DIANA'S CARE HOME

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 chemicals such as Raid, Lysol and Clorox wipes unlocked at an unattended reception area which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/21/2024 Plan of Correction Administrator agreed to lock and keep cabinet locked at all times. DEFICIENCY CLEARED DURING VISIT.

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 pre-poure medication in resident room ##3 which poses an immediate health and safety risk to persons in care. Staff locked medication.

Official plan of correction

POC Due Date: 02/21/2024 Plan of Correction Administrator agreed to keep all medication locked in medication closet at all times. Staff locked medication. DEFICIENCY CLEARED DURING VISIT.

Official classification

Type A

Official code

87705(I)(1)(2)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia: The following initial and continuing requirements shall be met for the licensee to lock exterior doors or perimeter fence gates: (1) Licensees shall notify the licensing agency of their intention to lock exterior doors and/or perimeter fence gates. (2) The licensee shall ensure that the fire clearance includes approval of locked exterior doors or locked perimeter fence gates. 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 pad lock on the side yard gate at the facility, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/21/2024 Plan of Correction The Administrator had staff to remove the pad lock. DEFICIENCY CLEARED DURING VISIT. CIVIL PENALTY ASSESSED.

Official classification

Type B

Official code

87307(a)(2)(B)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services: (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (B) No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage storage area, shed or similar detached building. 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 having a bed placed in the living room that staff are using for sleeping, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/03/2024 Plan of Correction Administrator agreed to remove the bed and staff personal belongings from the shed and submit photos to CCL by POC date.

Official classification

Type A

Official code

87628(a)

Regulation authority

CCR

What the official deficiency says

87628(a) Diabetes (a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. This requirement is not met as evidenced by: Based on interviews conducted, several unlicensed staff check R1’s blood sugar which poses an immediate threat to the health and safety of clients in care.

Official plan of correction

Administrator will evaluate 13 diabetic residents to determine who are able to check own blood sugar and will send result to LPA by POC date.

Deadline recorded: Oct 20, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

876161(a)

Regulation authority

CCR

What the official deficiency says

87616(a) Exceptions for Health Conditions (a) As specified in Section 87209, Program Flexibility, the licensee may submit a written exception request if he/she agrees that the resident has a prohibited and/or restrictive health condition but believes that the intent of the law can be met through alternative means. This requirement is not met as evidenced by: Based on interviews conducted, the facility admitted R1 who is diabetic but unable to manage own glucose testing. Curently, facility admitted 13 diabetic residents without approved exception

Official plan of correction

Administrator will submit request for exception for residents who are unable to manage diabetes.

Deadline recorded: Oct 20, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87219(3)

Regulation authority

CCR

What the official deficiency says

87219 Planned Activities (e) In facilities licensed for sixteen (16) to forty-nine (49) persons, one staff member, designated by the administrator, shall have primary responsibility for the organization, conduct and evaluation of planned activities. This person shall have had at least six (6) months experience in providing planned activities or have completed or be enrolled in an appropriate education or training program. This requirement is not met as evidenced by: Facility did not comply with the above regulation. LPA observed there is no activity person & no activities provided to the residents. Facility had previous citations for not having a designated activity person.

Official plan of correction

By POC date, facility will submit to CCL plan to ensure activities are provided to all residents and to update activity calendar.

Deadline recorded: Mar 31, 2023. A deadline is not proof that correction was completed.