MAGNOLIA PLACE

Official classification

Type A

Official code

873559(e)

Regulation authority

CCR

What the official deficiency says

873559(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… This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed, S1 and S2 are not fingerprinted cleared and not associated to the facility, which poses an immediate risk to the health and safety of the residents.

Official plan of correction

POC Due Date: 04/09/2026 Plan of Correction S1 and S2 were off and left the facility during visit. S1 and S2 are not permitted back until fingerprinted cleared and associated. POC cleared during visit.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not met as evidenced by: Deficient Practice Statement Based on observation and records reviewed, R3 and R4 cannot have access to chemicals. Cleaning chemicals were observed in R3’s bathroom and under R4’s bathroom and kitchen sink unlock, which poses/posed an immediate health and safety risk for the person in care.

Official plan of correction

POC Due Date: 04/09/2026 Plan of Correction Administrator immediately removed chemicals to lock storage. POC cleared during visit.

Official classification

Type B

Official code

87465(d)(3)

Regulation authority

CCR

What the official deficiency says

87465 (d)(3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. This requirement was not met as evidenced by: Deficient Practice Statement Based on observation and records reviewed, R2’s PRN medication Acetaminophen 650mg order on 08/20/25 was not recorded in the resident’s MAR, which poses an immediate health and safety risk for the person in care.

Official plan of correction

POC Due Date: 04/09/2026 Plan of Correction Staff recorded medication PRN medication Acetaminophen 650mg in R2’s MAR during visit. POC cleared during visit.

Official classification

Type B

Official code

87633(b)

Regulation authority

CCR

What the official deficiency says

87633(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident… This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview conducted, the licensee did not comply with the section cited above when LPA reviewed R1’s file who is currently receiving hospice care has no current hospice care plan on file, which poses a potential health or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/09/2026 Plan of Correction Administrator obtain current hospice care plan for R1 from hospice during visit. POC cleared during visit.

Official classification

Type B

Official code

87303(e)(5)

Regulation authority

CCR

What the official deficiency says

87303(e)(5) Non-skid mats or strips shall be used in all bathtubs and showers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above no non-skid mat and/or strip was observed in the residents’ shower in room 19, room 17, and room 217, which poses/posed a potential health, safety or personal rights risk to person in care.

Official plan of correction

POC Due Date: 04/14/2026 Plan of Correction Proof of non-skid mat or strips in residents’ bathroom shower shall be submitted to the Fresno CCL by POC due date 04/14/26.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 (h)(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 evidenced by:

Official plan of correction

A plan detailing steps the facility will take to ensure to meet the regulations is to submitted to the Fresno CCL office by POC due date 07/23/25.

Deadline recorded: Jul 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411(a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs…. This requirement is not met as evidenced by: Based on interviews and records review, staff did not provide care and supervision when R1 went AWOL on 11/24/24, and facility was not aware until the facility was notified by the neighbors. R2 went AWOL on 12/01/24 and the facility was not aware until the hospital called and informed the facility. R1 and R2 went AWOL poses an immediate health and safety risks to persons in care.

Official plan of correction

Licensee agrees to have AWOL policy and procedures in place to ensure the requirements and submit to Fresno CCL by POC due date 12/09/24.

Deadline recorded: Dec 9, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465 (h)(6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year… This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above when resident’s medication and MARs was reviewed and observed medications were not logged into residents’ Centrally store medication log, which poses a potential health, safety or personal rights risk to person in care.

Official plan of correction

In-service training for all medication technicians shall be completed on documentation of medications. Training materials and rooster of staff attendances shall be submitted to the department by POC due date 04/05/24.

Deadline recorded: Apr 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

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. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when LPAs and A1 observed cleaning chemicals in janitor and mechanical rooms unlocked. LPA and A1 observed chemical bottles and a knife in room 123, and chemical bottles in room 103 stored unlocked accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/12/2024 Plan of Correction Administrator immediately locked janitor and mechanical room. Chemical bottles and knife were immediately removed from the residents’ room to locked area by Administrator. POC cleared during visit.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

Centrally stored medicines shall be kept in a safe and locked place... not accessible to persons other than employees... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when LPA and A1 observed medications in room 130 and 103 stored unlocked accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/12/2024 Plan of Correction Administrator immediately removed medications to locked area. POC cleared during visit.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

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 when LPA and A1 observed a square hole in the back wall under R1’s kitchen sink. Under ice machine in the kitchen LPAs and A1 observed mold, which poses a potential health, safety or personal rights risk to person in care.

Official plan of correction

POC Due Date: 04/03/2024 Plan of Correction Ice machine was cleaned immediately. Wall under kitchen sink in R1’s room shall be repair and proof of repaired shall be submitted to the department by POC due date 4/3/24.

Official classification

Type A

Official code

87465(a)(5)

Regulation authority

CCR

What the official deficiency says

87465(a)(5) Incidental Medical and Dental Care The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on interviews and records review, the licensee did not ensure staff administer medications to 31 residents on the evening of 01/17/23 which poses an immediate health and safety risks to persons in care.

Official plan of correction

Licensee stated all medication technician staffs has been retrained on administering medication on 01/31/23. Copies of trainings and rooster of staff attendance will be submitted to department by 02/07/23. A plan of correction of action plan the Licensee will take shall be submitted to CCL. POC shall include facility MAR to be reviewed by staff and ongoing staff trainings on administering medications. POC of action plan will be submitted to department by 02/07/23.

Deadline recorded: Feb 7, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

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 was not met as evidenced by . During the course of a prior complaint investigation conducted it was observed that the air conditioning in room #10 was not working properly and the toilet seat in resident bathroom #1 was missing.

Official plan of correction

During subsequent facility tour on 8/26/22. LPA observed air conditioning unit in room #10 to have been replaced and working properly. The toilet seat in resident bathroom #1 to be replaced DEFICIENCY CLEARED AT TIME OF CASE MANAGEMENT VISIT.

Deadline recorded: Aug 26, 2022. A deadline is not proof that correction was completed.