BEGONIA RESIDENTIAL CARE HOME

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 by having unlocked chemical cleaning in the bathroom cabinet and backyard. which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/24/2026 Plan of Correction Administrator agreed to lockup all cleaning products and submit picture via email to CCLD by POC date.

Official classification

Type A

Official code

87555(b)(23)

Regulation authority

CCR

What the official deficiency says

(23) All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on observed molded fruit in the plastic bag in the refrigerator, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/25/2026 Plan of Correction Administrator agreed to clean out freezer, refrigerator label all transfer food dates, submit picture via email 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 and interview observed unlocked medication inside RM 1, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/24/2026 Plan of Correction Administrator agreed to lockup all medication and submit picture via email to CCLD by POC date.

Official classification

Type B

Official code

87307(a)(2)(B)

Regulation authority

CCR

What the official deficiency says

(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (B) No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage, storage area, shed or similar detached building. This requirement is not met as evidenced by: Deficient Practice Statement Based on observed staff using RM 1 closet to store their personal belongings the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/27/2026 Plan of Correction Administrator agreed to remove all staff personal belonging out of RM1, submit picture via email to CCLD by POC date.

Official classification

Type B

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review staff files are incomplete during files review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/27/2026 Plan of Correction Administrator agreed to have a complete file in the facility at all time by POC date. LPA will come at a later time for review.

Official classification

Type B

Official code

87355(c)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (c) A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another, or from Trust Line to a state licensed facility by providing the following documents to the Department: Base on files reviewed, and interview S1 file and observed current First Aid/CPR and fingerprint clearance but are not associated to the facility.

Official plan of correction

Administrator agree to associate S1 to the faciliyt and submit proof to CCLD by POC date.

Deadline recorded: Feb 27, 2025. 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) 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 by having unlocked Lysol wipes in the kitchen area, and bleach underneath the sink which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/21/2025 Plan of Correction Administrator agreed to lockup all knives and cleaning products and submit picture via email to CCLD by POC date.

Official classification

Type A

Official code

87465(h)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: 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 prescribe medication unlocked in the refrigerator, kitchen cabinet, and bathroom.which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/21/2025 Plan of Correction Administrator agreed to lockup all medication and submit picture via email to CCLD by POC date.

Official classification

Type B

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. 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 emergency exit is being blocked in resident room, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/28/2025 Plan of Correction Administrator agreed remove the drawer block the emergency exit in client room submit picture via email to CCLD by POC date.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. 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 by observed open packages of ham, cheese, ect, and vegetables that are dried inside the refrigerator, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/24/2025 Plan of Correction Administrator agreed to clean out freezer, and refrigerator and purchase more perishable food submit picture via email to CCLD by POC date.

Official classification

Type B

Official code

87555(b)(27)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. 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 mouse or rat droppings underneath the sink cabinet, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/27/2025 Plan of Correction Administrator agreed to clean/ schedule professional terminator to inspect the facility submit picture/ date via email to CCLD by POC date.

Official classification

Type B

Official code

1569.695(a)

Regulation authority

HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: 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 which poses a potential health and safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/21/2024 Plan of Correction Administrator agreed to complete the Emergency and Disaster Plan and submit to CCL by POC date.

Official classification

Type B

Official code

87307(3)(E)

Regulation authority

CCR

What the official deficiency says

(3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (E) Portable or permanent closets and drawer space in the bedrooms for clothing and personal belongings. A minimum of eight (8) cubic feet (.743 cubic meters) of drawer space per resident shall be provided. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation interview, the licensee did not comply with the section cited above by having staff resting/sleeping in the closet of residents room #1 which poses a potential health and safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/21/2024 Plan of Correction Administrator agreed to remove the bed from the closet and send photos to CCL by POC date.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). 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, scissors unlocked in the kitchen. Unlocked storage located in the backyard with paint, drill, bundo, weedeater on sideyard, unlocked glade located in room #2, unlocked All laundry detergent, Gain laundry pod Lysol wipes in an unlocked garage. A ladder unlocked in the backyard which poses a health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/15/2024 Plan of Correction Administrator agreed to lock scissors, lock the storage unit in the backyard, lock laundry detergents, Lysol wipes, put ladder in storage. Administrator will email photo copies to CCL by POC date,

Official classification

Type A

Official code

87303(2)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). 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 not keeping the hot water in the shared bathroom between 105 -120 degrees , LPA observed hot water measured 148 degrees F, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/04/2023 Plan of Correction Administrator will adjust the hot water heater and provide proof to CCL by POC date.

Official classification

Type A

Official code

87303(2)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). 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 hot water measuring at 142.2 degree F which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/22/2022 Plan of Correction Administrator agreed to adjust temperature between 105 - 120 and submit photo of temperature to CCLD by POC date.

Official classification

Type A

Official code

87411(g)(1)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements- General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations or 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 S2 associated to the facility which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/22/2022 Plan of Correction Administrator agreed to submit LIC9182 and a of S2's photo ID to CCLD in order to associate to facility by POC date.

Official classification

Type B

Official code

87309(a)(1)

Regulation authority

CCR

What the official deficiency says

87303 Storage Space 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. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. 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 knives, scissors, vitamins and detergent accessible which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/26/2022 Plan of Correction Administrator agreed to place knives in a locked cabinet to make inaccessible, and to change the door knob leading to staff room with one that locks to make scissors, vitamins and detergent inaccessible and submit photo to CCLD by POC date. Knives were put away in locked box in garage during visit.