Inspection Reports for Yuba Sutter Care Home

The unannounced visit was conducted to ensure the licensee notified the responsible parties and ombudsman that the Department of Social Services, Community Care Licensing Division had commenced proceedings to suspend or revoke the license, which was found not to have occurred.

The Licensing Program Analyst reviewed resident and staff files and discussed multiple topics with the facility manager. The licensee failed to notify responsible parties and ombudsman about the commencement of license suspension or revocation proceedings as required by California Health and Safety Code.

Unannounced inspection to follow up on a substantiated complaint investigation regarding failure to seek timely medical attention, failure to report incidents, and inadequate staff training.

The licensee was cited for violations related to observation of the resident and reporting requirements. A civil penalty was issued due to serious bodily injury resulting from staff not notifying medical personnel of a resident's worsening condition, which led to hospitalization.

The complaint investigation was substantiated. Allegations included staff not seeking timely medical attention for resident (R1), failure to report incidents involving R1, and inadequate staff training. Serious bodily injury was determined due to hospitalization of R1.

Unannounced inspection to follow up on a substantiated complaint investigation regarding allegations of severe pressure injury due to staff neglect and failure to seek timely medical attention.

The Department determined that a civil penalty is warranted for serious bodily injury due to the facility's failure to provide proper care and timely medical intervention, resulting in hospitalization and surgeries for the resident.

The complaint investigation concluded that a resident sustained severe pressure injury due to staff neglect, the facility failed to seek medical attention, and staff left the resident in a soiled diaper for an extended period. The complaint was substantiated.

Unannounced case management visit conducted to discuss several issues that do not affect the residents.

No deficiencies were cited during the visit. The Licensing Program Analyst met with the licensee and left several documents.

The inspection was a required annual unannounced visit to evaluate the facility's compliance using the full care tool.

The inspection found no deficiencies. The facility was toured, files reviewed, and multiple topics discussed. The kitchen had locked sharps and ample food supply.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not safeguard a resident's personal belongings.

The investigation found that the former resident waived the inventory of their belongings upon move-in and had moved several times since leaving the facility. Due to lack of evidence, the allegation that staff did not safeguard the resident's belongings was unsubstantiated.

The complaint alleged that staff did not safeguard a resident's personal belongings. After interviews and file review, the allegation was found unsubstantiated due to insufficient evidence.

This office meeting was conducted at the request of Licensees Rajveer Kaur and Manpreet Dyal to review floor plans for their new location and discuss change of location procedures.

The discussion focused on change of location procedures and floor plans. Licensees were advised to contact the Central Application Bureau for more information and to keep Licensing Program Analyst Hiratsuka updated on progress.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-03-11 regarding facility disrepair, unsafe and unsanitary environment, and staff working without criminal record clearance.

The investigation found the allegations of facility disrepair, unsafe and unsanitary environment to be unsubstantiated due to lack of evidence. The allegation of staff working without criminal record clearance was found to be unfounded as the cited caregiver was no longer employed at the facility.

The complaint included allegations that the facility was in disrepair, did not ensure a safe or sanitary environment, and that staff were working without criminal record clearance. The investigation concluded the first three allegations were unsubstantiated and the last allegation was unfounded.

The visit was an unannounced required annual inspection conducted by Licensing Program Analysts to assess compliance using the full care tool.

The facility was toured including resident rooms, kitchen, and common areas. Staff and resident files were reviewed and found to be complete. Several suggestions were made regarding lighting in a shower, smoke detector placement, and bathroom window privacy. No deficiencies were cited.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-12-06 regarding staff ignoring resident calls for assistance, not assisting a resident with restroom use, and leaving a resident on the floor.

The investigation included interviews with the administrator, licensee, caregiver, and residents, as well as a review of resident files. The allegations could not be substantiated due to lack of sufficient evidence, and the findings were determined to be unsubstantiated.

The complaint involved three allegations: 1) Facility staff ignored resident's calls for assistance; 2) Facility staff did not assist resident with using the restroom; 3) Facility staff left resident on the floor. The investigation found no preponderance of evidence to prove these allegations, resulting in an unsubstantiated status.

The visit was a Case Management - Legal/Non-compliance meeting to discuss a high volume of citations and a substantiated complaint against the facility.

The facility was cited 29 times in the last year, including 15 Type A citations and 14 Type B citations. Issues included staffing and training problems, communication breakdown, lack of administrator oversight, insufficient wound care supplies, failure to seek medical attention, night supervision deficiencies, lack of incontinence care plans, personal rights violations, and accountability concerns.

The complaint was substantiated as discussed during the non-compliance conference.

The visit was a case management health check conducted to review staff and resident files, medication administration, and compliance with licensing regulations.

The inspection found outdated needs and service plans for residents, missing medications that were ordered, and noncompliance with diabetes care requirements where a caregiver not qualified as a skilled professional was performing glucose testing and insulin injections. Additionally, medication lists did not match medications present, and reappraisals for residents were overdue.

