PURPLE HEARTS HOME CARE

Official classification

Type B

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. Additional staff shall be employed as necessary... This requirement is not met as evidenced by: Based on interviews and record review the Licensee did not comply with the section cited above in not having sufficient supervision for residents, which posed a health and safety risk to persons in care.

Official plan of correction

By POC date. Licensee agreed to implement a plan to assist with staffing and submit plan to CCL.

Deadline recorded: Apr 25, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(1)

Regulation authority

CCR

What the official deficiency says

(1) Ensuring staff receive the following training as part of the training requirements specified in Section 87208 Plan of Operation: (A) Dementia care, including, but not limited to, knowledge about hydration, nutrition, skin care, communication, therapeutic activities, behavioral challenges, the environment, and assisting with activities of daily living.... This requirement is not met as evidenced by: Based on record review and interviews the Licensee did not comply with he section cited above in not having staff trained as specified in section 87208, which posed a health and safety risk to persons in care

Official plan of correction

By POC date. Licensee agreed to implement a plan on providing staff training and send plan to CCL

Deadline recorded: Apr 25, 2026. A deadline is not proof that correction was completed.

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: Based on interview and record review, the licensee did not comply with the section cited above in not having doctor orders for wheelchair belt for R1 which posed a potential health, safety or personal rights risk to persons in care

Official plan of correction

BY POC date. Licensee agreed to read regulation 87608 and send a self certifying email to CCL

Deadline recorded: Apr 25, 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

(a) Except as specified in subsection (b), 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 if outside the locked storage. 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 sharps in an unlocked kitchen drawer. which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 04/10/2026 Plan of Correction Caregivers immediately placed sharps in a locked cabinet. Deficiency cleared during visit.

Official classification

Type A

Official code

87465(h)(1)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (1) Medications shall be centrally stored under the following circumstances: 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 medications a cup on R1's table tray which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/10/2026 Plan of Correction By POC date, Licensee will implement a plan regarding following residents physician's report and send email to CCL.

Official classification

Type A

Official code

87465(e)

Regulation authority

CCR

What the official deficiency says

(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. 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 not having a physician's order for melatonin 10mg for R4 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/10/2026 Plan of Correction BY POC date ,Licensee agreed to imediately stop administering melatonin10mg, obtain a physician's order before administering medication. Licensee also agreed to read regulation 87465(e) and send self certifying email to CCL.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. 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 not having S3 and S4 heath screening and TB which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/16/2026 Plan of Correction By POC date, Licensee agreed obtain a health screening and TB for S3 and S4, send photo email to CCL

Official classification

Type B

Official code

87411(d)

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: 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 not having on job training for S2, S3, and S4 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/16/2026 Plan of Correction BY POC date, Licensee agreed to provide training to staff and send email of training with participants signatures to CCL.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 not updating R1's appraisal needs and service plan which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/16/2026 Plan of Correction By POC date, Licensee agreed to update R1's appraisal needs and service plan and send self certifying email to CCL.

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 not having a physician order for R2's bedrails which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/16/2026 Plan of Correction By POD date, Licensee will obtain an physician's order for bedrails and send email to CCL.

Official classification

Type B

Official code

87633(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility, when all of the following conditions are met: 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 not speaking with R1's physician and or surgeon before placing R1 on hospice which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/16/2026 Plan of Correction By POC Date, Licensee agreed to obtain documentation from R1's physician supporting R1 being placed on hospice services and send email to CCL

Official classification

Type B

Official code

87632(2)

Regulation authority

CCR

What the official deficiency says

87632 Hospice Care Waiver (2) The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services. The notice shall include the resident's name and date of admission to the facility and the name and address of the hospice. 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 notifying the department in writing within five working days of R1 initiation of hospice which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/16/2026 Plan of Correction By POC date, Licensee agreed to read regulation 87632(2) and send self certifying email to CCL.

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: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in not having R4's records available for licensing which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/16/2026 Plan of Correction By POC date, Licensee agreed to read regulation 87506(a) and send a self certifying email to CCL.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. This requirement is not met as evidenced by: Deficient Practice Statement Based on interviews, the licensee did not comply with the section cited above in not having an qualified administrator at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/13/2026 Plan of Correction By POC date, Licensee agreed read regulation 87405(a), hire a qualified and certified administrator, send all required documents to make the change of administrator to CCL

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances..... This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having laundry detergent, fabric softener, glass cleaner, bleach, pine glo, and furniture polish in an unlocked cabinet which posed a potential health, safety or personal rights risk to persons in care

Official plan of correction

Administrator immediately locked cabinet. Deficiency cleared during visit.

Deadline recorded: Sep 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(f)

Regulation authority

CCR

What the official deficiency says

All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours..... This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by not having personnel records available for licensing to inspect during business hours which poses a potential health, safety or personal rights risk to persons in care

Official plan of correction

Administrator agreed to read regulation 87412(f), agree to having personnel records available and send a self certifying email to CCLD by POC date.

Deadline recorded: Sep 16, 2025. A deadline is not proof that correction was completed.