ESPECIALLY YOU ASSISTED LIVING, INC.

Official classification

Type A

Official code

87465(H)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care:(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: Based on interviews conducted Licensee did not ensure medication was not accessible to residents. Medications were left in a residents room accessible. This poses an immediate Health, Safety or Personal Rights risk to persons in care.

Official plan of correction

Licensee conducted medication training with each staff to ensure staff are following policy and regulation. Cleared during visit

Deadline recorded: Mar 4, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, Licensee did not ensure medications were given per physician orders. Medications were marked as given, but were given to the day program to administer where they were not given as there was no documentation included. This poses an immediate Health, Safety or Personal Rights risk to persons in care.

Official plan of correction

Licensee conducted medication training with each staff to ensure staff are following policy and regulation. Cleared during visit

Deadline recorded: Mar 4, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 5 of 5 resident records. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/14/2025 Plan of Correction Licensee to ensure appraisals are updated as needed or at least every 12 months. Licensee to submit self certification that all appraisals have been updated. Self certification to be submitted to CCL by POC date of 02/14/2025.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 5 of 5 staff records reviewed. Records did not contain evidence of completed training. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2024 Plan of Correction Licensee to submit written plan, detailing how facility will conduct and keep track of completed annual staff training. Written plan to be submitted to CCL by POC date of 02/02/2024.