CHERISH CARE HOME INC.

Official classification

Type A

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 and interview, the licensee did not comply with the section cited above in having a staff member utilizing the cottage/red shed in the backyard as a rest area which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/26/2025 Plan of Correction Administrator agreeded to submit an updated LIC200, with an updated facility sketch labeled and indicating the cottage/red shed for a staff member. Administrator agreeded to submit a photo of bed removed from the cottage/red shed space to CCLD by POC date.

Official classification

Type B

Official code

87632(d)(2)

Regulation authority

CCR

What the official deficiency says

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 sending notification of hospice services initiated for R1 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 08/01/2025 Plan of Correction Administrator agreed to self-certify that they read and understand the regulation moving forward and submit notification of hospice services for R1 to CCLD by POC date.

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 by not having a carbon monoxide detector in the facility which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/06/2024 Plan of Correction Administrator agrees to submit a photo of receipt and picture of carbon monoxide installed.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 by not having the annual required 20 hrs of training not including 8 hrs training for Dementia for S2-S4 on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/27/2024 Plan of Correction Administrator agree to submit completed training certificates for S2-S4 to CCLD by POC date.

Official classification

Type B

Official code

87608(a)(5)(A)

Regulation authority

CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. 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 in by not having dr's orders for 1/2 bed rails/hospital beds for R1-R5 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/27/2024 Plan of Correction Administrator agree to submit Bed Rail for mobility/postural support Dr's orders for R1-R5 to CCLD by POC date.

Official classification

Type B

Official code

87224(a)

Regulation authority

CCR

What the official deficiency says

87224 Eviction Procedures The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5) Based on observation, review and interview the licensee did not comply with the section cited above by following appropriate eviction procedures o R1 which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

Administrator/Licensee shall review the regulation and submit self-certification that they read and understand the regulation moving forward to CCLD by POC Due Date.

Deadline recorded: Oct 26, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87637(a)

Regulation authority

CCR

What the official deficiency says

87637 Health Condition Relocation Order (a) If a resident has a health condition...Department shall order the licensee to relocate the resident. Based on observation, review and interview the licensee did not comply with the section cited above by assisting the relocation of R1 to another care facility which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

Administrator/Licensee shall review the regulation and submit self-certification that they read and understand the regulation moving forward to CCLD by POC Due Date.

Deadline recorded: Oct 26, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87615(a)(2)

Regulation authority

CCR

What the official deficiency says

87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (2) Gastrostomy tubes. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above for retaining R1 without submitting an exception request for prohibited health condition which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/13/2023 Plan of Correction Licensee/Administrator stated that he is going to submit an exception request with supporting documents to CCLD by POC Due Date.

Official classification

Type B

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (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: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c). -This requirement is not met as evidenced by: -Based on interview and records review, the licensee did not comply with the section above for staff who is not associated to the facility which posed potential safety risk to persons in care.

Official plan of correction

The staff no longer works in the facilty. Administrator to read the Regulation and self-certify that in the future any individual prior to working will be associated. Self-certification to be submitted by 11/30/2022.

Deadline recorded: Nov 30, 2022. A deadline is not proof that correction was completed.