Hazardous items and storageType A
- 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 that there was bleach, knives, scissors, and a hammer unlocked and accessible to residents which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 05/14/2026 Plan of Correction The Administrator locked up the bleach, knives, scissors, and a hammer. DEFICIENCY CLEARED DURING VISIT.
Medication handling and storageType A
- 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 in that the medication closet was unlocked with resident medication which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 05/14/2026 Plan of Correction The Administrator locked the medication closet. DEFICIENCY CLEARED DURING VISIT.
Admission, assessment, and evictionType B
- 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 that R1 and R2 did not have an updated appraisal needs and services plan which poses a potential health, safety and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/20/2026 Plan of Correction By POC date, the Administrator agrees to complete and update R1 and R2's appraisal needs and services plan and submit a self-certification letter stating that it was completed to CCLD.