WE CARE ELDERLY CARE

Official classification

Type A

Official code

87465(e)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care e) For every prescription...the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. -This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not properly administering medication and documenting it's destruction.

Official plan of correction

Licensee/ADM to provide CCLD vendored training (TBD) to all staff and provide proof by POC date.

Deadline recorded: May 13, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87305(a)

Regulation authority

HSC

What the official deficiency says

87305 Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all facilities shall obtain a building permit. -This requirement is not met as evidenced by: Based on observation, interviews and records reviewed, the licensee did not comply with the section above by not having the ADU permitted which posed or poses a potential safety risk to persons in care.

Official plan of correction

Licensee to apply for building permit and provide proof to CCLD by POC; Licensee to self certify that regulation has been reviewed and update CCLD biweekly throughout the application and approval process.

Deadline recorded: Nov 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87475(e)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (e) For every prescription and nonprescription...shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication... -This requirement is not met as evidenced by: Based on interviews and records reviewed, the licensee did not comply with the section above by not having R1’s medication to be administered available which posed an immediate safety risk to persons in care.

Official plan of correction

Licensee and ADM to have physicians consolidate/update medication lists for all residents by 10/30/24. All residents' medication shall be available. Document refusals date and time, follow physician’s orders, and perform staff training for all personnel that administer medication by 10/25/24; submit proof of training with names of attendees to CCLD on or before 10/25/24.

Deadline recorded: Oct 25, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87506(b)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records (b) Each resident’s record shall contain at least the following information: (14) Current centrally stored medications as specified in Section 87465, Incidental Medical and Dental Care Services.-This requirement is not met as evidenced by: Based on interviews and records reviewed, the licensee did not comply with the section above by not having all of R1’s medications recorded on the LIC 622 which posed an immediate safety risk to persons in care.

Official plan of correction

Licensee and ADM to audit all residents LIC 622s, follow physician’s orders, and perform staff training for all personnel that administer medication by 10/25/24; submit proof of training with names of attendees to CCLD on or before 10/25/24.

Deadline recorded: Oct 23, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(c)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment (c) The licensee shall obtain an updated medical assessment when required by the Department. -This requirement is not met as evidenced by: Licensee did not provide CCLD an updated medical assessment when requested on 10/04/24 and 10/09/24 for R2.

Official plan of correction

Licensee to review the regulation, certify in-service training for all staff, and provide the latest LIC602 for R2 by POC date. Death Certificate to be provide to CCLD upon receipt.

Deadline recorded: Oct 11, 2024. A deadline is not proof that correction was completed.

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 by having chemicals such as Ajax, Comet Awesome cleaner, Glade Carpet Cleaner, Fabuloso, WD-40, Lysol, Raid, 409, and a knife which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/03/2024 Plan of Correction Administrator agreed to keep all chemicals such as Ajax, Comet Awesome cleaner, Glade Carpet Cleaner, Fabuloso, WD-40, Lysol, Raid, 409, and sharps locked at all times. Caregiver and Administrator locked all chemicals and knife during visit. DEFICIENCY CLEARED DURING VISIT.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. 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 having 5 piles of wood located in the backyard which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/02/2024 Plan of Correction Administrator will have wood piles removed from the backyard and submit pictures to CCLD by POC date.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator ...there shall be coverage by a designated substitute who shall have qualifications... -This requirement is not met as evidenced by: Based on observations, interviews & records, ADM did not comply with the section cited by not having qualified staff on site which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

ADM agreed be on the premises a sufficient number of hours, review regulation 87405, update LIC308, LIC500 and submit documents to CCLD by POC date.

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