BETTER LIVING CARE HOME

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

87463 – Reappraisals Section (a) The licensee shall ensure that each resident is reappraised as necessary to determine whether the facility continues to meet the resident’s needs. This requirement is not met as evidenced by: Based on interviews and record review, the licensee failed to ensure staff met the care and supervision needs of Resident (R1). Facility records indicated blood pressure monitoring was required; however, documentation did not demonstrate that staff monitored or recorded the resident’s blood pressure as required. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to read the regulation and self certify understanding moving forward. Will send self-certification to CCLD by POC due date.

Deadline recorded: Jun 5, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87611(b)(1)

Regulation authority

CCR

What the official deficiency says

87611 General Requirements for Allowable Health Conditions (b) The licensee shall complete and maintain a current, written record of care for each resident that includes, but is not limited to, the following: (1) Documentation from the physician of the following: This requirement is not met as evidenced by: Based on interviews and record review, the licensee failed to ensure complete and maintain written records of care including but not limited to documentation from physician for R1. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to read the regulation and self certify understanding moving forward. Will send self-certification to CCLD by POC due date.

Deadline recorded: Jun 5, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(5)

Regulation authority

CCR

What the official deficiency says

87465 – Incidental Medical and Dental Care Section (a)(5) The licensee shall be responsible for ensuring that medications are given according to physician's directions. This requirement is not met as evidenced by: Based on record review and interviews, the licensee failed to ensure medications were administered and documented according to physician directions for Resident (R1). Review of R1’s medication administration records revealed medications listed in hospital records were not documented on the facility’s MAR and dosage discrepancies were noted. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to read the regulation and self certify understanding moving forward. Will send self-certification to CCLD by POC due date.

Deadline recorded: Jun 5, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

87465(a)(1) Incidental Medical and Dental Care -The licensee shall ensure residents receive necessary medical care and assistance with medical needs. This requirement is not met as evidenced by: Based on record review and interviews, the licensee failed to ensure medications were administered and documented according to physician directions for Resident (R1). Review of R1’s medication administration records revealed medications listed in hospital records were not documented on the facility’s MAR and dosage discrepancies were noted. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to read the regulation and self certify understanding moving forward. Will send self-certification to CCLD by POC due date.

Deadline recorded: Jun 5, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(d)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (d)If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration provided all of the following requirements are met: This requirement is not met as evidence by: Based on observations, interviews and record reviews, the licensee did not comply with the section cited above in by not following R1’s doctor’s orders with administering prescribed medication orders including but not limited to daily use with a CPAP machine and CPAP mask during sleep, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator will read the regulation and self-certify understanding and will comply. In addition, conduct In-Service training with all staff on following doctor's orders including but not limited to CPAP machines/masks. Administrator will submit self-certification, training topic and synopsis of material covered and staff training sign-in sheet to CCLD by POC due date.

Deadline recorded: Apr 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(8)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement is not met as evidence by: Based on observations, interviews and record reviews, the licensee did not comply with the section cited above in by isolating R1 from other residents during meals, watching television which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator will read the regulation and self-certify understanding and will comply. In addition, conduct In-Service training with all staff on resident personal rights including but not limited to CPAP machines/masks. Administrator will submit self-certification, training topic and synopsis of material covered and staff training sign-in sheet to CCLD by POC due date.

Deadline recorded: Apr 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(b)(1)(A)(B)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (b) Licensees shall be responsible for the following: (1) Ensuring staff receive the following training as part of the training requirements specified in Section 87208 Plan of Operation: (A) Dementia care, including, but not limited to, knowledge about hydration, nutrition, skin care, communication, therapeutic activities, behavioral challenges, the environment, and assisting with activities of daily living; (B) Recognizing symptoms that may create or aggravate behavioral expression, as defined in Section 87101, Definitions, including, but not limited to, dehydration, urinary tract infections, and problems with swallowing; and This requirement is not met as evidence by: Based on observations, interviews and record reviews, the licensee did not comply with the section cited above in by providing to R1, the " Care of persons with Dementia " , by recognizing symptoms that may create or aggravate behavioral expression, including, but not limited to, dehydration, urinary tract infections, and problems with swallowing; and spitting which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator will read the regulation and self-certify understanding and will comply. In addition, conduct In-Service training with all staff on Dementia Care including but not limited to behavioral expression. Administrator will submit self-certification, training topic and synopsis of material covered and staff training sign-in sheet to CCLD by POC due date.

Deadline recorded: Apr 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(c)(6)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia...(6) Appraisals are conducted on an ongoing basis pursuant to Section 87463, Reappraisals. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in by not updating annual medical assessments and Appraisal Needs and Services Plans (ANS) for R1 who developed blisters and was noted by Administrator on 10/08/20 while in care which posed a health and safety risk to persons in care.

Official plan of correction

Administrator will read the regulation and self-certify that they read and understand this regulation moving forward and will comply by submitting self-certification to CCLD by POC due date.

Deadline recorded: Jan 7, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87609(b)(4)

Regulation authority

CCR

What the official deficiency says

87609 Allowable Health Conditions and the Use of Home Health Agencies (b) Incidental medical care may be provided to residents through a licensed home health agency...(4) The licensee and home health agency agree in writing on the responsibilities... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in by not having home health records on file for R1 while in care which posed a health and safety risk to persons in care.

Official plan of correction

Administrator will read the regulation and self-certify that they read and understand this regulation moving forward and will comply by submitting self-certification to CCLD by POC due date.

Deadline recorded: Jan 7, 2025. A deadline is not proof that correction was completed.

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, interview, record review, the licensee did not comply with the section cited above in by not having an official Doctor's order by Licensed Health Professional for 1/2 rail bed and/or hospital bed for R1, R2, R4, R5, R6, R7 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/14/2024 Plan of Correction Administrators agrees to get Doctor's orders for R1, R2, R4, R5, R6 and R7 and submit to CCLD by POC due date.

Official classification

Type B

Official code

87705(c)(6)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (6) Appraisals are conducted on an ongoing basis pursuant to Section 87463, Reappraisals. 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 updated Appraisal Needs and Services (ANS) for R1, R6 and R7 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/07/2024 Plan of Correction Administrators agrees to updated ANS for Residents listed above and submit copies to CCLD by POC due date.

Official classification

Type B

Official code

87506(d)(e)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records..(d) All resident records be available to the licensing agency,,upon demand during normal business hours. (e) Original records or...shall be retained for a minimum of three (3) years...

Official plan of correction

Administrators will send copies of Physicians Reports, Admission Agreements, Pre-placement Appraisals, Progress Notes, Hospitalizations, Dr's Orders, Medications, Staff Schedules to CCL

Deadline recorded: Jul 11, 2023. A deadline is not proof that correction was completed.

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 record review, the licensee did not comply with the section cited above by locking side gate which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/07/2022 Plan of Correction Staff removed lock during inspection. Deficiency cleared. Civil penalty of $500 is being assessed.