Inspection Reports for Sierra Village

CA, 93277

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Inspection Report Annual Inspection Census: 10 Capacity: 15 Deficiencies: 1 May 7, 2025
Visit Reason
The inspection was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements at Sierra Village Assisted Living Facility.
Findings
The facility was generally compliant with clear pathways, adequate seating, proper equipment, and required documentation. However, two medications were found not logged in the Medication Administration Record Sheet (MARS), posing an immediate health and safety risk, resulting in cited deficiencies.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Two medications were not logged in the resident's MARS sheet, violating the requirement to maintain a record of dosages of centrally stored medications.Type A
Report Facts
Medications not logged: 2 Capacity: 15 Census: 10
Employees Mentioned
NameTitleContext
McKayla TurnerAdministratorMet with Licensing Program Analyst during inspection and named in report narrative
Renata PuckettAdministrator/DirectorFacility Administrator/Director mentioned in report
Jacques LeffallLicensing Program AnalystConducted the inspection and authored the report
Inspection Report Annual Inspection Census: 11 Capacity: 22 Deficiencies: 1 Jun 21, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with regulations at the Sierra Village Assisted Living Facility.
Findings
The inspection found the facility generally compliant with regulations, including clear pathways, adequate furniture, and proper medication storage. However, a deficiency was cited for an ice machine observed with black residue, posing an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Ice machine observed with black residue in and around the ice dispenser area posing an immediate health, safety or personal rights risk.Type A
Report Facts
Deficiencies cited: 1
Employees Mentioned
NameTitleContext
Kamaldeep KaurLicensing Program AnalystConducted the inspection and signed the report
Renata PuckettAdministrator/DirectorFacility administrator present during inspection
McKayla TurnerAdministratorMet with Licensing Program Analyst during inspection
See MouaLicensing Program Manager/SupervisorNamed as supervisor and licensing program manager
Inspection Report Annual Inspection Census: 9 Capacity: 22 Deficiencies: 0 Apr 26, 2023
Visit Reason
The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements at the assisted living facility.
Findings
The inspection found no deficiencies. The facility was observed to be in compliance with safety, health, and administrative requirements including clear pathways, adequate food supply, proper room furnishings, safety equipment maintenance, secure medication storage, and staff certification.
Report Facts
Capacity: 22 Census: 9
Employees Mentioned
NameTitleContext
Renata PuckettAdministratorAdministrator present during inspection and exit interview
Kamaldeep KaurLicensing Program AnalystConducted the annual inspection
McKayla TurnerSupervisorStaff who granted entry and accompanied the facility tour
Inspection Report Complaint Investigation Census: 11 Capacity: 22 Deficiencies: 0 Jul 14, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2022-06-13 alleging that a resident was denied visitation at the facility.
Findings
The investigation found that residents were permitted visitors and the allegation was determined to be unfounded, meaning the complaint was false or without reasonable basis.
Complaint Details
The complaint alleged that a resident was denied visitation at the facility. The allegation was investigated and found to be unfounded.
Employees Mentioned
NameTitleContext
Mai YangLicensing Program AnalystConducted the complaint investigation and delivered findings.
Renata PuckettAdministratorMet with the Licensing Program Analyst during the investigation.
Inspection Report Annual Inspection Census: 11 Capacity: 22 Deficiencies: 1 May 27, 2022
Visit Reason
The visit was an unannounced annual inspection focused on infection control conducted by the Licensing Program Analyst to evaluate compliance with regulatory requirements.
Findings
The facility was generally clean and maintained social distancing and infection control measures, but a deficiency was found regarding a staff member not having fingerprint clearance, which posed an immediate risk to resident safety. An immediate civil penalty of $500 was assessed.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Staff working at the facility was not fingerprinted cleared as required, posing an immediate risk to the health and safety of residents.Type A
Report Facts
Civil Penalty: 500 PPE supply duration: 30 Capacity: 22 Census: 11
Employees Mentioned
NameTitleContext
Mai YangLicensing Program AnalystConducted the inspection and cited the deficiency
Melinda HoffmannLicensing Program ManagerSupervisor overseeing the inspection
Renata PuckettAdministratorFacility administrator involved in the inspection and deficiency discussion
Inspection Report Annual Inspection Census: 12 Capacity: 22 Deficiencies: 0 Jun 8, 2021
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations at Sierra Village Assisted Living Facility.
Findings
The inspection found that infection control measures were in place including visitor log-in, temperature checks, mask use, hand sanitizer availability, and social distancing. Food supplies and cleaning supplies were appropriately stored, and staff had infection control training. The facility had an updated mitigation plan on file.
Employees Mentioned
NameTitleContext
Belinda CoulsonAdministratorMet with Licensing Program Analyst during the inspection and discussed the purpose of the visit.
Shawna DoucetteLicensing Program AnalystConducted the annual inspection.
Sergiy PidgirnyLicensing Program ManagerNamed in the report header.

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