Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. 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 having the knife drawer in kitchen unlocked which poses an immediate safety risk to persons in care.
Official plan of correction
POC Due Date: 01/08/2026 Plan of Correction Drawer locked POC clear
Background checksType A
- Official classification
- Type A
- Official code
- 1569.17(b)
- Regulation authority
- HSC
What the official deficiency says
(b) In addition to the applicant, the provisions of this section shall apply to criminal record clearances and exemptions for the following persons: 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 having an unfingerprinted individual working at the facility and unsupervised which poses an immediate safety risk to persons in care.
Official plan of correction
POC Due Date: 01/08/2026 Plan of Correction Individual left and Licensee states they will get them finger printed POC clear
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 having medication cabinent unlocked and medications in closet by residents sitting area ie staff perscriptions in pill organizer and prns which poses an immediate safety risk to persons in care.
Official plan of correction
POC Due Date: 01/08/2026 Plan of Correction Medications locked and secured POC clear Facility also states that they will put a lock on the outside of where medications are kept inside closet as an additional security messure.
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: 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 R1 and R2's records being incomplete which poses a potential personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/20/2026 Plan of Correction By POC facility agrees to review and update residents records and notify CCLD.