CARING HANDS

Official classification

Type B

Official code

87506(d)

Regulation authority

CCR

What the official deficiency says

Resident Records. All resident records shall be available to the licensing agency to inspect, audit... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by having incomplete file for one resident which poses a potential health and safety risk to the persons in care.

Official plan of correction

Administrator has agreed to review resident files and obtain documents in file for future reviews. Administrator will submit self-certification to CCLD by POC date.

Deadline recorded: Aug 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 annual training completed for staff which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2025 Plan of Correction Administrator has agreed to obtain annual training for staff and submit training documents to CCLD by POC date.

Official classification

Type B

Official code

87467(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Prior to, or within two weeks of the resident's admission, the licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, and any other appropriate parties, to prepare a written record of the care the resident will receive in the facility, and the resident's preferences regarding the services provided at the facility. (3) The licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident's condition, or once every 12 months, whichever occurs first. Significant changes shall include, but not be limited to occurrences specified in Section 87463, Reappraisals. 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 reappraisals completed for residents which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2025 Plan of Correction Administrator has agreed to obtain current reappraisals/needs & service plans for R1 and R3. Administrator will submit copies to CCLD by POC date.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(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 record review, the licensee did not comply with the section cited above by not having physician's report for R1 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/30/2024 Plan of Correction Administrator has agreed to obtain R1's physician's report and TB test results. Administrator will submit a copy to CCLD by POC date.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. 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 by not following doctor's order for R1's medications which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/10/2024 Plan of Correction Administrator has agreed to obtain medications/supplements as stated in doctor's order for R1 or obtain new doctor's orders for Vitamin D3, Acetaminophen, and Lidocaine. Administrator will submit picture proof to CCLD by POC date.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. 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 health screening for S2 and chest x-ray for S1 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/12/2023 Plan of Correction Facility has agreed to obtain health screening for S2 and chest x-ray results for S1. Facility will submit the documents to CCLD by POC date.

Official classification

Type B

Official code

87458(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude care of the person by the facility. 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 medical assessments for R1 & R2 and chest x-ray for R3 & R4 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/12/2023 Plan of Correction Facility has agreed to obtain signed medical assessments for R1 & R2 and chest x-ray results for R3 & R4. Facility will submit the documents to CCLD by POC date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to: 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 reappraisal/needs and service plans for all residents which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/12/2023 Plan of Correction Facility has agreed to obtain reappraisal/needs and service plans for all residents and submit documents to CCLD by POC date.

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 eye drops and prescription ointment in refrigerator which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/22/2023 Plan of Correction Staff locked up the eye drops and prescription ointment during inspection. Deficiency cleared. Civil penalty of $250 is being assessed for a repeat violation.

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 record review, the licensee did not comply with the section cited above by not having current first aid training for S2 and S3 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/12/2023 Plan of Correction Facility has agreed to obtain current first aid training for S2 and S3. Facility will submit first aid certificates to CCLD by POC date.

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 in the refrigerator which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/25/2023 Plan of Correction Staff locked up the medications in a lock box during inspection. Deficiency cleared.

Official classification

Type A

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. 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 full bed rails for R1 and R2 who is not on hospice care which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/22/2022 Plan of Correction Staff removed full bed rail during visit. Deficiency cleared during inspection.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. 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 having a staff that did not complete their health screening which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/06/2022 Plan of Correction Licensee has agreed to obtain health screening for S1 and submit a copy of the health screening to CCLD by POC date.