ASK: HIDDEN VALLEY CARE HOME

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

Criminal Record Clearance. All individuals subject to a criminal record review... Obtain a California clearance...as required by the Department... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not having staff fingerprint cleared which poses an immediate health and safety risk to the persons in care.

Official plan of correction

S1 has been fingerprint cleared and associated to the facility. Deficiency cleared. Civil penalty of $500 is being assess.

Deadline recorded: Aug 24, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

Criminal Record Clearance. All individuals subject to a criminal record review... Obtain a California clearance...as required by the Department... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not having staff fingerprint cleared which poses an immediate health and safety risk to the persons in care.

Official plan of correction

S1 left the facility during visit. Facility has agreed to contact Guardian regarding S1's fingerprint clearance and submit communication to CCLD by POC date. Civil penalty of $3,000 is being assess.

Deadline recorded: May 1, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

Not listed

Regulation authority

CCR

What the official deficiency says

Deficiency narrative not available.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

Criminal Record Clearance. All individuals subject to a criminal record review... Obtain a California clearance...as required by the Department... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not having two staff fingerprint cleared which poses an immediate health and safety risk to the persons in care.

Official plan of correction

Facility has agreed to obtain fingerprint clearance S3 and S2 will not be a staff at the facility. House manager will submit a plan to obtain fingerprint clearance for S3 by POC date. Civil penalty of $400 is being assess.

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

Official classification

Type B

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

Criminal Record Clearance. All individuals subject to a criminal record review...Request a transfer of a criminal record clearance... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not having two staff associated to the facility which poses a potential health and safety risk to the persons in care.

Official plan of correction

Facility has agreed to associate S1 and S4 to the facility and submit proof of association by POC date.

Deadline recorded: Jul 25, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.652(c)

Regulation authority

CCR

What the official deficiency says

1569.652(c) TERMINATION OF ADMISSION AGREEMENT UPON DEATH.. (c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility... if the deceased resident paid the fees, to the resident’s estate, within 15 days after the personal property is removed. This requirement is not met as evidenced by: Based on interview and record review, Licensee did not comply with the regulation cited above by not issuing a refund to R1's responsible party within 15 days after R1's personal property was removed on 8/16/22 which poses a potential personal rights to persons in care.

Official plan of correction

By POC date, Administrator will submit a proof of refund, In addition, Administrator will review regulation and submit a self-certification letter of understanding to CCLD.

Deadline recorded: Feb 24, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

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 and interview, the licensee did not comply with the section cited above, unlocked cabiniet with cleaning supplies and unlocked scissors were observed which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/03/2022 Plan of Correction Staff locked up all items during visit. Administrator agrees to retrain staff and submit in-service training with staff signatures to CCL by the POC due date.