Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87463(i)
- Regulation authority
- CCR
What the official deficiency says
(i) When there is significant change in condition, as defined in Section 87101, Definitions, or once every 12 months, whichever occurs first, the licensee shall arrange an in-person or virtual meeting or conference call to share the reappraisal with the resident, the resident's representative, if applicable, and appropriate facility staff, as specified in Section 87467, Resident Participation in Decision Making. 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 updated needs and services plan for R1 which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2026 Plan of Correction The facility agrees to complete a needs and services plan for R1. Proof of correction will be sent to CCLD by POC date
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: 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 complete staff record for S3 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: 07/01/2026 Plan of Correction The facility agrees to get a completed staff file for all staff who work with residents in care. Proof of correction will be sent to CCLD by POC date