A FAMILY OF CARE NO. 2

Official classification

Type B

Official code

87305(a)

Regulation authority

CCR

What the official deficiency says

Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above by not obtaining permit prior to alteration which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/14/2026 Plan of Correction By POC date, Licensee has agreed to contact the City regarding permit for altering bedrooms #2 and bedroom #3 and submit communication to CCLD by POC date.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

a) 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. Based on interview & records review, licensee did not comply with the regulation cited above which poses an potential health and safety risk for persons in care.

Official plan of correction

Administrator agreed to review regulation and conduct in-service training with staff on reporting requirements and submit a copy of training to CCL by POC date.

Deadline recorded: May 30, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. 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 staff nutritional supplement or vitamins was accesible 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: 05/23/2022 Plan of Correction Cleared and corrected. Staff locked nutritional supplement or vitamins during the visit.

Official classification

Type B

Official code

87411(d)(5)

Regulation authority

CCR

What the official deficiency says

(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (5) Knowledge necessary in order to recognize early signs of illness and the need for professional help. 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, no proof of covid19 training provided to LPA which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/30/2022 Plan of Correction Administrator agreed to send proof of covid19 training for all staff. Topics to discussed are not limited to, infection prevention, symptoms, transmission and PPE use.