AEGIS LIVING PLEASANT HILL

Official classification

Type B

Official code

87211(a)(2)

Regulation authority

CCR

What the official deficiency says

(2) Occurrences...which threaten the welfare, safety or health of residents,...shall be reported within 24 hours... This requirement was not met as evidence by: Based on observation,interview, and review the licensee did not comply with the section cited above by not reporting to CCL within 24hrs which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

By POC date, Licensee will submit to CCLD a detailed written plan on how they will address reporting incidents, including but not limited to AWOL.

Deadline recorded: Aug 8, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

To care, supervision, and ...meet their individual needs...by staff that are sufficient in numbers, qualifications, and competency... This requirement was not met as evidence by: Based on interview, the licensee did not comply with the section cited above by S1 stated that resident did not have " Wander Guard " on which posed a potential health and safety risk to persons in care.

Official plan of correction

By POC date, Licensee will submit to CCLD a detailed written plan on how they will address incidents of elopement and safety including but not limited to AWOL.

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

Official classification

Type B

Official code

87705(b)(2)

Regulation authority

CCR

What the official deficiency says

In addition to the requirements..., the plan of operation shall...needs of residents with dementia, including: (2) Safety measures... such as wandering, aggressive behavior... This requirement was not met as evidence by: Based on observation, interview and review the licensee did not comply with the section cited above by the agency determined that staff did not know the resident exited the facility which posed a potential health and safety risk to persons in care.

Official plan of correction

By POC date, Licensee will submit to CCLD a detailed written plan on how they plan to mitigate residents that elope from the facility and what actions the facility will take, including but not limited to AWOL.

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

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (c) All RCFE staff who assist residents...shall receive initial and annual training. (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. 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 not having 1 of 5 staff complete First Aid Training which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/14/2023 Plan of Correction Administrator will review all staff files to ensure all staff have current First Aid/CPR training. Administrator will send in self-certification stating all staff have completed First aid and CPR training.

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 in by not having disinfectant cleaning chemicals inaccessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/14/2023 Plan of Correction Administrator will lock up disinfectant cleaning chemicals. Administrator will conduct a training with staff on keeping toxic chemicals inaccessible to residents. Administrator will send a copy of training and signatures of staff present to training to CCL by POC Due Date.

Official classification

Type A

Official code

87309(b)

Regulation authority

CCR

What the official deficiency says

(b) Medicines which are centrally stored shall be stored as specified in Section 87465 and separately from other items specified in (a) above. 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 vitamins and Extra Strength Tylenol inaccessible to residents which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 08/14/2023 Plan of Correction Administrator will remove vitamins and Extra Strength Tylenol from resident's rooms. Administrator will have a discussion with residents and their families about storing medications in their rooms. Administrator will review regulations and have a training with staff. Administrator will send a copy of training with signatures of attendees to CCL by POC Due Date

Official classification

Type B

Official code

87303(e)(5)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Non-skid mats or strips shall be used in all bathtubs and showers. 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 non skid mats available in residents' showers which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/14/2023 Plan of Correction Administrator will purchase non skid mats and place in residents' shower where non skid mats are missing. Administrator will send a copy of invoice receipt for non skid mats to CCL by POC Due Date.

Official classification

Type B

Official code

87632(d)(2)

Regulation authority

CCR

What the official deficiency says

87632 (d) If the Department grants a hospice care waiver it shall stipulate terms...the waiver... which shall include... requirements: (2) ...notify the Department in writing within five working days of the initiation of hospice care services...This notice shall include... name and date of admission...and the name and address of the hospice. This requirement was not met as evidence by: Based on LPA's review the Licensee did not comply with the section cited above in notifying the Department of the hospice admissions, which poses a potential health and safety issue for persons in care.

Official plan of correction

General Manager agreed to all have staff in the wellness department review regulation 87632 and submit a self-certification signed by each staff that the regulation has been reviewed and facility will abide by the regulation. Self-certification shall be submitted to CCLD by POC date.

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