POINT AT ROCKRIDGE, THE

Official classification

Type A

Official code

87355(d)

Regulation authority

CCR

What the official deficiency says

(d) All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement... This requirement was not met as evidence by: Based on interview and record review the Licensee did not comply with the section cited above in having S2 fingerprinted and associated to the facility which poses a potential health and safety risk to persons in care.

Official plan of correction

Generations Program Director agreed to have S2 fingerprinted and submit document to CCLD by POC date.

Deadline recorded: Nov 1, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall have a qualified and currently certified administrator. ...and shall be on the premises a sufficient number of hours... When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications... to be responsible and accountable for management and administration of the facility... This requirement was not met as evidence by: Based on interview and observation the Licensee did not comply with the section cited above in having a qualified and certified administrator, which poses a potential health and safety risk to persons in care.

Official plan of correction

Generations Program Director agreed to hire a new administrator, and submit documents to CCLD by POC date.

Deadline recorded: Nov 11, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

87463 Reappraisals (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate…. This requirement is not met as evidenced by… Based on records review and interview, the licensee did not comply with the section cited above. LPA observed staff didn’t reappraise resident when resident was admitted to hospital two times in 24 hours which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agrees to review and understand regulation, retrain staff, and submit in-service training with staff signatures to CCL by the POC due date.

Deadline recorded: Feb 20, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(c)

Regulation authority

CCR

What the official deficiency says

87463 Reappraisals (c) The licensee shall arrange a meeting with the resident, the resident’s representative…once every 12 months… This requirement is not met as evidenced by… Based on records review and interview, the licensee did not comply with the section cited above. LPA observed staff didn’t reappraise resident annually which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agrees to review and understand regulation, retrain staff, and submit in-service training with staff signatures to CCL by the POC due date.

Deadline recorded: Feb 20, 2023. 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...including, but not limited to...(1)A written report shall be submitted to the licensing agency... (D) Any incident...welfare, safety or health of any resident... This requirement is not met as evidenced by… Based on observation, interview, and record review, the licensee did not comply with the section cited above. LPA observed resident's falls resulted to be admitted to hospital twice on 11/7/22 and 11/8/22 were not reported to CCLD which poses a potential health and safety concern to persons in care.

Official plan of correction

Administrator agrees to review the regulation, and submit a self-certification of understanding regulation to CCL by the POC due date. A civil penalty of repeating violation $250 is assessed today.

Deadline recorded: Feb 13, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (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… This requirement is not met as evidenced by… Based on records review and interview, the licensee did not comply with the section cited above. LPA observed staff didn’t update physician’s report for residents with dementia annually which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agrees to review and understand regulation, retrain staff, and submit in-service training with staff signatures to CCL by the POC due date.

Deadline recorded: Feb 20, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (f)The following shall be stored inaccessible to residents with dementia: (2)...toxic substances such as....cleaning supplies and disinfectants. This requirement is not met as evidenced by… Based on observation, the licensee did not comply with the section cited above. LPA observed 2 bottles of disinfectant and cleaner in memory care resident's room 201 and 205 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator removed 2 bottles of chemicals and instructed staff to lock them up during visit. Administrator agrees to retrain staff and submit proof of training with staff signatures to CCLD by the POC due date.

Deadline recorded: Nov 30, 2022. 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...including, but not limited to...(1)A written report shall be submitted to the licensing agency... (D) Any incident...welfare, safety or health of any resident... This requirement is not met as evidenced by… Based on observation, interview, and record review, the licensee did not comply with the section cited above. LPA observed resident's fall resulted to be admitted to hospital on 9/8/2022 was not reported to CCLD which poses a potential health and safety concern to persons in care.

Official plan of correction

Administrator agrees to review the regulation, and submit a self-certification of understanding regulation and a LIC624 for subject resident to CCL by the POC due date.

Deadline recorded: Sep 30, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.69

Regulation authority

HSC

What the official deficiency says

1569.69 Employees assisting residents with self-administration of medication; training requirements 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, S1 was observed passing medication to residents without required trainings which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/21/2022 Plan of Correction Administrator agreed to provide policy and procedure of staff training and submit to CCL by POC due date.