ABLELIGHT, INC. -DEWITT

Official classification

Type A

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

87555(b)(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state, and local authorities. Good in damaged containers shall not be accepted, used, or retained. This requirement is not met as evidenced by: Based on observation and interviews conducted, expired nonperishable and perishable foods were observed, poses/posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Staff immediately disregarded expired food during visit. POC cleared during visit.

Deadline recorded: Jun 21, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1 (a)(2) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, R2 is wearing more than two briefs with no physician order, poses/posed an potential health, safety or personal rights risk to persons in care.

Official plan of correction

Facility will obtain order for to use two briefs for R2 by 06/26/26.

Deadline recorded: Jun 26, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed, the licensee did not comply with the section cited above in that S1 was fingerprint cleared but not associated to the facility. S1 worked with residents in care on 12/23/25. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/24/2025 Plan of Correction S1 was informed they were not able to work until they were associated to the facility. Administrator immediately added S1 to the facility roster by associating them to the facility in Guardian. Deficiency cleared during todays visit. ****Immediate civil penalty assessed*****

Official classification

Type B

Official code

87463(b)(1)(F)

Regulation authority

CCR

What the official deficiency says

(b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident. (1) Significant changes in condition, as defined in Section 87101, Definitions, include, but are not limited, to: (F) Whether the resident’s and other residents’ safety would be at risk if the resident is allowed to have access to any of the items specified in Section 87307, Personal Accommodations and Services and in Section 87309, Storage Space and Access. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed and LPA observation, the licensee did not comply with the section cited above in file for R1 physicians report dated 05/21/2025 stated R1 could not have access to personal hygeine items/items posing a danger. Items observed unlocked and accessible to residents in care in hallway closet. This posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/02/2026 Plan of Correction Items removed immediately and made inaccessible to residents in care by locking them in a secured area. Deficiency cleared during todays visit. Training will be completed with all staff. In-service sign in sheet and training materials will be sent to CCL as proof of correction by POC date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) 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 was not met as evidence by LPA observation of: R1 bedroom observed with paint in need of touch up. Bathroom #2 cabinet under sink in need of repair. Bathroom #3 cabinet door under sink in need of repair. Bathroom #3 observed in need of cleaning in shower area. Gate to right side gate in need of repair. Debris along right side fence, back yard fence and in garage in need of removal. Right side of patio observed with moss on concrete in need of cleaning. Holes from neighbors’ dog in need of filling along left side fence. Wall near dryer vent on left side of yard in need of cleaning. Gate on left side of yard not self-latching. Fence board on left side of yard observed with rot in need of replacement. This poses a potential health, safety and or personal rights risk to residents in care.

Official plan of correction

Administraor stated maintenance will be contacted to address issues. Administrator stated they will do additional facility checks for any arrising issues. Administrator stated pictures will be sent to CCL by POC date as proof of correction.

Deadline recorded: Jan 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303 Furniture, Fixtures, Equipment, and Supplies (e) Water supplies and plumbing fixtures shall be maintained as follows: (2)Faucets used by residents...shall deliver hot water. Hot water temperature ... to attain a temperature of not less than 105 degrees F (41 degree C) and not more than 120 degrees F (49 degree C). This requirement was not met as evidence by LPA observation of: Water temperature measured at 94.1 degrees F in bathroom #3. This poses a potential health, safety and or personal rights risk to residents in care.

Official plan of correction

Administrator stated maintenance will be called out to check the water temperature. Water temperature log will be completed for 2 weeks, in diffrent locations at diffrent time of the day. Log will be sent to CCL by POC date as proof of correction.

Deadline recorded: Jan 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (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 was not met as evidence by LPA observation of: medication (prescribed supplements) in the refrigerator unlocked and accessible to residents in care. This poses a potential health, safety and or personal rights risk to residents in care.

Official plan of correction

Administrator stated they will be moved out of the refrigerator and placed into the med station. They will remain locked and inaccessible. Picture will be sent to show they were removed and place in med station. In-service will be completed with all staff. In-serivce sign in sheets and training material will be provided to CCL by POC date.

Deadline recorded: Jan 3, 2025. A deadline is not proof that correction was completed.