JOY SENIOR CENTER

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(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 in having hot water in one shared bathroom between 105 - 120, and having hot water in other shared bathroom, and resident bathrooms inside of their bedroom which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/19/2026 Plan of Correction Administrator agreed to have hot water adjusted and/or fixed and submit a photo to CCLD by POC date.

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, the licensee did not comply with the section cited above in having residents medication locked and inaccessible which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/19/2026 Plan of Correction Administrator immediately locked cabinet that stored medications. Deficiency cleared during visit.

Official classification

Type B

Official code

87307(a)(3)(D)

Regulation authority

CCR

What the official deficiency says

(D) Hygiene items of general use such as soap and toilet paper. 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 in purchasing hygiene items for residents which poses a potential health, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/25/2026 Plan of Correction Administrator agreed to purchase hygiene supplies for facility and submit photo to CCLD by POC date.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in having doctor orders for bedrails for several residents which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/25/2026 Plan of Correction Administrator agree to review regulation 87608, agreed to abide by the regulation going forward, and submit self-certification to CCLD by POC date.

Official classification

Type B

Official code

87623(b)

Regulation authority

CCR

What the official deficiency says

87623 Indwelling Urinary Catheter (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: This requirement is not met as evidenced by: Based on record review and interview, licensee did not comply with the section cited above by not having a home health care plan for resident (R5), which poses a potential health and safety risk for persons in care.

Official plan of correction

Administrator agreed to submit a care plan from the home health agency providing care for resident R5 by POC date.

Deadline recorded: Apr 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

Criminal Record Clearance. (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or …… This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, licensee did not comply with the section cited above by having uncleared staff work at the facility which poses an immediate health and safety risk to the persons in care.

Official plan of correction

POC Due Date: 03/07/2025 Plan of Correction S2 was asked to leave the facility. Facility has agreed to obtain fingerprint clearance for S2 prior to S2 returning to the facility. Facility will submit correspondence with CCLD regarding S2's clearance or S2's life scan form to CCLD by POC date. Civil penalty of $500 is being assessed.

Official classification

Type B

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or… This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, licensee did not comply with the section cited above by not having S3 associated to the facility which poses an immediate health and safety risk to the persons in care..

Official plan of correction

POC Due Date: 03/13/2025 Plan of Correction Administrator agreed to associate S3 to facility prior to S# returning to work and will submit correspondence with CCLD regarding S3 being associated by POC date.

Official classification

Type B

Official code

87303(e)(6)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (6) Toilet, handwashing and bathing facilities shall be maintained in operating condition. Additional equipment shall be provided in facilities accommodating physically handicapped and/or nonambulatory residents, based on the residents' needs. 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 not having hand washing faucet in operating condition in residents’ shared bathroom which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/13/2025 Plan of Correction Administrator agreed to repair hand washing faucet and send photo email to CCLD by POC date

Official classification

Type B

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. 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 two (2) walkers, three (3) Wheelchairs and one (1) Hoyer Lift in indoor passageways free of obstruction which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/13/2025 Plan of Correction Administrator agreed to implement a plan to keep items out of hallway obstructing indoor passageway and remove all items and submit photos to CCLD by POC date.

Official classification

Type B

Official code

87705(c)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following..... This requirement was not met as evidence by: Based on interview and record review the Licensee did not comply with the section cited above in keeping residents from AWOL, which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator agreed to implement a written plan that will show how the facility will prevent residents from AWOL. Plan will be submitted to CCLD by POC date.

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

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (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 requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above by not notifying CCLD of incidents within the seven days of occurance, and R1 being admitted to the hospital which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator has agreed to review reporting requirements and submit signed written statement of understanding to CCLD by POC date

Deadline recorded: Aug 24, 2024. A deadline is not proof that correction was completed.