JANGA CARE HOME

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: -Based on observation, the licensee did not comply with the section above in locked fence gates, chair blocking the fence gate and dowel in the sliding door which pose an immediate safety risks to the persons in care.

Official plan of correction

Staff removed the padlocks and dowel while LPA was at the facilty. Adminsitrator to do the folllowing and submit proof by 6/26/26: 1. Read the Regulation and submit self-certification of understanding. 2. In-service the staff and submit copy of training topic with attendees signatures. A $500.00 civil penalty is assessed.

Deadline recorded: Jun 26, 2026. 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

87309 Storage Space and Access (a)...... 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....... -This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above in unlocked razor and ointment in the resident's room which pose an immediate safety risks to persons in care.

Official plan of correction

Staff locked the items. In addition, administrator to In-service the staff and submit copy of training topic(s) with attendees signatures by 6/26/26.

Deadline recorded: Jun 26, 2026. 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: -Based on observation, the licensee did not comply with the section above in the following which pose a potential safety, and/or personal rights risks to persons in care: mattress, broken glass closet door, detached fenced wood plank in the side yard; missing closet door; transition strips missing

Official plan of correction

Administrator to do the following and submit pictures by 7/09/26: 1. Have the yard cleaned. 2. Have the fence repaired. 3. Have the tape removed from the flooring and replace with transition strips. 4. Closet door installed.

Deadline recorded: Jul 9, 2026. 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

87506 Resident Records (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: -Based on records review, the licensee did not comply with the section above in 3 of residents' LIC601 not properly filed-up and 1 resident has no LIC601 on file which pose a potential personal rights risk to persons in care.

Official plan of correction

Licensee to complete the LIC601s and submit copies by 7/09/26.

Deadline recorded: Jul 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(d)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. -This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above in having auditory signals on 3 doors not working which pose an immediate safety risk to persons in care.

Official plan of correction

Administrator to have the auditory signals checked and install new batteries, otherwise replace with new ones. Proof to be submitted by 6/26/26.

Deadline recorded: Jun 26, 2026. A deadline is not proof that correction was completed.

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 interviews and record reviews, the licensee did not comply with the section cited above due to incomplete staff records which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/30/2024 Plan of Correction By POC due date, Administrator agrees to complete and submit to CCL proof of correction for complete staff records in compliance with Title 22 HSC 1569.625(b)(2).

Official classification

Type B

Official code

87407

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement Administrator Recertification Requirements Administrators shall complete at least forty (40) classroom hours of continuing education during each two (2)-year certification period... This requirement was not met as evidenced by expired administrator certificate 03/25/21 which poses a potential health & safety risk to residents in care.

Official plan of correction

POC Due Date: 10/13/2023 Plan of Correction On or before POC due date, administrator agreed to complete and submit a current administrator certificate to CCL. Administrator agreed to post current administrator certificate in a common area at the facility.

Official classification

Type B

Official code

87412

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement Personnel Record The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee... This requirement was not met as evidenced by incomplete staff records which posed a potential health & safety risk to residents in care.

Official plan of correction

POC Due Date: 10/13/2023 Plan of Correction On or before POC due date, Administrator agreed to complete and submit proof of correction to CCL in compliance with Title 22 Section 87412 Personnel Records requirements.