COURTYARD AT LITTLE CHICO CREEK, THE

Official classification

Type B

Official code

87224(a)(4)

Regulation authority

CCR

What the official deficiency says

87224(a)(4) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice....the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident. This requirement is not met as evidence by: Based on documentation review, the notice served to R1 did not include a valid reason for eviction, which poses a potential health, safety, and personal rights violation to the residents in care.

Official plan of correction

Licensee will develop a procedure to address resident eviction procedures. POC will be emailed to LPA by 12/05/2025.

Deadline recorded: Dec 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

87465(c)(2) Incidental Medical and Dental Care: (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can 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: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Based on a review of an incident report dated for August 9, 2024, and Care Notes, the facility staff member did not administer the correct dosage of medication as outlined in the Physician Orders which presents a potential health, safety, and personal rights risk to the residents in care.

Official plan of correction

Licensee/Administrator shall conduct staff training and provide proof of that training to Community Care Licensing. In addition, Licensee/Administrator shall fill out an LIC 9098-Self-Certification understanding of the regulation. Licensee/Administrator shall also provide a statement on how future compliance will be met. POC due date: February 3, 2025.

Deadline recorded: Feb 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87412(a)(13)

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: (13) For employees that are required to be fingerprinted pursuant to Section 87355, Criminal Record Clearance: 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 one out of five staff file reviews did not have a Criminal Records Clearance which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/29/2023 Plan of Correction The administrator will ensure that all staff have a Criminal Records Clearance when employed with the facility.

Official classification

Type B

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 interview and record review, the licensee did not comply with the section cited above in zero out of four emergency disaster drills were conducted within a 12 month time period which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/05/2023 Plan of Correction Administrator will create a plan to ensure that all emergency disaster drills are conducted quarterly, taking into account different emergency scenarios and 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.

Official classification

Type B

Official code

87705(c)(6)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (6) Appraisals are conducted on an ongoing basis pursuant to Section 87463, Reappraisals. 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 one out of five resident files reviewed a resident with dementia did not have an annual medical assessment which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/01/2023 Plan of Correction Administrator will complete and update the medical assessment for this resident. Administrator will ensure that all residents with dementia will have an updated medical assessment annually.

Official classification

Type B

Official code

87211(1)(d)

Regulation authority

CCR

What the official deficiency says

87211(1)(d) Reporting Requirements – Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident. This requirement is not met as evidenced by: Based on LPA interviews and records review it was determined that that staff are reporting incidents via internal report to the administrator. If the resident does not go out to the hospital the report is not being sent to CCLD which poses a potential health and safety risk to residents in care.

Official plan of correction

Administrator agrees to review regulation 87211 and submit a statement of understanding. The proof of correction is to be received by LPA Knight by 1/03/2023.

Deadline recorded: Dec 19, 2022. A deadline is not proof that correction was completed.