The inspection was conducted while investigating Complaints 59-AS-20230731122901 and 59-AS-20230717132508 to assess compliance with regulations and address reported issues.

Multiple deficiencies were found including lack of overnight incontinent care, absence of required staff training and qualifications, missing written agreements and communication with home health agency, failure to document and manage a resident's pressure injury, and inadequate resident assessments and records.

The visit was complaint-related, investigating Complaints 59-AS-20230731122901 and 59-AS-20230717132508. The report documents multiple substantiated deficiencies related to resident care and facility management.

The visit was conducted to discuss deficiencies cited on 11/02/2023 and to review the plan of correction submitted by the licensee.

A citation was issued because staff did not have required medication training as per California Health and Safety Code §1569.69(a)(2). The plan of correction was submitted late on 11/10/2023, resulting in civil penalties. The cited deficiency was cleared as of 11/10/2023 after the licensee submitted proof of purchasing training.

An unannounced complaint investigation visit was conducted following allegations that a resident sustained a severe pressure injury due to staff neglect, failure to seek medical attention, leaving a resident in a soiled diaper for an extended period, and staff being unable to communicate with medical personnel.

The investigation substantiated the allegations, finding that the facility failed to provide required care for a resident's pressure injury, resulting in worsening of the wound. Overnight staff did not perform incontinent care or check residents, and communication issues with staff were noted. Immediate civil penalties were assessed for violations of Title 22 regulations.

The complaint was substantiated based on evidence that a resident developed a severe pressure injury due to neglect, was left in soiled diapers for extended periods, and staff failed to seek timely medical attention. Communication barriers with staff were also documented.

The inspection visit was an unannounced complaint investigation conducted in response to an allegation that facility staff were not assisting with incontinence care.

The investigation found that the allegation was substantiated. Staff and resident interviews, as well as file reviews, revealed that a resident refused care and staff often did not assist with incontinence care. There was no written record regarding the resident's incontinent needs, and home health care staff found the resident in soiled clothing on multiple occasions.

The complaint alleged that facility staff were not assisting with incontinence care. The allegation was substantiated based on interviews with staff, complainant, resident, and review of resident files. The resident often refused care, and staff did not consistently assist with incontinence needs. There was no documentation of incontinent care plans.

The inspection visit was conducted as a case management investigation triggered by a complaint to evaluate deficiencies related to staff training and licensing compliance.

The investigation found that staff lacked required medication training and annual training since 2021, and the licensee had not paid the annual licensing fees, which were overdue. These deficiencies posed potential health, safety, or personal rights risks to residents.

The visit was complaint-related, with deficiencies observed by Licensing Program Analyst Hiratsuka during the investigation. The report does not explicitly state substantiation status.

The visit was conducted as a Case Management - Other type of visit to return the file of a resident that was removed earlier to make copies.

No deficiencies were cited during this visit.

The visit was a Case Management - Other type of unannounced inspection conducted to review facility operations and resident files.

No deficiencies were cited during this visit. The Licensing Program Analyst obtained a resident's file to make a copy and planned to return it the same day.

The visit was a complaint investigation triggered by an observation of a caregiver working without criminal record clearance.

The licensing program analyst observed that a caregiver without criminal record clearance was working alone, which is not allowed and poses an immediate health and safety risk. Immediate civil penalties of $500 were issued.

The visit was complaint-related and substantiated by the observation of a caregiver working without required criminal record clearance.

Unannounced Plan of Correction (POC) visit to verify correction of previously cited deficiencies.

The inspection found that the side gate was locked with a padlock without fire clearance and a smoke detector was chirping due to low battery. Civil penalties were assessed and a plan of correction was required by 04/25/2023. All other deficiencies from the annual inspection on 03/06/2023 were cleared.

The inspection was an unannounced annual inspection conducted to evaluate the health, safety, and compliance of the facility with regulatory requirements.

Several deficiencies were cited related to staff training, fire clearance, use of storage room as staff room, locked exterior doors, and care of persons with dementia. Plans of correction were submitted with due dates for compliance.

Unannounced Plan of Correction (POC) visit to verify compliance with previously cited deficiencies.

Deficiencies cited under Title 22 Regulations have been cleared. The licensee complied with the terms of the Plan of Correction by the due date and was provided a POC cleared letter.

The inspection was an unannounced Required-1 Year Inspection focusing on infection control and overall compliance with regulations.

The inspection found multiple deficiencies including locked exits restricting residents' ability to leave, medications accessible to residents with dementia, lack of fire clearance for a storage room used as a staff bedroom, incomplete annual medical assessments for residents with dementia, and non-operational auditory exit devices posing health and safety risks.

The inspection was an unannounced Required-1 Year Inspection conducted to evaluate the facility's compliance with infection control protocols.

The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.