Inspection Reports for The Peninsula Regent

CA, 94401

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Inspection Report Annual Inspection Census: 206 Capacity: 435 Deficiencies: 4 Dec 2, 2024
Visit Reason
The inspection was a required unannounced 1-year annual inspection visit to evaluate compliance with regulations at the Peninsula Regent Continuing Care Retirement Community.
Findings
The inspection found multiple deficiencies related to personnel health screenings, staff training, admission agreement documentation, and first aid training. The facility had no fire safety hazards and maintained appropriate safety measures, but failed to maintain required health screenings and training documentation for several staff members.
Deficiencies (4)
Description
Health screenings and TB test results for staff #1 and #2 are not maintained.
No evidence that care staff have received required training on postural supports and restricted health conditions.
Admission/residency agreements for clients #1, #2, #3, #5 are printed on both sides of paper, not complying with printing requirements.
Proof of current first-aid training for staff #2 and #3 is not maintained.
Report Facts
Staff files reviewed: 6 Staff files with deficiencies: 2 Client files reviewed: 6 Client files with deficiencies: 4 Staff files with first aid training deficiencies: 2
Employees Mentioned
NameTitleContext
Martin HerterAdministratorFacility administrator overseeing operations
Audrey JeungLicensing Program AnalystConducted the facility inspection and evaluation
April CowanLicensing Program ManagerSupervisor of the licensing evaluation
Inspection Report Complaint Investigation Census: 203 Capacity: 435 Deficiencies: 2 Sep 27, 2024
Visit Reason
Unannounced complaint investigation visit conducted due to multiple allegations including untimely response to call button alerts, resident injury, inappropriate staff behavior, and rough handling of residents.
Findings
The investigation substantiated allegations that staff failed to respond timely to call button alerts and that a resident sustained injuries due to rough handling by a staff member who was subsequently terminated. Other allegations regarding bathing and toileting assistance were unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was substantiated based on evidence including emergency call logs showing delayed staff responses and documentation of a staff member causing bruises and a skin tear to a resident. The staff member was terminated. Other allegations related to bathing and toileting assistance were unsubstantiated due to lack of sufficient evidence.
Severity Breakdown
Type B: 2
Deficiencies (2)
DescriptionSeverity
Staff failed to respond to client's call alerts in a timely manner, posing potential health, safety, or personal rights risk.Type B
Client sustained an injury when a staff handled client in a rough manner, violating personal rights.Type B
Report Facts
Delayed staff responses: 16 Facility capacity: 435 Resident census: 203 Plan of Correction due date: Oct 4, 2024
Employees Mentioned
NameTitleContext
Martin HerterAdministratorMet with during investigation.
Audrey JeungLicensing Program AnalystConducted the complaint investigation.
April CowanLicensing Program ManagerOversaw the complaint investigation.
Inspection Report Census: 196 Capacity: 435 Deficiencies: 0 Oct 6, 2022
Visit Reason
The visit was conducted as a Case Management - Health Checks in response to a Death Report submitted on 10/4/22.
Findings
The licensing analysts met with the director of health and wellness, reviewed the admission agreement and facility monitoring information for independent residents, and obtained staff schedules and client rosters. No deficiencies were cited during this visit.
Employees Mentioned
NameTitleContext
Cara SmithLicensing Program ManagerNamed as Licensing Program Manager overseeing the visit.
Audrey JeungLicensing Program AnalystNamed as Licensing Program Analyst conducting the visit.

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