Background checksType A
- 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*****
Admission, assessment, and evictionType B
- 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.