COMFORT CARE HOME, LLC

Official classification

Type B

Official code

87217(e)

Regulation authority

CCR

What the official deficiency says

Cash resources and valuables of residents which are handled by the licensee for safekeeping shall not be commingled with or used as the facility funds or petty cash, and shall be separate, intact and free from any liability the licensee incurs in the use of his own or the facility's funds and valuables. This does not prohibit the licensee from providing advances or loans to residents from facility money. 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 by comingling the residents P & I which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/20/2025 Plan of Correction The facility agrees to review the regulation and send in a self certified letter. The facility also agrees to spearate residents P & I funds. Proof of correction will be sent to CCLD by POC date

Official classification

Type B

Official code

87217(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) (2) Cash resources entrusted to the licensee for residents and kept on the facility premises shall be kept in a locked and secure location. 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 by removing the ressidents cash resources from the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/20/2025 Plan of Correction The facility agrees to review the regulations and send in a self certified letter of the review. Proof of correction will be sent to CCLD by POC date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. 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 by having patches of walls without paint in the front bedroom and the hall bathroom which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/27/2025 Plan of Correction The facility agrees to paint/repair any walls with discoloration or patch marks. Proof of correction will be sent to CCLD by POC date.

Official classification

Type B

Official code

87217(g)(1)

Regulation authority

CCR

What the official deficiency says

(g) Each licensee shall maintain adequate safeguards and accurate records of cash resources and valuables entrusted to his care, including, but not limited to the following: (1) Records of residents' cash resources maintained as a drawing account shall include a ledger accounting (columns for income, disbursements and balance) for each resident, and supporting receipts filed in chronological order. Each accounting shall be kept current. This requirement is not met as evidenced by: Deficient Practice Statement Based on interviews and record reveiws, the licensee did not comply with the section cited above in by not keeping the residents ledgers current which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/20/2025 Plan of Correction The facility agrees to review the regulation and sumbit a self certifice letter. Proof of correction will be sent to CCLD by POC date.

Official classification

Type B

Official code

87309(a)

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 and interviews, the licensee did not comply with the section cited above by having the knife drawer unlocked and accessible to the residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/09/2023 Plan of Correction The facility will replace the lock on the drawer. Proof of correction will be sent to CCLD by POC date.

Official classification

Type B

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(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: 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 not having the fire extinguisher serviced yearly as required by the fire department, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/02/2023 Plan of Correction The facility will have the fire extinguisher serviced or replaced. Proof of correction will be sent to CCLD by POC date.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

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) This requirement is not met as evidenced by: Based on interviews & records reviews, Licensee did not comply with the regulation above, by not having a staff member associated to the facility.

Official plan of correction

The facility will associate the staff by submitting LIC 9182, and copy of the individual's Driver's license to CCLD by POC date. The individual will leave the facility and not return until associated. CCLDSCOaklandRO@dss.ca.gov

Deadline recorded: Dec 13, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87413(a)(2)

Regulation authority

CCR

What the official deficiency says

In each facility: Care and supervision of residents shall be provided without physical or verbal abuse, exploitation or prejudice. This requirement is not met as evidenced by: Based on interviews & records reviews, Licensee did not comply with the regulation above, a staff member commenting on a reisdents physical appearance in a neagtive manner

Official plan of correction

The facility will conduct an all staff training about a proper communication to the residents. The facility will submit a log of attendence for the training to CCLD by POC date.

Deadline recorded: Dec 20, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.269(a)(10)

Regulation authority

HSC

What the official deficiency says

Residents of residential care facilities for the elderly shall have all of the following rights: To be free from neglect...or abuse. This requirement is not met as evidenced by: Based on interviews & observations, Licensee did not comply with the regulation above, by allowing a resident to sit for a period of time with a banket covering their head

Official plan of correction

The Facility will conduct a staff training about Care and supervison of the residents. The facility will submit a log of attendence for the training to CCLD by POC date.

Deadline recorded: Dec 20, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

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: Based on interviews & records reviews, Licensee did not comply with the regulation above,by having the records taken home for updating.

Official plan of correction

The facility will review the regulation and submit a letter of self certification to CCLD by POC date.

Deadline recorded: Dec 20, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. 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 a missing drawer in the kitchen which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/01/2022 Plan of Correction The facility will repair the drawer in the kitchen. Proof of correction will be sent to CCLD by POC date.

Official classification

Type B

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. 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 not having a one week non-perishable food supply which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2022 Plan of Correction The facility will buy enough food for a one week non-perishable food supply. Proof of correction will be sent to CCLD by POC date.