Hazardous items and storageType A
- 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 by having the laundry room with chemical storage unlocked which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/12/2026 Plan of Correction The Licensee agrees to lock chemicals, review the regulation and send a letter of self certification to CCLD by POC date.
Medication handling and storageType A
- 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 by having the medication cabinet unlocked which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/12/2026 Plan of Correction The Licensee agrees to find a new lock for the cabinet and, review the regulation and send a letter of self certification to CCLD by POC date.
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87458(c)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: 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 by not having a copy of R1's physcians report which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/08/2026 Plan of Correction POC cleared during visit
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(6)
- Regulation authority
- CCR
What the official deficiency says
(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 because the side gate is scraping the post which is preventing it from opening with ease which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/15/2026 Plan of Correction The licensee agrees to repair the gate so it opens with ease. Proof of correction will be sent to CCLD by POC date.