DIAMOND TERRACES

Official classification

Type A

Official code

87555(b)(21)

Regulation authority

CCR

What the official deficiency says

(21) Freezers of adequate size shall be maintained at a temperature of 0 degree F (-17.7 degree C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degree F. (4 degree C). They shall be kept clean and food stored to enable adequate air circulation to maintain the above temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 freezer observed at a temperatrue of 4 degrees F. which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/25/2026 Plan of Correction Licensee agrees to have freezer repaired or replaced. Licensee agrees to send photo of freezer temperature to CCLD by POC due date.

Official classification

Type B

Official code

1569.625(c)(4)

Regulation authority

HSC

What the official deficiency says

(c) The training shall include, but not be limited to, all of the following: (4) Policies and procedures regarding medications. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 5 staff did not contain certification for medication training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/07/2026 Plan of Correction Licensee agrees to have staff complete medication training and submit completion documents to CCLD by POC due date.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. The following requirement has ot been met as evidenced by: Resident 1 sustained two separate falls in the facility due to staff not properly transferring, which poses an immediate, health, safety, or personal rights risk to residents in care.

Official plan of correction

Licensee will conduct " transfer " training with facility care staff, and send proof to LPA by POC date of 05/09/2024.

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

Official classification

Type B

Official code

87211(a)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirement (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: The following requirement has not been met as evidenced by: State Licensing, and Resident 1's Responsible Party was not notified of Resident 1's fall resulting in injury, facility did not follow instructions on licensing form LIC624, which poses a potential, health, safety, or personal rights risk to residents in care.

Official plan of correction

Licensee will conduct training with facility staff on Reporting Requirements, which poses a potential, health, safety, risk to residents in care.

Deadline recorded: May 22, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87555(b)(25)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (25) Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies. 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 LPA Hurt observed cleaning prodycts in facility kitchen area near food, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/10/2024 Plan of Correction Licensee will conduct training with facilty staff on proper chemical storage, and submit proof to LPA by POC date of 03/10/2024.

Official classification

Type B

Official code

87705(a)(5)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (a) This section applies to licensees who accept or retain residents diagnosed by a physician to have dementia. Mild cognitive impairment, as defined in Section 87101(m), is not considered to be dementia. (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. 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 Resident 1 does not have required yearly updated Physicians Report, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/23/2024 Plan of Correction Licensee will conduct audit of resident records, and ensure all residents have yearly updated Physicans reports and submit proof to LPA by POC date of 03/23/2024.

Official classification

Type B

Official code

87705(a)(c)(3)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (a) This section applies to licensees who accept or retain residents diagnosed by a physician to have dementia. Mild cognitive impairment, as defined in Section 87101(m), is not considered to be dementia. such as wandering, aggressive behavior and ingestion of toxic materials. (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (3) In addition to the on-the-job training requirements in Section 87411(d), staff who provide direct care to residents with dementia shall receive the following training as appropriate for the job assigned and as evidenced by safe and effective job performance: (A) Dementia care including, but not limited to, knowledge about hydration, skin care, communication, therapeutic activities, behavioral challenges, the environment, and assisting with activities of daily living; (B) Recognizing symptoms that may create or aggravate dementia behaviors, including, but not limited to, dehydration, urinary tract infections, and problems with swallowing; and (C) Recognizing the effects of medications commonly used to treat the symptoms of dementia. 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 no facility staff has required dementia training, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/23/2024 Plan of Correction Licensee will conduct required dementia training and submit proof to LPA Hurt by POC date of 03/23/2024.

Official classification

Type B

Official code

87411(a)(c)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. (b) All persons who supervise employees or who supervise or care for residents shall be at least eighteen (18) years of age. (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 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 no facility staff has updated training , which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/23/2024 Plan of Correction Licensee will provide staff updated yearly training , and send proof to LPA by POC date of 03/23/2024.

Official classification

Type B

Official code

87465(h)(5)

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: (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 in Resident 4's medication is pre poured more than 24 hours in advance, and out of the original container, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/23/2024 Plan of Correction Licensee will conduct Medication training with all facility staff, and send proof to LPA Hurt by POC date of 03/23/2024.