GENUINE LOVE CARE HOME

Official classification

Type A

Official code

87465(e)

Regulation authority

CCR

What the official deficiency says

(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in Resident R3's doctor's order for one of the medications is 325 mg 2 tabs every 4 hours PRN but label on this medication received by the facility showed 325 mg 1 tab every 6 hours PRN which poses an immediate health and/or personal rights risks to person in care.

Official plan of correction

POC Due Date: 08/15/2026 Plan of Correction Administrator to check with the doctor and obtain updated order for medication and if necessary, obtain correct medication label. Proof to be submitted by 8/15/26.

Official classification

Type B

Official code

87458(c)(5)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (5) The determination whether the person is ambulatory or nonambulatory as defined in Section 87101, Definitions, or bedridden as defined in Health and Safety Code section 1569.72. The assessment shall indicate whether nonambulatory status is based upon the resident's physical condition, mental condition, or both. 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 in R2's medical assessment not consistent with R2's ambulatory status which poses a potential health, safety and/or personal rights risks to person in care.

Official plan of correction

POC Due Date: 08/28/2026 Plan of Correction Administrator stated she'll have the medical assessment (LIC602A) updated. Copy to be submitted by 8/28/26.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, the licensee did not comply with the section cited above in R2 and R3 not having an updated LIC625 Appraisal/Needs and Services Plan which pose a potential health, safety and/or personal rights risks to persons in care.

Official plan of correction

POC Due Date: 08/28/2026 Plan of Correction Administrator to complete the LIC625 and submit copies by 8/28/26.

Official classification

Type B

Official code

87463(h)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, the licensee did not comply with the section cited above in R2, R3 and R4's medical assessments over a year old which pose a potential health, safety and/or personal rights risks to persons in care.

Official plan of correction

POC Due Date: 08/28/2026 Plan of Correction Administrator stated she'll call the residents' doctors for appointments. Copies of LIC602As to be submitted by 8/28/26.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 in R1 not having re-appraisal which poses a potential health, safety and/or personal rights risk to person in care.

Official plan of correction

POC Due Date: 09/17/2025 Plan of Correction Administrator stated she'll complete the LIC625 Appraisal/Needs and Services Plan. Copy to be submitted by 9/17/25.

Official classification

Type B

Official code

1569.625(b)(1)

Regulation authority

HSC

What the official deficiency says

§1569.625 Staff training; legislative findings; contents: (b)(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on recordd review, the licensee did not comply with the section cited above in S3, S$ and S5 not having a complete 40 hours of required training which poses a potential health, safety and/or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/17/2025 Plan of Correction Administrator to have the staff complete the required training and submit self-certification by 9/17/25.

Official classification

Type A

Official code

87465(e)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. 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 in not having doctor's order for R1's medication that was filled on 08/25/25 which poses an immediate health and/or personal rights risk to person in care.

Official plan of correction

POC Due Date: 09/04/2025 Plan of Correction Administrator to check with the doctor which of the medications shall be administered. If the newly filled (325 mg) will be administered, obtain doctor's order and a discontinued order for the 500 mg. Proof to be submitted by 9/04/25.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in lighters in the China cabinet without lock which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/29/2025 Plan of Correction Administrator locked the items. In addition, administrator to in-service the staff and submit copy of training topic with attendees signatures by 8/29/25.

Official classification

Type A

Official code

87465(a)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. This requirement is not met as evidenced by: -Based on record review, the licensee did not comply with the section above in not obtaining R1's medications timely which posed an immediate health risk to person in care. This is a repeat violation within 12 month period. A citation was issued on 8/20/24.

Official plan of correction

Administrator to do the following and submit proof by 11/16/24: 1. Read the Regulations. 2. Come up with a plan of obtaining medications timely. A $250.00 is assessed.

Deadline recorded: Nov 16, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

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. ....... This requirement is not evidenced by: -Based on interview and record review, the licensee did not comply with the section above in not obtaining medical assessment/LIC602A Physician's Report prior to admission which poses a potential health risk to person in care.

Official plan of correction

Administrator stated she'll bring R1 to the primary care physician on 11/19/24. Copy of LIC602A to be submitted by 11/29/24.

Deadline recorded: Nov 29, 2024. 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 evidenced by: -Based on record review, the licensee did not comply withn the section above in not having LIC601 for R1 which poses a potential health and/or personal rights risks to person in care,

Official plan of correction

Administrator to complete the LIC601 and submit copy by 11/29/24.

Deadline recorded: Nov 29, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87216(a)(1)

Regulation authority

CCR

What the official deficiency says

87216 Bonding (a) Each licensee, other than a county, who is entrusted to safeguard resident cash resources, shall file or have on file with the licensing agency a copy of a bond issued by a surety company to the State of California as principal. (1)The amount of the bond shall be in accordance with the following schedule...... -This requirement is not evidenced by: -Based on interview and observation, the licensee did not comply with the section above in not obtaining surety bond coverage which poses a potential personal rigths risk...

Official plan of correction

Administrator to obtain surety bond coverage and submit proof by 11/29/24.

