JONES REST HOME

Official classification

Type B

Official code

87307(d)(4)

Regulation authority

CCR

What the official deficiency says

(d) The following space and safety provisions shall apply to all facilities: (4) Stairways, inclines, ramps and open porches...well-lighted. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above by not having adequate lighting near the ramps and open porches that are accessible to residents which poses a potential safety risk to persons in care.

Official plan of correction

By POC date, the Administrator agrees to replace the broken light bulb and add two light fixtures near the ramp/open porch where residents reside and send photo proof to CCLD.

Deadline recorded: Aug 20, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (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...supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above by having unlocked medication: Triple Antibiotic Ointment which was unlocked over-the-counter medication in the resident’s room, which poses an immediate health and safety risk to persons in care.

Official plan of correction

By POC date, the Administrator removed the unlocked medication and put it In a locked medication cart. Administrator agreed to conduct an In-Service training with all staff regarding unlocked medications and over-the-counter medications in residents' rooms and submit a copy of the sign-in sheet to CCLD by 2/5/2026. *Civil Penalty of $250 was assessed on today's visit*

Deadline recorded: Jan 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)

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: Based on interview and record review, the Licensee did not comply with the section cited above in not reporting R1 being sent to the hospital on 1/13/2026 to CCLD within seven days, which poses a potential health and safety risk to persons in care.

Official plan of correction

By POC date, the Administrator agrees to read and review the regulation and send a self certification stating that they understand and will abide by the regulation to CCLD.

Deadline recorded: Feb 5, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.17(c)(1)(A)

Regulation authority

HSC

What the official deficiency says

(c)(1)(A) Subsequent to initial licensure, a person specified in subdivision (b) who is not exempted from fingerprinting shall obtain either a criminal record clearance or an exemption, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in a facility. 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 S2 fingerprinted and associated to the facility which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 11/06/2025 Plan of Correction By POC date, Licensee agreed to have S2 fingerprinted and associated to the facility and submit copy of fingerprint document to CCLD.

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 having unlocked medications in R1's room which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/13/2025 Plan of Correction Medications were removed and locked during visit. By POC date, Administrator agreed to conduct an in-service training regarding unlocked medications and over-the-counter medications in residents' rooms to CCLD.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(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 in that 0 out of 5 staff members did not have first aid certification on file which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/12/2025 Plan of Correction By POC date, The Administrator agrees to schedule all five (5) staff members to receive first aid training and send proof of the completion of the training to CCLD.

Official classification

Type A

Official code

87355(d)(3)

Regulation authority

CCR

What the official deficiency says

(3) The licensee shall submit these fingerprints to the California Department of Justice, along with a second set of fingerprints for the purpose of searching the records of the Federal Bureau of Investigation, or comply with Section 87355(c), prior to the individual's employment, residence, or initial presence in 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 a background check done for S3 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/18/2024 Plan of Correction Facility staff was removed from the facility. Facility agrees to obtain fingerprint clearence for S3 prior to returing to working at the facility. The facility also agrees to review the regulation and submit a letter of self certification to CCLD by POC date. A Civil penalty was assessed on this day for $500

Official classification

Type A

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

(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: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or 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 by not getting S1 and S2 records cleaence transfered to the facility which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/18/2024 Plan of Correction The Staff was removed from the facility. Facility agrees to request a transfer, or obtain new fingerprint clearence proir to any new staff member working at the facility. The facility also agrees to review the regulation and submit a self certification letter to CCLD by POC date.

Official classification

Type B

Official code

1569.683

Regulation authority

HSC

What the official deficiency says

1569.683 Eviction notices; reasons for eviction contents; service (a) In addition to complying with other applicable regulations, a licensee of a residential care facility for the elderly who sends a notice of eviction to a resident shall set forth in the notice to quit the reasons relied upon for the eviction, with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons. In addition, the notice to quit shall include all of the following: (1) The effective date of the eviction. (2) Resources available to assist in identifying alternative housing and care options, including public and private referral services and case management organizations. (3) Information about the resident's right to file a complaint with the department regarding the eviction, with the name, address, and telephone number of the nearest office of community care licensing and the State Ombudsman. (4) The following statement: " In order to evict a resident who remains in the facility after the effective date of the eviction, the residential care facility for the elderly must file an unlawful detainer action in superior court and receive a written judgment signed by a judge. If the facility pursues the unlawful detainer action, you must be served with a summons and complaint. You have the right to contest the eviction in writing and through a hearing. " (b) The licensee, in addition to either serving a 30-day notice, or seeking approval from the department and serving three days notice, on the resident, shall notify, or mail a copy of the notice to quit to, the resident's responsible person. This requirement was not met as evidenced by: Based on records reviewed and interviewed. Administrator did not follow the proper eviction notices by providing a 30 days notices to R1/ R1 POA. The eviction of R1 does not meet HSC 1569.683 regulation which poses a potential personal rights to persons in care.

Official plan of correction

Administrator agrees to review the regulation and submit a self-certification letter to CCL by POC date.

Deadline recorded: Feb 24, 2023. A deadline is not proof that correction was completed.

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 which poses a potential health, safety to persons in care.

Official plan of correction

POC Due Date: 11/19/2021 Plan of Correction Administrator agreed to fix closet door located in cottage #3 and submit photo copy to CCLD by POC Date