ARGONAUT CARE HOME, INC.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the regulation cited above. Upon arrival at the facility, there were no qualified staff members, except for one visitor who was not authorized to provide supervision to residents in care. This poses an immediate health, safety and personal risks to persons in care.

Official plan of correction

*note: this was cited on 8/19/25 and plan of corrections has been completed. Per discussion, Licensee will read the cited regulation and submit a letter of understanding; Licensee to submit letter to the Department by POC due date. Licensee shall ensure a qualified staff is present at the facility at all times to provide supervision to resident in care.

Deadline recorded: Aug 19, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.312(e)

Regulation authority

HSC

What the official deficiency says

Basic Service Requirements. Every facility required to be licensed under this chapter shall provide at least the following basic services: (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This requirement is not met as evidenced by: Based on interviews and record reviews, R1 left the facility unsupervised and sustained multiple injuries resulting in hospitalization. This poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

Per discussion, S3 stated facility made multiple changes including installing camera at the front door, night staff conducts regular checks on resident, and replacing the alarms and ensuring alarms are on at all times. Per discussion, S3 agreed to submit a written plan that they put in place after the incident and submit plan to the Department by POC due date.

Deadline recorded: Sep 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on interviews and record reviews, R1 left the facility unsupervised in the morning of 4/30/25 at around 3am. This poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

Per discussion, S3 stated facility made multiple changes including installing camera at the front door, night staff conducts regular checks on resident, and replacing the alarms and ensuring alarms are on at all times. Per discussion, S3 agreed to submit a written plan that they put in place after the incident and submit plan to the Department by POC due date.

Deadline recorded: Sep 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (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 degrees C) and not more than 120 degree F (49 degrees 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. Hot water temperature was initially measured at 104.2 degrees Fahrenheit, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/01/2025 Plan of Correction Corrected on site: S2 adjusted the the hot water heater. LPA conducted another check of the hot water in 1 of 2 bathroom and was measured at 110 degrees Fahrenheit.

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. During physical observation, RM and LPA observed the fire door, that was propped open with a door stopper, was observed to be in disrepair by the evidence of the door closer being detached from the wall, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/01/2025 Plan of Correction Per discussion with the facility representative (S2), the licensee will make necessary repair and will send proof of the repair to the Department by POC due date.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. During physical observation, RM and LPA observed the fire door to be propped open with a door stopper. Also during bedroom inspection in room #1, near the kitchen area, RM and LPA observed a dresser and a commode to be blocking the exit door to the outside, which poses/posed a immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/25/2025 Plan of Correction Per discussion with facility representative (S2), staff agrees to ensure the fire door will be kept close at all times. S2 also removed the commode that was blocking the exit door. S2 also rearranged the dresser to not block the exit door. Per discussion with facility representative (S2) the licensee will submit a letter of understanding of the regulation cited and submit letter to the Department by POC due date.

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. During physical observation, RM and LPA observed an Anti-Diarrhea medication inside a kitchen drawer that was unlocked and accessible to residents, which poses/posed a immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/25/2025 Plan of Correction Corrected on site: Staff S2 immediately removed the medication and placed in locked area.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

Personnel Requirements - General (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 and interview, the licensee did not comply with the section cited above. Staff S1 did not have their first aid completed which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/01/2025 Plan of Correction Per discussion with facility representative (S2), S1 will complete their first aid training and submit the certificate to the Department by POC due date.

Official classification

Type A

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

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. LPAs observed the deck floor to be in disrepair and the rail of the deck was found to be loose which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/13/2024 Plan of Correction Licensee to submit a plan for the repair of the deck and the rail and submit to the Department by the POC due date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(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. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPAs observed a drain cleaner under the bathroon sink and was observed to be accessible to residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/13/2024 Plan of Correction Licensee to submit a statement of understanding of the regualtion cited above and submit to the Department by the POC due date.

Official classification

Type A

Official code

87606(c)

Regulation authority

CCR

What the official deficiency says

(c) To accept or retain a bedridden person, other than for a temporary illness or recovery from surgery, a facility shall obtain and maintain an appropriate fire clearance as specified in Section 87202(a). 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. 1 of 4 residents was placed in a bedroom that was not fire cleared for bedridden resident which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/13/2024 Plan of Correction Licensee to submit a statement of understading of the regulation cited above to the Department by the POC due date.

Official classification

Type B

Official code

87465(d)

Regulation authority

CCR

What the official deficiency says

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to 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: 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. 4 of 4 residents do not have PRN Authorization letter signed by their physician which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction Licensee to submit a statement of understading of the regulation cited above to the Department by the POC due date.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. 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. 1 of 4 residents do not have updated LIC602 and 2 of 4 residents do not have updated Needs and Services Plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction Licensee to submit a statement of understading of the regulation cited above to the Department by the POC due date.

Official classification

Type A

Official code

87616(a)

Regulation authority

CCR

What the official deficiency says

87616 Exceptions for Health Conditions: (a) ... the licensee may submit a written exception request if he/she agrees that the resident has a prohibited and/or restrictive health condition but believes that the intent of the law can be met through alternative means. This is not met as evidenced by: Based on interviews and record review the Licensee did not ensure that a written request for an exception was sent to the Department for approval as soon as R1 started using a catheter. This poses an immediate, health, safety, and personal rights risks to persons in care.

Official plan of correction

Licensee to submit a statement of understanding of the regulation related to restricted/prohibited health conditions to the Department by the POC due date. Licensee to submit an exception request, including necessary documents, to the Department for approval. LPA will email licensee what documents are needed.

