SEIKO'S PLACE

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs……............... -This requirement is not met as evidenced by: -Based on record review and interviews, the licensee did not comply with the section above when staff left the residents unattended which posed an immediate safety and/or personal rights risks to persons in care.

Official plan of correction

Administrator to in-service the staff and submit copy of training topic with attendees signatures by 6/06/25.

Deadline recorded: Jun 6, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency...(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days (D) Any incident which threatens the welfare, safety or health of any resident... -This requirement is not met as evidenced by: -Based on records review and interview, the licensee did not comply with the section above in not submitting an incident report wheh R1 was sent out which posed a personal rights risk to person in care,

Official plan of correction

Administrator to do the followiing and submit POC by 6/05/25: 1. Complete and submit the incident report. 2. Read the Regulations and submit self-certification that report will be submitted timely.

Deadline recorded: Jun 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice..... -This requirement is not met as evidenced by: -Based on record review and interview, the licensee did not comply with the section above in not obtaining a complete LIC602A nor having a current/updated LIC602A

Official plan of correction

Administrator to schedule a medical assessment and submit copy of the LIC602A by 6/05/25.

Deadline recorded: Jun 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(b)

Regulation authority

CCR

What the official deficiency says

(b) Each resident's record shall contain at least 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 4 out of 4 residents which poses a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/19/2024 Plan of Correction By POC administrator agrees to review and update the resident files and notify CCLD

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(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 record review, the licensee did not ensure that resident records are complete, R1, R2 and R4 have incomplete record files which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/18/2023 Plan of Correction Administrator will complete the missing forms for R1, R2 and R4, place them in the residents folders and provide proof of completion to CCL by POC date

Official classification

Type A

Official code

1569.19(a)

Regulation authority

HSC

What the official deficiency says

Renewed period; filing of renewal application; forfeiture by operation of law. The licensee sells or otherwise transfers...facility property... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not having control of property which poses an immediate health and safety risk to the persons in care.

Official plan of correction

Facility has agreed to submit a signed lease back agreement to CCLD by POC date.

Deadline recorded: Sep 7, 2022. 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: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having unlocked cleaning supplies, detergents, sharp tool, and gardening tools which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/03/2022 Plan of Correction Caregiver locked up the drawers/cabinets and pulled out the keys. Detergents were locked up in the garage. Facility has agreed to lock up gardening tools and submit pictures and LIC9098 to CCLD by POC date.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

(e) 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: (1) Obtain a California clearance or a criminal record exemption as required by the Department or 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 staff who is not fingerprint cleared at the facility which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/06/2022 Plan of Correction S1 left the facility during inspection. Facility has agreed to obtain fingerprint clearance for S1 and provide live scan documents to CCLD by POC dates.

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 unlocked medications in resident room and refrigerator which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/03/2022 Plan of Correction Caregiver locked up the medications in the resident's room. Facility has agreed to purchase a lock box to lock up the medications in the refrigerator. Facility will send picture proof and LIC9098 to CCLD by POC date.

Official classification

Type B

Official code

87468(a)

Regulation authority

CCR

What the official deficiency says

Personal Rights (a) Residents in residential care facilities for the elderly shall have personal rights which include, but are not limited to, those listed in Sections 87468.1, Personal Rights of Residents in All Facilities, and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities, as applicable to the facility. 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 staff living and having staff belongings in a resident's room which poses a potential personal rights violation to persons in care.

Official plan of correction

POC Due Date: 09/07/2022 Plan of Correction Facility has agreed to move all S2's belongs and second bed out of room 2. Facility will provide picture proof and LIC9098 to CCLD by POC date.

Official classification

Type B

Official code

87211(g)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements (g) The licensee shall notify the Department, in writing, within thirty (30) days of the hiring of a new administrator. The notification shall include the following: 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 submitting new administrator documents to CCLD which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/07/2022 Plan of Correction Facility has agreed to submit documents for administrator change to CCLD by POC date.