Assisted Living And Memory Care By Inspirations State Inspections

Sep 25, 2025Inspection

No deficiencies recorded in this report

Sep 21, 2024Inspection

Dementia careType A

Official classification: Type A
Official code: 87705(c)(4)(A)
Regulation authority: CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident's physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that there's a staff scheduled to work the night shift, awake and on duty as required for facility with dementia residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/22/2024 Plan of Correction Licensee stated to submit an updated Personnel Report (LIC500) or updated staff work schedule showing a staff scheduled to work at night, awake and on duty as required for facility with dementia residents to LPA Brown on Plan of Correction (POC) due date.

Citation dismissed - not a correction

Deficiency Dismissed Type A Section Cited CCR 87705(c)(4)(A)

Plan of correction recorded

Correction not verified in available records

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Licensing and administrationType B

Official classification: Type B
Official code: 1569.605
Regulation authority: HSC

What the official deficiency says

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that the facility has the required liability insurance which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/27/2024 Plan of Correction Licensee stated to submit a copy of the required liability insurance for the facility to LPA Brown on Plan of Correction (POC) due date.

Plan of correction recorded

Correction not verified in available records

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Admission, assessment, and evictionType B

Official classification: Type B
Official code: 87507(c)
Regulation authority: CCR

What the official deficiency says

(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative, if any, and the licensee or the licensee's designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above by not ensuring that Resident #1 (R1), Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4) have Admission Agreement in their facility file but the required signature page were not complete or missing and other pages are missing as well which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/27/2024 Plan of Correction Licensee stated to submit the required completed copy of R1, R2, R3 and R4 Admission Agreement to LPA Brown on POC due date.

Citation dismissed - not a correction

Deficiency Dismissed Type B Section Cited CCR 87507(c)

Plan of correction recorded

Correction not verified in available records

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Fire safety and emergency preparednessType B

Official classification: Type B
Official code: 1569.695(c)
Regulation authority: HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by not conducting the required emergency drill quarterly at the facility which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/27/2024 Plan of Correction Licensee stated to conduct the required emergency drill starting this month and every quarter and submit proof to LPA Brown on Plan of Correction (POC) due date.

Plan of correction recorded

Correction not verified in available records

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Health conditions and treatmentsType B

Official classification: Type B
Official code: 87608(a)(5)(A)
Regulation authority: CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above by allowing Resident #2 (R2) to have half bed rail but there's no doctor's written order from R2 Physician indicating the need for half bed rail for mobility which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/30/2024 Plan of Correction Licensee stated to submit a copy of R2 written order from R2 physician indicating the need for half bed rail for mobility to LPA Brown on POC due date. Or, remove R2 half bed rail and submit proof to LPA Brown on POC due date.

Plan of correction recorded

Correction not verified in available records

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Admission, assessment, and evictionType A

Official classification: Type A
Official code: 87458(a)
Regulation authority: CCR

What the official deficiency says

87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that Resident #1 (R1), Resident #2 (R2) and Resident #3 (R3) have a completed Medical Assessment or Physician Report from R1, R2 and R3 physician prior to a person's acceptance as a resident to the facility which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/22/2024 Plan of Correction Licensee stated to submit the required completed Medical Assessment for R1, R2 and R3 to LPA Brown on Plan of Correction (POC) due date.

Citation dismissed - not a correction

Deficiency Dismissed Type A Section Cited CCR 87458(a)

Plan of correction recorded

Correction not verified in available records

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ASSISTED LIVING AND MEMORY CARE BY INSPIRATIONS

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