MARSTON CORPORATION

Official classification

Type B

Official code

87463(b)

Regulation authority

CCR

What the official deficiency says

(b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident. 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 as the Appraisal Needs and Services forms for all residents were not up to date, which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/26/2025 Plan of Correction On or before plan of correction due date, licensee will email the LPAs the up to date Appraisal Needs and Services forms for all six residents.

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 extingisher serviced which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/24/2024 Plan of Correction The facility agrees to get the fire extingisher serviced and tagged. Proof of correction will be sent to CCLD by POC date.

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 by having a wired keeping the gate closed which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/11/2024 Plan of Correction Cleared during visit

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

If the resident's physician has stated in writing that the resident is unable to determine ... facility staff designated by the licensee shall be permitted to assist the resident ...Once ordered by the physician the medication is given according to the physician's directions. requirement is not met as evidenced by: The staff gave the resident the wrong medication

Official plan of correction

The facility will conduct an all staff training relating to medications and how to dispense it. Proof of correction will be sent to CCLD by POC date.

Deadline recorded: Sep 16, 2023. 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) 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: Knifes and chemical cleaners were observed unlocked in the garage, bathrooms, bedroom and kitchen

Official plan of correction

The facility will lock up knifes and sharpe objects. The facility will also collect all chemicals from each room and lock them in a centerally stored location. Proof of correction will be sent to CCLD by POC date.

Deadline recorded: Sep 16, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

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: The facility staff was putting together the one of the resident records after the LPA asked for it, and gave it saying that it was not complete yet.

Official plan of correction

The facility will complete the resident record Proof of correction will be sent to CCLD by POC date.

Deadline recorded: Sep 16, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

All individuals subject to a criminal record review ... shall prior to working, residing or volunteering in a licensed facility:Request a transfer of a criminal record clearance as specified in Section 87355(c) This requirement is not met as evidenced by: Two staff are not associated to the facility.

Official plan of correction

The Administrator will submit a transfer request form with current I.D. to associate S2 and S3 to the facility by due date.

Deadline recorded: Sep 19, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

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: The kitchen, and food storage areas do not have a enough nonperishable foods

Official plan of correction

The facility will purchese more nonperishable foods. Proof of correction will be sent to CCLD by POC date.

Deadline recorded: Sep 27, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(21)

Regulation authority

CCR

What the official deficiency says

...refrigerators of adequate size shall maintain a maximum temperature of 40 degrees F (4 degrees C). They shall be kept clean and food stored to enable adequate air circulation to maintain the above temperatures. This requirement is not met as evidenced by: The temperature in the garage fridge was measured at 45 Degree F

Official plan of correction

The facility will adjust the tempature of the garage fridge or discontinue use of the fridge. Proof of correction will be sent to CCLD by POC date.

Deadline recorded: Sep 27, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87618(b)(3)(B)

Regulation authority

CCR

What the official deficiency says

Ensuring that the use of oxygen equipment meets the following requirements: " No Smoking-Oxygen in Use " signs shall be posted in the appropriate areas. This requirement is not met as evidenced by: Containers of oxygen are being stored in the closet of one of the bedrooms.

Official plan of correction

The facility agrees to add signs stating " No Smoking-Oxygen in Use " or remove the oxygen containers. Proof of correction will be sent to CCLD by POC date.

Deadline recorded: Sep 27, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

Faucets used by residents 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 and not more than 120 degree F requirement is not met as evidenced by: Water temperature was measured at 134.1 F.

Official plan of correction

POC cleared during visit.

Deadline recorded: Sep 15, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(c)

Regulation authority

HSC

What the official deficiency says

All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: The window screen in the back bedroom is ripped

Official plan of correction

The facility agrees to repair or replace the screen. Proof of correction will be sent to CCLD by POC date.

Deadline recorded: Sep 27, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

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: The facilities medication cabinet not locked properly and has a chain wraped around the knobs that falls off with the lightest touch

Official plan of correction

The facility agrees to relocate the medications to a locked location that is not accessible to persons in care. Proof of correction will be sent to CCLD by POC date.

Deadline recorded: Sep 18, 2023. A deadline is not proof that correction was completed.