JASMINE GARDEN RESIDENTIAL CARE

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by: Based on observation & interview, th facility did not comply with the regulation listed above, which poses an Immediate health and safety risk to residents in care. Emergency exit was not free from obstruction. LPA observed various boxes obscuring the exit from the house through the garage.

Official plan of correction

Licensee will move boxes to clear obstruction and make path for exit. Licensee cleared exit in garage. LPA verified during visit on 1/12/2026.

Deadline recorded: Jan 13, 2026. 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

87309 Storage Space and Access (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 is not met as evidenced by: Based on observation, interview, and record, facility did not comply with the regulation listed above, which poses an Immediate health and safety risk to residents in care. LPA observed a pair of scissor & knife in an unlocked kitchen drawer. LPA also observed tools, paint, and other toxic solutions unlocked and accessible in the facility’s garage.

Official plan of correction

Licensee is working on storing items properly. Currently a work in proogress. Licensee will provide verification by sending photos to the Dept.

Deadline recorded: Jan 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (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: Based on observation & interview, the facility did not comply with the regulation listed above, which poses an Immediate health and safety risk to residents in care. LPA observed medication in a unlocked cabinet in the kitchen and allergy medication in a resident’s room.

Official plan of correction

Licensee will lock all medications. During today's visit LPA observed medication to be inaccessible to residents in care.

Deadline recorded: Jan 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87555(b)(15)

Regulation authority

CCR

What the official deficiency says

87555 General Food Service Requirements (b) The following food service requirements shall apply: (15) All persons engaged in food preparation and service shall observe personal hygiene and food services sanitation practices which protect the food from contamination. This requirement is not met as evidenced by: Based on observation, interview, and record, facility did not comply with the regulation listed above, which poses an Immediate health and safety risk to residents in care. LPA observed knives to be locked and under the kitchen sink next to a hand dustpan and other cleaning items. medication in a unlocked cabinet in the kitchen and allergy medication in a resident’s room.

Official plan of correction

Licensee cleaned under the sink and removed all other clenaing items from under the sink.

Deadline recorded: Jan 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87633(4)

Regulation authority

CCR

What the official deficiency says

87633 Hospice Care of Terminally Ill Residents (4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident’s hospice agency and agreed to by the licensee and the resident, or prospective resident, or the resident’s or prospective resident’s Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). This requirement is not met as evidenced by: Based on observation, interview, and record, facility did not comply with the regulation listed above, which poses a potential health and safety risk to residents in care. LPA reviewed R1 & R2 records and did not find a hospice care plan. Administrator stated they did not have a hospice plan.

Official plan of correction

During today's visit Licensee provided copy of of care plans for R1, R2, & R3.

Deadline recorded: Jan 26, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87633(6)

Regulation authority

CCR

What the official deficiency says

87633 Hospice Care of Terminally Ill Residents (6) Identification of the training needed, which staff members need this training, and who will provide the training relating to the licensee’s responsibilities for implementation of the hospice care plan. This requirement is not met as evidenced by: Based on observation, interview, and record, facility did not comply with the regulation listed above, which poses a potential health and safety risk to residents in care. LPA reviewed R1 & R2 records and did not find verification of staff training for resident's hospice care plan. Administrator stated they did not have a hospice plan on file.

Official plan of correction

Licensee will provided copies of staff training for care plans and hospice care plans by POC due date.

Deadline recorded: Jan 26, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Based on observation, interview, and record, facility did not comply with the regulations listed above, which poses a potential health and safety risk to residents in care. LPA reviewed centrally stored medication log which for R1 which did not have matching information from the dose on the bottle, MARS, and centrally stored.

Official plan of correction

Licensee will review all centrally stored logs and verify accurace. Licensee will provide a statement to the Dept regarding correcting Centrally stored medication log.

Deadline recorded: Jan 26, 2026. 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

(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. 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 disinfectants were observed to be accesible to residents in the kitchen and bathroom in which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2024 Plan of Correction Licensee agrees to submit a written statement detailing the facility's plan to ensure the requirements for this section is met to the Fresno CCL office. The plan should include details of how the facility will train staff on this requirement.

Official classification

Type A

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, the licensee did not comply with the section cited above when the facility administered over-the-counter medication without authorization from a primary physician, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2024 Plan of Correction Licensee agrees to submit a written statement detailing the facility's plan to ensure the requirements for this section is met to the Fresno CCL office. The plan should include details of how the facility will not store and administer medications that are not authorized by a primary physician.

