, and lack of documentation of a processed refund.

The complaint was substantiated. The allegation was that the facility did not provide the authorized representative with a refund. The investigation confirmed no refund had been issued within the required timeframe, and the facility was transitioning administrative service providers with no refund request submitted at the time of the visit.

An unannounced health and safety case management visit was conducted to assess compliance with COVID-19 screening guidelines and reporting requirements.

The facility was following COVID screening guidelines and residents appeared safe and well cared for. However, two COVID cases starting on 07/15/2022 were not reported to Licensing or Public Health within the required timeframe, posing an immediate health and safety risk.

An unannounced Plan of Correction (POC) visit was conducted based on deficiencies cited in a previous inspection on 04/12/2022 to verify correction of cited deficiencies.

Several previously cited deficiencies related to emergency water, medical assessments, and evacuation chairs were cleared. However, a new deficiency was cited for failure to screen staff and visitors, posing a potential health and safety risk.

An unannounced required annual visit was conducted to evaluate compliance with regulations and facility conditions.

The facility was generally clean and residents appeared well cared for, but deficiencies were cited including lack of evacuation chairs at stairwells, absence of emergency water supply, and missing updated physician reports for two of three residents with dementia.