Deadline recorded: Nov 29, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87208(a)(9)

Regulation authority

CCR

What the official deficiency says

87208 Plan of Operation (a) Each facility shall have and maintain a current, written definitive plan of operation... Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval.. (9) A statement whether or not the applicant will handle residents' money..... This requirement is not met as evidenced by: -Based on observation, interview and record review, the licensee did not comply with the section above in not submitting an updated LIC400.

Official plan of correction

Administrator to submit an updated LIC400 by 11/29/24.

Deadline recorded: Nov 29, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements: (a) 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.... within seven days of the occurrence of any of the events...(D) Any incident which threatens the welfare, safety or health of any resident... -This requirement is not met as evidenced by: -Based on document review, the licensee did not comply with the section in not submitting an incident report in timely manner which posed a potential health and/or personal rights risks to person in care.

Official plan of correction

Corrected. Report submitted on 11/08/24.

Deadline recorded: Nov 29, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in the following which pose an immediate health, safety and/or personal rights risk to persons in care: scissors and Vicks vaporub in the table in the living room; peeler, grater and staff's medications in kitchen drawers without lock; disinfectant spray and Polident denture cleaner in bathroom cabinet without lock.

Official plan of correction

POC Due Date: 08/21/2024 Plan of Correction Administrator locked all the items. In addition, administrator to in-service the staff and submit copy of training topics with attendees signatures by 8/21/24.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in S5 not fingerprinted which poses an immediate safety and/or personal rights risks to person in care.

Official plan of correction

POC Due Date: 08/21/2024 Plan of Correction Staff went to fingerprinting while LPA was at the facility. Administrator not to have the staff work until fingerprint cleared and associated and submit self-certification.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in the following which pose a potential health, safety and/or personal rights risks to person in care: missing baseboard and water stained baseboards and siding in one of the residents' room; mildew in the common bathroom.

Official plan of correction

POC Due Date: 09/03/2024 Plan of Correction Administrator to have the baseboard and siding fixed and clean the bathroom. Pictures to be submitted by 9/03/24

Official classification

Type B

Official code

87311

Regulation authority

CCR

What the official deficiency says

All facilities shall have telephone service on the premises. Facilities with a capacity of sixteen (16) or more persons shall be listed in the telephone directory under the name of the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in not having telephone service which poses a potential safety and/or personal rights risks to person in care.

Official plan of correction

POC Due Date: 09/03/2024 Plan of Correction Administrator she'll obtain the service. Proof to be submitted by 9/03/24.

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 in S4 and S5 not having LIC503 Health Screening on file which pose potential health, and/or personal rights risks to persons in care.

Official plan of correction

POC Due Date: 09/03/2024 Plan of Correction Administrator to have S4 and S5 health screened and submit copies of LIC503 by 9/03/24.

Official classification

Type B

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in S5 not having LIC501 Personnel Record which poses a potential personal rights risk to person in care.

Official plan of correction

POC Due Date: 09/03/2024 Plan of Correction Administrator to have the LIC501 completed and submit copy by 9/03/24.

Official classification

Type B

Official code

1569.625(b)(1)

Regulation authority

HSC

What the official deficiency says

(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, the licensee did not comply with the section cited above in S3, S4 and S5 not having the required training which pose a potential safety and/or personal rights risks to person in care.

Official plan of correction

POC Due Date: 09/03/2024 Plan of Correction Administrator stated she'll have the staff complete the number of hours of required training. Self-certification to be submitted by 9/03/24.

Official classification

Type B

Official code

1569.69(a)(3)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (3) An employee shall be required to complete the training requirements for hands-on shadowing training described in this subdivision prior to assisting any resident in the self-administration of medications. The training and instruction described in this subdivision shall be completed, in their entirety, within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and records review, the licensee did not comply with the section cited above in S3, S4 and S5 not having medication training which pose a potential health and/or personal rights risks to person in care.

Official plan of correction

POC Due Date: 09/03/2024 Plan of Correction Administrator to have the staff trained and submit self-certification by 9/03/24.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, the licensee did not comply with the section cited above in S3, S4 and S5 not first aid certified which pose a potential health, safety and/or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/03/2024 Plan of Correction Administrator to have the staff registered for training and submit copy of certificates by 9/03/24.

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 interview, the licensee did not comply with the section cited above for not doing the drill which poses a potential safety and/or personal rights risks to person in care.

Official plan of correction

POC Due Date: 09/03/2024 Plan of Correction Adminitrator to have the drill conducted and submit copy by 9/03/24.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports: (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in R1 not having doctor's order for half bed rails which poses a potential safety and/or personal rights risk to person in care.

Official plan of correction

POC Due Date: 09/03/2024 Plan of Correction Administrator will obtain doctor's order and submit copy by 9/03/24.

Official classification

Type A

Official code

87465(a)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. 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 in not having the R1's 3 medications which were listed on the doctor's order of medications which poses an immediate health and/or personal rights risks to person in care.

Official plan of correction

POC Due Date: 08/21/2024 Plan of Correction Administrator to check with the doctor if the medications are stiill needed; if not, to obtained discontinued order; otherwise obtain the medications. Proof to be submitted by 8/21/24.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above for ripped shade in the backyard.

Official plan of correction

POC Due Date: 08/29/2023 Plan of Correction Administrator to purchase a new shade and submit proof by 8/29/23.