Deadline recorded: Mar 8, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(d)(2)

Regulation authority

CCR

What the official deficiency says

(d) The administrator shall have... (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This is not met as evidenced by: Based on interviews and record review, the licensee did not ensure that the facility obtained an exception request for R1's indwelling catheter as soon as R1 started using catheter. This poses a potential, health, safety, and personal rights risks to persons in care.

Official plan of correction

The licensee shall provide a statement of understanding regarding the following regulation 87405(d)(2) to the Department by the POC date.

Deadline recorded: Mar 13, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(g)

Regulation authority

CCR

What the official deficiency says

(g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review. This requirement is not met as evidenced by: Based on interview and record review, licensee did not comply with the section cited above as the files for the administrators were not available for review during this visit.

Official plan of correction

Licensee to ensure personnel records, including administrators files, are available for review at any time. Licensee to ensure personnel records, including administrators files, are complete as per regulation. Licensee also agrees to read and write a statement of acknowledgment that licensee have read the regulations being cited and have understood the regulation. The written statement is to be submitted to the Department by the POC due date.

Deadline recorded: Mar 14, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(h)

Regulation authority

CCR

What the official deficiency says

(h) All personnel records shall be retained for at least three (3) years following termination of employment. This requirement is not met as evidenced by: Based on interview, licensee did not comply with the section cited above as the file for S1 who is no longer employed at this facility is present at this facility and not available for review during this visit. This poses a potential, health, safety, and personal rights risks to persons in care.

Official plan of correction

Licensee to read and write a statement of acknowledgment that licensee have read the regulations being cited and have understood the regulation. The written statement is to be submitted to the Department by the POC due date.

Deadline recorded: Mar 14, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Base on record review, the licensee did not comply with the section cited above during resident record review, R1 did not have their Needs and Services Plan (LIC625) on file available for review. This poses a potential, health, safety, and personal rights risks to persons in care.

Official plan of correction

Licensee to complete R1's Needs and Services Plan and submit the completed form to the Department by the POC due date.

Deadline recorded: Mar 14, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. 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 1 out of 1 staff (available for review during the visit) which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/16/2023 Plan of Correction Licensee to submit updated first aid and CPR certificate for all staff associated to this facility to the Department by the POC due date.

Official classification

Type A

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 interview and record review, the licensee did not comply with the section cited above in 1 out of 1 staff (available for review during the visit) which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/16/2023 Plan of Correction Licensee to submit updated first aid and CPR certificate for all staff associated to this facility to the Department by the POC due date.

Official classification

Type A

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 as LPAs observed no evidence of fire drills during this visit, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/16/2023 Plan of Correction Licensee to submit evidence of quarterly fire drills to the Department by the POC due date.

Official classification

Type A

Official code

87606(c)

Regulation authority

CCR

What the official deficiency says

(c) To accept or retain a bedridden person, other than for a temporary illness or recovery from surgery, a facility shall obtain and maintain an appropriate fire clearance as specified in Section 87202(a). 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 in 1 out of 4 residents in care was observed to be in bedridden status and facility is not licensed to have a bedridden residents and does not have an appropriate fire clearance for bedridden residents, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/16/2023 Plan of Correction Licensee to submit a plan to be in compliance of CCR 87606(c). Failure to correct deficiency will result in daily civil penalties in the amount of $100 per violation each day.

Official classification

Type B

Official code

1569.618(b)(3)

Regulation authority

HSC

What the official deficiency says

(b) At least one administrator, facility manager, or designated substitute who is at least 21 years of age and has qualifications adequate to be responsible and accountable for the management and administration of the facility pursuant to Title 22 of the California Code of Regulations shall be on the premises 24 hours per day. The designated substitute may be a direct care staff member who shall not be required to meet the educational, certification, or training requirements of an administrator. The designated substitute shall meet qualifications that include, but are not limited to, all of the following: (3) Training to effectively interact with emergency personnel in the event of an emergency call, including an ability to provide a resident’s medical records to emergency responders. 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 as the current designated person on record is no longer employed at this facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/22/2023 Plan of Correction Licensee to submit updated LIC 308 to the Department by the POC due date.

Official classification

Type B

Official code

87412(g)

Regulation authority

CCR

What the official deficiency says

(g) All personnel records shall be maintained at the facility. 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 as only one (1) staff file was available for review during this visit which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/22/2023 Plan of Correction Licensee to ensure all personnel records are updated and maintained in the facility at all times.

Official classification

Type B

Official code

87412(a)(6)(A)

Regulation authority

CCR

What the official deficiency says

(A) For administrators this shall include verification that he/she meets the educational requirements in Section 87405(d) through (g). 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 as no administrator's file was available for review during this visit which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/22/2023 Plan of Correction Licensee to ensure all personnel records, including administrator's file, are updated and maintained in the facility at all times.

Official classification

Type B

Official code

87412(a)(12)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Hazardous health conditions documents as specified in Section 87411, Personnel Requirements - General. 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 as only one (1) staff file was available for review and no administrator's file was available for review during this visit which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/22/2023 Plan of Correction Licensee to ensure all personnel records, including administrator's file, are updated and maintained in the facility at all times.

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 observation, interview and record review the licensee did not comply with the section cited above as no evidence of staff training was available for review during this visit which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/22/2023 Plan of Correction Licensee to ensure staff trainings are updated and maintained in the facility at all times. Licensee to ensure staff are trained annually as stated in the above regulation.

Official classification

Type B

Official code

87219(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. The activities made available shall include: (1) Socialization, achieved through activities such as group discussion and conversation, recreation, arts, crafts, music, and care of pets. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as LPAs did not observed recreational activities being provided to the residents in care during the visit, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/22/2023 Plan of Correction Licensee to submit activity calendar to the Department by the POC due date.