RENDERCARE

Official classification

Type A

Official code

87705(d)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia-The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. This requirement was not met as evidenced by a resident walking out of the front door of the facility and no staff noticed resident leave, while two staff were present and had turned off the auditory alert on the door; which poses an immediate risk to the health, safety, or personal rights risk to the residents in care.

Official plan of correction

Facility will retrain all staff on Section 87705- Care of Persons with Dementia. Training to be completed by 05/01/2026 and proof to be sent to Licensing office by FAX. Proof of training to include staff signatures as well as the trainers signature.

Deadline recorded: May 1, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(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 is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in two of the facility doors going into the backyard take strong force to maipulate the locks and to get the doors to open, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/05/2025 Plan of Correction Facility stated they will call tomorrow to have a maintenance person to fix the exit doors. A video of the doors opening and unlocking easily will be sent to LPA Boyd once they are fixed.

Official classification

Type A

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. 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 resident medications were being removed from the pill packs and put into other containers for a week supply of pre-filled medications, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/05/2025 Plan of Correction Facility will not pre-fill the medications any longer and the pills will now stay in the original containers. Retraining of staff will occur this week. Proof of training will be sent to Licensing within the week.

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 record review, the licensee did not comply with the section cited above in one out of 3 staff files reviewed, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/03/2024 Plan of Correction Administrator immediately went to Licensing office and filed the Criminal Record Clearance Transfer request form and had it date and time stamped by Licensing staff.

Official classification

Type B

Official code

87412(g)

Regulation authority

CCR

What the official deficiency says

(g) All personnel records shall be maintained at the facility. 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 that files provided were not complete which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/17/2024 Plan of Correction All files shall be made current. Administrator to notify LPA when this is complete.

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 and interview, the licensee did not comply with the section cited above in five out of six people, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/05/2023 Plan of Correction This was plan of correction was corrected immediate during the annual inspection.

Official classification

Type B

Official code

87465(h)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in five out of six people, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/12/2023 Plan of Correction Administrator has agreed to complete staff training with staff and will submit a training log by POC due date.

Official classification

Type A

Official code

87309(a)(1)

Regulation authority

CCR

What the official deficiency says

87309 Storage Space (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. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, the licensee did not comply with the section cited above, chemicals and disinfectants, cleaning solutions were unlocked underneath the kitchen sink, bathroom #2 sink and laundry area, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/07/2022 Plan of Correction Cleared at the time of the visit. Administrator and staff immediately locked all chemicals and disinfectants.

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 is not met as evidenced by: Deficient Practice Statement Based on observation and interviews, the licensee did not comply with the section cited above, Resident's (R1) room #4 had a strong urine odor, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/09/2022 Plan of Correction Administrator will submit written cleaning and disinfecting plan for room #4 indicating how often they will deep clean the carpet or find another solution in order to maintain the room odorless due to R1’s condition by 12/09/2022.