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, the licensee did not comply with the section cited above when medications were observed to be accessible to persons other than employees, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2024 Plan of Correction Licensee agrees to submit a written statement detailing the facility's plan to ensure the requirements for this section is met to the Fresno CCL office by the POC due date.. The plan should include details of how the facility will train staff on this requirement

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 when medications were not stored in the original container, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2024 Plan of Correction Licensee agrees to submit a written statement detailing the facility's plan to ensure the requirements for this section is met to the Fresno CCL office by the POC due date.. The plan should include details of how the facility will train staff on this requirement.

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 99.3 degrees F. which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/28/2024 Plan of Correction Licensee agrees to adjust the water heater and document the water temperature for approximately 1 week and submit a copy of the water log to the Fresno CCL office by the POC due date.

Official classification

Type B

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: 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 2 out of 2 persons on duty which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/28/2024 Plan of Correction Licensee agrees to submit a written statement detailing the facility's plan to ensure the requirements for this section is met to the Fresno CCL office by the POC due date.. The plan should include details of how the facility maintain updated training and records for all employees.

Official classification

Type B

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. 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 2 out of 2 persons on duty which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/28/2024 Plan of Correction Licensee agrees to submit a written statement detailing the facility's plan to ensure the requirements for this section is met to the Fresno CCL office by the POC due date. The plan should include details of how the facility will maintain updated training records for all employees

Official classification

Type B

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. 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 3 out of 4 residents in care which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/28/2024 Plan of Correction Licensee agrees to submit a written statement detailing the facility's plan to ensure the requirements for this section is met to the Fresno CCL office by the POC due date. The plan should include details of how the facility will develop a care plan for 3 out of 4 residents in care

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 the facility last conducted a fire drill in January 2024 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/28/2024 Plan of Correction Licensee agrees to submit a written statement detailing the facility's plan to ensure the requirements for this section is met to the Fresno CCL office by the POC due date. The plan should include details of how the facility will conduct fire drills as required by section 1569.695(c).

Official classification

Type A

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 in when the hot water in the resident bathroom measured at 122.7 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/19/2023 Plan of Correction Licensee agrees to submit a written statement detailing the steps the facility will take to ensure the requirements for section 87303 are met by the POC due date. Licensee also agreed to measure water daily for 7 days and documents the water temperature. Licensee will submit the water log to the Fresno CCL office by 12/27/2023.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(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. 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 when medications were accessible to residents in care when the cabinet locking mechanism was in disrepair and the clorox wipes were accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/19/2023 Plan of Correction Licensee agrees to submit a written statement detailing the steps the facility will take to ensure the requirements for the above section are met to the Fresno CCL office. The written statement shall include the Licensee's plan to repair the medication cabinet locking mechanism.

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 in when the tub faucet was in need of repair which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/11/2024 Plan of Correction Licensee agrees to repair the tub faucet and submit proof of repair to the Fresno CCL office by the POC due date.

Official classification

Type A

Official code

87705(d)

Regulation authority

CCR

What the official deficiency says

(d) In addition to requirements specified in Section 87303, Maintenance and Operation, safety modifications shall include, but not be limited to, inaccessibility of ranges, heaters, wood stoves, inserts, and other heating devices to residents with dementia 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 the facility did not remove the stove knobs when the stove was not being operated which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/19/2023 Plan of Correction Licensee agrees to review section 87705 and submit a written statement detialing the steps the facility will take to ensure the requirement for section 87705 are met to the Fresno CCL office by the POC due date.

Official classification

Type A

Official code

87465(i)

Regulation authority

CCR

What the official deficiency says

(i) Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s record nor disposed of according to the hospice’s established procedures or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record, to be retained for at least three years 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 observed multiple pills/tablets that required disposal and/or destruction and were stored in the medication cabinet which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/19/2023 Plan of Correction Licensee agrees to review section 87465 and submit a written statement detaling the steps the facility will take to ensure the requirements for section 87465 are met to the Fresno CCL office by the POC due date. Facility's plan should include the date and time when the medications were destroyed.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal 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 the bed in room 3 was blocking the fire exit, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/14/2022 Plan of Correction Licensee repositioned the bed in Room 3 to clear the area in front of the exit door. POC cleared during inspection.