FLOWERING PLUMS ASSISTED LIVING

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, the licensee did not comply with the section cited above by having the medication closet knob broken which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/21/2026 Plan of Correction Licensee agreed to replace door knob and submit photos to the Department by the POC date.

Official classification

Type A

Official code

87468.1(a)(6)

Regulation authority

CCR

What the official deficiency says

To leave or depart the facility at any time and to not be locked into any room, building... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, licensee failed to ensure that residents are provided the right to leave or depart the facility at any time and to not be locked into any room, building, which poses an immediate risk to the health and safety of residents in care.

Official plan of correction

POC Due Date: 05/22/2026 Plan of Correction During inspection today, staff removed Alen wrench screwdriver from front door. Licensee shall conduct staff training regarding personal rights. Licensee agreed to submit to licensing by POC date, a copy of staff training roster, signed by licensee and all staff, verifying that staff understands the personal rights of residents in care.

Official classification

Type A

Official code

87309

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 above for having cabinet in the kitchen unlocked, and door to the laundry room unlocked which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/21/2026 Plan of Correction Licensee agreed to be sure to have all locks to cleaning supplies and laundry room locked at all times. Staff locked laundry room door and kitchen cabinets. DEFICIENCY CLEARED DURNING VISIT.

Official classification

Type B

Official code

87303(i)

Regulation authority

CCR

What the official deficiency says

(i) Facilities shall have signal systems which shall meet the following criteria: 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 a signal system in all residents rooms which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/11/2024 Plan of Correction Administrator agreed to having signal system in all the residents rooms and submit an email of the receipt of purchase and photos to CCLD by poc date

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

87705 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 having cleaning supply in an unlocked cabinet accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/05/2024 Plan of Correction Caregiver immediately removed the Clorox toilet cleaner and stored it in the locked laundry room. Deficiency cleared during visit

Official classification

Type A

Official code

87202(a)(2)

Regulation authority

CCR

What the official deficiency says

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. (2) Bedridden persons 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 a bedridden resident, which hasn't been approved per the facility's fire clearance which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/05/2024 Plan of Correction Administrator agreed to submit a request for a change of capacity LIC200 and Updated Facility Sketch to CCLD by poc date

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2)To be accorded safe... accommodations... This requirement was not met as evidence by: Based on interviews and records review, the licensee did not comply with the section, facility staff failed to ensure the safety of R1; R1 was able to AWOL which posed immediate safety risk to person in care.

Official plan of correction

Administrator to do the following and submit proof by 9/8/2022: In-service all staff regarding regulation that was cited and submit copy of in-service training with attendees’ signatures.

Deadline recorded: Sep 8, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights of Residents in Privately Operated Facilities (a).... elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. -This requirement is not met as evidenced by: -Based on interviews and records review, the licensee did not comply with the section above. R1 was able to AWOL unnoticed. R1 was found by Police officers couple of blocks away from the facility, R1 sustained skin tear while away from the facility. These posed immediate safety and personal rights and safety risks to person in care.

Official plan of correction

Civil penalty is assessed. Administrator to conduct in-service training regarding the regulation that was cited and submit proof by POC date. A $500.00 civil penalty is assessed.

Deadline recorded: Sep 8, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(j)

Regulation authority

CCR

What the official deficiency says

Care of Persons with dementia: The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidenced by: Based on observation, licensee failed to ensure that an auditory device or other staff alert feature to monitor exits is placed on exit doors, which poses a potential risk to the health and safety of residents in care.

Official plan of correction

Licensee shall have fucntional auditory device/alert feature placed on each exit door at facility. In-service all staff regarding teh regulation that was cited and submit copy of in-service training with attendees’ signatures.

Deadline recorded: Sep 8, 2022. A deadline is not proof that correction was completed.