Courtyard, The

LPA Hiratsuka, conducted this unannounced complaint visit to deliver the findings into the allegation above. Title 22 regulations requires facilities to assess a resident to determine the level of care and supervision a resident requires and have a separate written plan of care of how the facility staff are going to meet the resident needs. Title 22 regulations do not require staff to be with a resident, in eye sight of a resident, or within hearing distance of a resident at all times. LPA reviewed facility and hospice medical records. LPA also interviewed staff and witnesses. Unsubstantiated— CDSS inspection report, September 4, 2025 · control 59-AS-20250509094217

Licensing Program Analyst Kerry Hiratsuka conducted this unannounced complaint visit to deliver the results of the allegation above. LPA interviewed Administrator and staff. The med tech assigned to dispense medications was on vacation. Another med tech who normally passes medications at this facility's sister facility and is associated to this facility, came to assist this facility to assist with passing medications. There are two residents with the same first name and the substitute med tech accidentally got them mixed up and one resident received the medication for the other resident. The med tech immediatly reported the incident to managment and management immediately conducted an investigation into the incident, contacted the physician, responsible party, monitoring resident, and later reviewed medication proceedures with staff who are in charge of medications. Resident did not suffer any ill effects from the medication error. SubstantiatedRead the full finding— CDSS inspection report, August 19, 2025 · control 59-AS-20250813093452

LPA Hiratsuka, conducted this unannounced complaint visit to deliver the findings of the allegation above. LPA interviewed staff and the resident in question. LPA also reviewed the facility medication administration records. One of the medications is an as needed medication and the resident displayed symptoms of requiring it and the resident is capable of determining the need for it. Staff stated they offered the medication and the resident accepted it for several days. Staff interview stated the resident requested to have two medications mixed together on the last day and the resident stated they did not. The resident stated they didn't know they were taking the medication and felt the staff person mixed it with another one. Staff documented the resident requested both medications and the resident denied it. UnsubstantiatedRead the full finding— CDSS inspection report, September 27, 2023 · control 59-AS-20230814173328

LPA Hiratsuka, conducted this unannounced complaint visit to deliver the findings of the allegation above. LPA interviewed staff and the resident in question. The staff in question denied there was any ill intent when they approached the resident. The resident stated they were started by the way the staff person approached them and felt humiliated. The staff person has a naturally loud voice and can be boisterous at times and there was a discussion between LPA and the staff person about the voice volume. LPA was unable to contact any witnesses to the event. LPA cannot prove or disprove the allegation because each side has their own version of events. Due to the information gathered, LPA cannot determine the Staff spoke inappropriately to resident. LPA finds allegation to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, September 27, 2023 · control 59-AS-20230825101845

LPA Hiratsuka, conducted this unnanounced complaint visit to deliver the findings of the allegation above. LPA interviewed staff and the resident in question. LPA also reviewed the incident report and resident's file. Resident stated the facility staff put an onxygen tank in the middle of the floor and the resident tripped on it. The staff stated they found the resident in the bathroom on floor with no oxygen tank around. LPA cannot prove or disprove the allegation because each side has their own version of events. Due to the information gathered, LPA cannot determine the Staff caused a resident to fall while in care. LPA finds allegation to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. UnsubstantiatedRead the full finding— CDSS inspection report, March 23, 2023 · control 25-AS-20230109160715

LPA Hiratsuka, conducted this unannounced complaint visit. LPA wore a surgical mask and observed wearing surgical masks. LPA conducted the investigation into the allegations above. LPA interviewed staff and residents. LPA reviewed training records and reviewed records for two residents no longer at this community. 1. LPA reviewed staff training records. The facility provides the training required by Community Care Licensing Division. LPA also observed the facility staff going over topics during all staff meetings and if someone needs extra training the facility provides it. Based on the records, the allegation is unfounded. UnfoundedRead the full finding— CDSS inspection report, December 16, 2022 · control 25-AS-20220922101057