Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 1569.311
- Regulation authority
- HSC
What the official deficiency says
Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. 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 not having carbon monoxide detector/smoke detector working which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/12/2024 Plan of Correction Administrator agreed to check carbon monoxide detector/smoke detector every 6 months to insure detector is in operating condition at all times. DEFICIENCY CLEARED DURING VISIT.
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: 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 not having the Administrator file located at the facility and having incomplete staff files which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/17/2024 Plan of Correction Administrator agreed to create a file for the Administrator and complete files for S1 and S2, read the regulation and self certify that he will comply with the regulation and submit self certification to the department by the POC date.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(c)
- Regulation authority
- CCR
What the official deficiency says
(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, 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 updated Physicians reports for all 4 clients which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 08/16/2024 Plan of Correction Administrator agreed to get all 4 residents updated Physicians reports updated, and submit copies to the department by the POC date.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 conducting emergency disaster drills which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/17/2024 Plan of Correction Administrator agreed to conduct an emergency disaster drill and submit log to the department by the POC date.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 87203
- Regulation authority
- CCR
What the official deficiency says
All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. 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 by the expiration date which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/12/2024 Plan of Correction Administrator agreed to have fire extinguisher serviced and submit a copy of the fire extinguisher tag to the department by the POC date.