BOYD SENIOR CARE HOME

Official classification

Type A

Official code

87628(a)

Regulation authority

CCR

What the official deficiency says

87628 Diabetes (a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. This requirement is not met as evidenced by: This requirement is not met as evidenced by: Based on record review and interview conducted, R4 is diabetic and per dr's medication orders requires insulin injections daily at night. However, R4 is unable to check own blood sugar and administer own injections per current physician's report, which poses an immediate health and safety risk to persons in care.

Official plan of correction

Administrator will submit request for exception for R4's restricted condition - diabetes management and submit to CCLD by POC date.

Deadline recorded: Jun 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(d)(3)

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 (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. This requirement is not met as evidenced by: Based on observation, record review and interview, the licensee did not comply with the section cited above in by ensuring R1's thru R5's MAR were complete which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator agreed to complete 2hr (minimum) training for all staff with an CCLD approved vendor for Medication training with records and documenting. Submit certificates to CCLD by POC due date.

Deadline recorded: Jun 5, 2025. 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

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: (4) To care...that meet their individual needs and are delivered by staff...competency to meet their needs. Based on observation, record review and interview, the licensee did not comply with the section cited above in by ensuring R1 thru R5 medications were administered according to doctor's orders including but not limited to presciptions and non-prescriptions which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator agreed to complete 2hr (minimum) training for all staff with an approved CCLD vendor for Medication training with prescription and non-prescription orders. Submit certificates to CCLD by POC due date.

Deadline recorded: Jun 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(b)(1)(A)

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... (A) Dementia care, including, but not limited to, knowledge about ...behavioral challenges.... This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above in by handling dementia care residents that may have including but not limited behavioral challenges that may be difficult for staff to handle. Staff caregiver stated possible eviction of R1 which poses a potential health, safety risk and personal rights to persons in care.

Official plan of correction

Administrator agreed to complete 2hr (minimum) training for all staff with an CCLD approved vendor for Dementia Care with a focus on challenging behaviors. Submit certificates to CCLD by POC due date.

Deadline recorded: Jun 5, 2025. A deadline is not proof that correction was completed.

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 completing 20hrs annual trainings for S2-S5 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/17/2025 Plan of Correction Administrator agreed to create a detailed plan with a schedule for staff trainings for S2-S5. In addition, will submit training certificates or in-service training sign in sheets for trainings completed and in progress to CCLD by POC due date.

Official classification

Type B

Official code

87468(c)(2)(A)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (2) Information on the appropriate reporting agency in case of a complaint or emergency, including procedures for filing confidential complaints, shall be posted as follows: (A) Licensees may use the Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) or may develop their own poster as provided in this section. A poster developed by the licensee shall contain the same content as the PUB 475. The poster that is posted shall be 20” x 26” in size and be posted in the main entryway of the facility. PUB 475 may be accessed, downloaded, and printed from the www.ccld.ca.gov website. 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 in by not having RCFE complaint poster posted in entry way which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/03/2025 Plan of Correction Administrator agreed to submit a photo of RCFE Complaint Poster posted in entry way to CCLD by POC due date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 an Appraisal Needs and Services (ANS) for R5 on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/17/2025 Plan of Correction Administrator agreed to submit a copy of ANS for R5 to CCLD by POC due date.

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 observation, interview, record review, the licensee did not comply with the section cited above in by not conducting quarertly fire/emergency drills for AM/PM shifts which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/17/2025 Plan of Correction Administrator agreed to self-certify by reading/understanding/complying with the regulation and send a copy of sign-in sheet of all participants that completed the drill to CCLD by POC due 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, interview, record review, the licensee did not comply with the section cited above in by not having doctor's orders for bed rails/hospital beds for R1-R5 on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/17/2025 Plan of Correction Administrator agreed to submit copies of doctor's orders for bed rails for R1-R5 to CCLD by POC due date.

Official classification

Type B

Official code

87608(a)(1)(3)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (1) Postural supports shall be limited to appliances or devices such as braces, spring release trays, or soft ties, used to achieve proper body position and balance, to improve a resident's mobility and independent functioning, or to position rather than restrict movement including, but not limited to, preventing a resident from falling out of bed, a chair, etc. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. 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, including but not limited to, a doctor's order for R4's soft ties which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/17/2025 Plan of Correction Administrator agreed to submit a copy of doctor's order for R4's soft tie to CCLD by POC due date. CCLD is subject to request additional documents.

Official classification

Type A

Official code

87202(a)(2)

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: (2) Bedridden persons This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review, the licensee did not comply with the section cited above by not having a fire clearance for R4 which poses an immediate health and safety to persons in care.

Official plan of correction

POC Due Date: 05/04/2023 Plan of Correction Administrator will submit a LIC 200 and a copy of floor plan or re-locate the resident by POC due date. A $500 Civil Penalty is being assessed.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). 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 knives, scissors and sharps inaccessible to residents which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/04/2023 Plan of Correction Administrator locked up all sharps during visit. Administrator ordered safety locks during visit and will send photos with new locks by POC due date. Deficiency cleared.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. 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 medications, vitamins, disinfectant spray, Raid Spray, Tide Laundry Detergent, Clorox Bleach, shovel, ladders, wheel barrels inaccessible which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/04/2023 Plan of Correction Administrator locked up medications, vitamins, disinfectant spray, Clorox Bleach, Tide Laundry Detergent, ladders, shovels, wheel barrels during visit. Deficiency cleared.

Official classification

Type B

Official code

87412(g)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review. 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 maintaining records at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/10/2023 Plan of Correction Administrator will get ALL staff records and send a photo to CCLD by POC due date.

Official classification

Type B

Official code

87615(a)(1)

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: (1) Stage 3 and 4 pressure injuries. -This requirement is not met as evidenced by: -Based on records review, the licensee did not comply with the section above for admitting R1 who has stag 3 pressure injury which posed health risk to person in care,

Official plan of correction

R1 is no longer at the facility, Licensee to read the Regulations and submit self-certification. Licensee stated that in the future, she'll not admit a person with prohibited conditions

Deadline recorded: Dec 22, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.269(a)(1)

Regulation authority

HSC

What the official deficiency says

§1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. -This requirement is not met as evidenced by: -Based on interviews, the licensee did not comply with the section above when licensee had an argurment with HH1 which posed potential personal rights risk to persons in care.

Official plan of correction

Licensee to read the Regulations and ensure it's followed. Self-certification to be submitted by 12/22/2022,

Deadline recorded: Dec 22, 2022. A deadline is not proof that correction was completed.