CAMILA CARE VILLA II

Official classification

Type A

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. 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 a long, wooden stick was placed on the track of a sliding glass door preventing the door from being opened, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/11/2024 Plan of Correction Licensee removed the wooden stick from the track of the sliding glass door. POC CLEARED during visit.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). 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 hot water measured at 128.8 degrees F which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/22/2024 Plan of Correction Licensee agrees to measure the hot water temperature in the facility for 1(one) week. Licensee will document the water temperatures on a water log and submit a copy of the water log to the Fresno CCL office by the POC due date.

Official classification

Type B

Official code

87465(a)(5)(A)

Regulation authority

CCR

What the official deficiency says

(5) Facility staff, except those authorized by law, shall not administer injections, but staff designated by the licensee may assist persons with self-administration as needed. Assistance with self-administered medications shall be limited to the following: (A) Medications usually prescribed for self-administration which have been authorized by the person's physician. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review the licensee did not comply with the section cited above when facility staff administered medication and medication supplements that were not authorized by a physician to 3 out of 5 residents in care, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/26/2024 Plan of Correction Licensee agrees to review section 87465 and write a statement detailing the steps the facility will take to ensure the requirements of section 87465 are met to the Fresno CCL office by the POC due date.

Official classification

Type B

Official code

87633(b)

Regulation authority

CCR

What the official deficiency says

(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: 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 when 1 out of 5 residents did not have current & complete hospice care plan that included facility caregiver responsibilities which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/26/2024 Plan of Correction Licensee agrees to review section 87633 and submit a written statement detailing the facility's plan to ensure the requirements of section 87633 are met to the Fresno CCL office by the POC due date. Facility's plan should include the plan to have staff trainined on the resident's specific care needs and a copy of a complete hospice care plan.

Official classification

Type A

Official code

87355(e)(2)

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: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or ***This was not met as evidenced by S1 and S2 are working, fingerprinted, cleared and not associated to facility.

Official plan of correction

Licensee to submit LIC 9182 Fingerprint transfer request to Fresno CCL office by POC due date.

Deadline recorded: Jan 13, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87608(a)(5)(A)(B)

Regulation authority

CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal...Postural supports may be used under the following conditions.(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed.(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.***This was not met as evidenced by R2 and R3 have 1/2 bed rails, R4 has full bed rails.

Official plan of correction

Licensee to submit by POC due date a phsyican order for R2 and R3 having 1/2 bed rails. If R4 is not eligible for hospice evaluation to retain full bed rails, seek physician order for 1/2 bed rails and remove full bed rails.

Deadline recorded: Jan 13, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) Each licensee shall furnish to the licensing agency...(1)(A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. ***This was not met as evidenced by facility was not able to show any record of incident report being sent to department for a fall on 12/24/23 for R1.

Official plan of correction

Licensee to submit LIC 624 to Fresno Regional Office by POC due date.

Deadline recorded: Jan 19, 2024. A deadline is not proof that correction was completed.