EMERALD HOME CARE

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review ... shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department.... -This requirement is not met as evidenced by: -Based on interview, and LPA checking of the Department's Guardian Portal, the licensee did not comply with the section in S1 not having fingerprint clearance which posed an immediate safety and/or personal rights risks to person in care.

Official plan of correction

Licensee accompanied the staff for fingerprinting while LPA was at the facility. Staff will not be allowed to work until fingerprinted and associated. Proof to be submitted by 5/14/25, A $500.00 civil penalty is assessed.

Deadline recorded: May 14, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records: (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. -This requirement is not met as evidenced by -Based on interviews, the licensee did not comply with the section above in not providing the requested documents which posed a potential personal rights risk to person in care.

Official plan of correction

Licensee and administrator to read the Regulations and self-certify compliance. Proof to be submitted by 5/27/25.

Deadline recorded: May 27, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having unlocked knives, gardening tools and cleaning supplies which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/22/2024 Plan of Correction Staff locked up the knives, gardening tools, and cleaning supplies during inspection. Deficiency cleared.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having unlocked medications which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/22/2024 Plan of Correction Staff locked up the medications during inspection. Deficiency cleared.

Official classification

Type B

Official code

87466

Regulation authority

CCR

What the official deficiency says

The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above by not documenting resident's changes in condition which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/11/2024 Plan of Correction Facility has agreed to provide a written plan on how to address documenting resident's changes in condition and submit a copy to CCLD by POC date.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having current medical assessment and reappraisal for R1 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/11/2024 Plan of Correction Facility has agreed to obtain current medical assessment (LIC602) and current reappraisal (LIC625). Facility will submit copies to CCLD by POC date.

Official classification

Type B

Official code

87211(a)(1)(A)

Regulation authority

CCR

What the official deficiency says

(A) Reporting Requirements states: Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (A) Death of any resident from any cause regardless of where the death occurred, including but not limited to a day program, a hospital, en route to or from a hospital, or visiting away from the facility. This requirement was not met as evidenced by staff failing to submit to CCL wiithin 7 days of occurrence of resident's fall on 07/13/22 & death 0n 07/18/22 which is in violation of Title 22 Section 87211.

Official plan of correction

By POC due date, Administrator agrees to submit to CCL a copy of R1's death report (LIC 624A). In addition, Administrator also agrees to complete and submit to CCL in-service staff retraining on reporting requirements as specified in Title 22 Section 87211.

Deadline recorded: Aug 17, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.657(a)

Regulation authority

HSC

What the official deficiency says

(a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative written notice of the rate increase within 2 business days after initially providing services at the new level of care. The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. This requirement was not met as evidenced by absence of written notice explaining the higher level of care charges 2 days after change of level of care was observed which is in violation of Title 22 H & S Section 1569.657

Official plan of correction

By POC due date, Administrator agrees to complete and submit to CCL a copy of refund check in the amount of $ 2.877.42 to R1's POA as final reimbursement of advance payment made by POA in July 2022. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Deadline recorded: Aug 17, 2022. A deadline is not proof that correction was completed.