Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(c)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. (1) The Infection Control Plan shall include all of the following: (A) Identification of a staff position to perform the duties of an Infection Control Lead for the facility. 2. A description shall be included of how the Infection Control Lead shall be trained by a medical professional, local health official, health department, or other research-based medical authority that provides infection control training that will include enforcement of the Infection Control Plan. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview record review, the licensee did not comply with the section cited abovewhich poses/posed a potential health, safety or personal rights risk to persons in care. The facility AD is listed as the Infection Control Lead but does not have a certification.
Official plan of correction
POC Due Date: 08/24/2026 Plan of Correction AD has agreed to obtain an Infection Control Lead certification by a medical professional, local health official, health department, or other research-based medical authority. A copy of proof of completion will be submitted to CCL by poc date.
Hazardous items and storageType B
- Official classification
- Type B
- Official code
- 87309(b)
- Regulation authority
- CCR
What the official deficiency says
(b) Residents may have access to items specified in subsection (a) for personal use unless there is documentation, as specified in Section 87457, Pre-Admission Appraisal or Section 87463, Reappraisals, that indicates the resident's or other residents’ safety would be at risk if allowed access. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care. R1'sPhysician Report states " yes " at risk if allowed access to hygiene items. Hygiene items such as shampoo, body wash, shaving cream, razors were accessible in resident bathrooms throughout the home. R1 has diagnosis MCI.
Official plan of correction
POC Due Date: 08/10/2026 Plan of Correction AD removed all hygiene supplies from 3/3 resident bathrooms and secured all items as required. Staff were in-serviced during the visit. DEFICIENCY CLEARED DURING VISIT.