Inspection Reports for Victorian Manor

An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements and overall care standards.

The facility was found to be clean, safe, and well-maintained with proper food storage and fire safety measures. Some technical violations were noted regarding outdated medical assessments for dementia residents and incomplete first aid and CPR training for staff, but no deficiencies were cited.

An unannounced complaint investigation visit was conducted in response to allegations received regarding medication mismanagement, refusal to provide menus to a resident's authorized representative, and failure to meet resident's needs.

The investigation found that the resident had frequent hospitalizations and medication changes, which impacted the facility's ability to meet needs. Medication administration records showed the resident did receive the questioned medication, and menus were posted weekly. The facility follows physician dietary recommendations but does not have a dietician on staff. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included medication mismanagement, refusal to provide menus, and unmet resident needs. Evidence did not support the allegations.

Unannounced investigation of a complaint received on 2023-12-05 regarding resident injuries and failure to report injuries to responsible party.

Investigation found skin discoloration on resident's leg was observed but not documented by hospice nurse. Facility assessment could not confirm discoloration. Allegations were determined to be unfounded, meaning they could not have happened or lacked reasonable basis.

Complaint involved allegations that a resident sustained injuries in care and the facility failed to report injuries to the responsible party. The complaint was determined to be unfounded.

This visit was a follow-up to a case management visit on 10/2/2023 to discuss citations issued on that day and subsequent communications regarding client #1.

The facility was cited for failing to ensure that the Needs and Services Plan for client #1 was signed and acknowledged by the client or their responsible party, posing a potential health, safety, or personal rights risk.

The visit was conducted in response to an Incident Report dated 08/02/2023 regarding client #1, to review submitted documentation including a Physician's Report and Needs and Services Plan.

Deficiencies were cited related to care of persons with dementia, including inadequate supervision leading to a client eloping from the facility and failure to ensure annual medical assessments and reappraisals addressing dementia care needs. The medical report was over two years old and did not adequately address wandering behavior.

Visit was complaint-related, triggered by an Incident Report dated 08/02/2023. Substantiation status is not explicitly stated.

The inspection was an unannounced complaint investigation visit conducted in response to allegations including illegal eviction of a resident and retaliation against a resident for making complaints.

The investigation substantiated that the facility issued an immediate eviction notice to a resident without providing the required 30-day written notice, violating Title 22 regulations. The allegation of retaliation against the resident for making complaints was found to be unfounded.

The complaint investigation was substantiated for illegal eviction due to failure to provide a 30-day notice as required by regulation. The retaliation allegation was found to be unfounded.

An unannounced case management visit was conducted to deliver findings related to complaint #14-AS-20230616164015 concerning a resident's hospital transfer and related reporting and care plan deficiencies.

The investigation found that resident #1 was transferred to the hospital on 6/5/2023 but the incident was not reported to the licensing agency. Additionally, the resident's needs and services plan was not updated timely, was unsigned by the resident and responsible parties, and the resident was unaware of the care planning process. Deficiencies were cited under California Code of Regulations, Title 22.

Complaint #14-AS-20230616164015 regarding failure to report a hospital transfer and deficiencies in updating and signing the resident's needs and services plan.

An unannounced complaint investigation visit was conducted in response to allegations received on 2023-06-16 regarding staff handling residents roughly, inadequate feeding, and serving cold food to a resident.

The investigation found no preponderance of evidence to substantiate the allegations of rough handling, inadequate feeding, or serving cold food. The administrator had addressed concerns with the resident, and staff and other residents reported respectful care. However, the facility failed to update the resident's needs and services plan to reflect current health conditions, which will be cited under Case Management.

The complaint investigation was unsubstantiated. Allegations included staff handling a resident roughly, not ensuring adequate feeding, and serving cold food. Interviews with the resident, staff, administrator, other residents, and family members did not support the allegations. The administrator had met with the resident and developed a plan to improve communication during care. The facility staff assisted with feeding and warmed food upon request. The only deficiency found was the failure to update the resident's care plan timely.

An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and infection control practices.

The inspection found no deficiencies. COVID-19 signage and infection control measures were observed, medications and sharps were stored properly, and environmental conditions were adequate.

Unannounced complaint investigation visit conducted in response to multiple allegations including improper staff response to a resident being burned, unmet toileting needs, inadequate staffing, medication administration issues, staff retaliation, and resident respect concerns.

All allegations were investigated through interviews, record reviews, and observations. The allegation of a resident being burned was unsubstantiated due to lack of evidence. Allegations regarding toileting needs and staffing were also unsubstantiated. Medication administration, staff retaliation, failure to prevent another resident entering a room, and disrespectful treatment allegations were all found to be unfounded.

The complaint investigation was triggered by allegations received on 09/26/2022. The investigation found the allegations of improper staff response to a burn incident, unmet toileting needs, inadequate staffing, medication administration errors, staff retaliation, failure to prevent another resident entering a resident's room, and disrespectful treatment to be unsubstantiated or unfounded based on interviews, observations, and record reviews.

The visit was an unannounced health and welfare check conducted as a follow-up to a previous health and welfare check on 2022-07-12 concerning three residents admitted from a skilled nursing facility.

During the visit, the Licensing Program Analyst met with the three residents who reported doing well, and no deficiencies were cited.

An unannounced Health and Welfare check was conducted because the facility admitted 3 residents from a skilled nursing facility and is anticipating admitting additional residents from the same facility.

No deficiencies were found during the visit. The Licensing Program Analyst reviewed various resident and facility documents and interviewed the 3 residents, who reported receiving needed care but needing time to adjust to the new environment.

An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and infection control practices.

No deficiencies were cited during the inspection. The facility demonstrated adequate infection control measures, proper storage of medications and sharps, and maintained a comfortable environment. Some documents were requested for submission to the Regional Office.