HOUSE OF HOPE ASSISTED LIVING, INC

Official classification

Type A

Official code

87615(a)(1)

Regulation authority

CCR

What the official deficiency says

87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted...: (1) Stage 3 and 4 pressure injuries. This requirement was not met as evidenced by: Based on interviews and record reviews, the licensee dod not comply with the section cited above by R1 developing multiple pressure injuries that included Stage III pressure injuries while under the facility care which posed an immediate health and safety risk to the resident in care.

Official plan of correction

Licensee to conduct an in-service training for the cited section and submit proof by POC due date.

Deadline recorded: Jul 16, 2025. A deadline is not proof that correction was completed.

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 observations and interviews, the licensee did not ensure that a staff file was completed and maintained at the facility for S1, which poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/04/2025 Plan of Correction Administrator will provide a copy of the completed staff file for S1 by POC date.

Official classification

Type B

Official code

87355(e)(3)

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: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, record review, and observation, the licensee did not comply with the section cited above in staff S1 not being associated to the facility which poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/31/2025 Plan of Correction The licensee will associate Staff (S1) to the facility prior to their returning to work and submit proof to LPA by the POC due date.

Official classification

Type B

Official code

87412(d)

Regulation authority

CCR

What the official deficiency says

(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements. This requirement is not met as evidenced by: Deficient Practice Statement This requirement is not met by evidence by: Based on record review, the licensee did not comply with the section cited above in 1 out of 1 staff Administrator Certification expired 9/13/24, which poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/04/2025 Plan of Correction Administrator will submit the required document to Sacramento and pay the necessary fees to renew certification. A copy of new administrator certification is due to licensing and provice a copy to LPA by POC date.

Official classification

Type A

Official code

87211(a)

Regulation authority

CCR

What the official deficiency says

87211 (a)(1)(A)Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports... including, but not limited to, the following:(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 requirement is not met as evidenced by: Based on the LPA observation and interviews the licensee/administrator did not ensure resident reports to be submitted to CCLD from the above facility involving multiple incidents which poses an Immediate Health, Safety or Personal Rights risks to persons in care.

Official plan of correction

An Unusual Report is to be sent to Community Care Licensing Department within seven (7) days regarding a death report and/or resident injuries/hospitalizations while in care. POC 09/04/24

Deadline recorded: Sep 4, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506

Regulation authority

CCR

What the official deficiency says

Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility….readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by; Licensee did not ensure to maintain complete and current records for facility residents. This posses a potential health and safety risk to residents in care.

Official plan of correction

Administrator shall complete the Resident Records records for all residents in care and submit proof to CCL/LPA by POC due date. POC due date 6/25/2024.

Deadline recorded: Jun 25, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405

Regulation authority

CCR

What the official deficiency says

Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) to (7)... all requirements apply. (2) Knowledge of & ability to conform to the applicable laws...This requirement is not met as evidenced by. The Licensee failed to follow Title 22 Regulations regarding staffing requirements. This posses a potential health and safety risk to residents in care.

Official plan of correction

The administrator will enroll and take more administrator courses and provide proof that training courses are secured and submit proof to CCL/LPA by POC due date. POC due date 6/25/2024.

Deadline recorded: Jun 25, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(f)(1)

Regulation authority

CCR

What the official deficiency says

Criminal Clearance (f) Violation of Sec. 87355(e) shall result in an immediate... civil penalties(1)Subsequent violations within a twelve (12) mo. period will result in a civil penalty ($100)a day for a max of thirty 30 days.This requirement is not met as evidenced by Licensee failed to obtain criminal record association for S1. This is the second 2nd offense for S1.

Official plan of correction

LPA requested admin to remove S1 from facility asap. Within 24 hours licensee must inform RO that S1 is removed and will not return to facility without criminal record clearance and association. A $3,000,00 civil penalty will be assed at the time of this visit.

Deadline recorded: Jun 12, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

Criminal record clearance: (e) All individuals subject to a criminal record review... (1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by hiring one (1) staff member on 05/13/2024 without fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee agreed to complete S1's fingerprints and associate the staff to the facility. Copy of proof will be submitted to LPA by POC date. Civil penalty assessed.

Deadline recorded: May 22, 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

Requirements (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)... This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPA, the licensee did not comply with the section cited above by failing to notify CCLD regarding R1's hospitalization on or before 05/02/24, which poses a potential health and safety risk to persons in care.

Official plan of correction

Licensee shall ensure a written report is submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of any of the events. R1's incident report shall be submitted to LPA by POC date.

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

Official classification

Type A

Official code

87755(c)

Regulation authority

CCR

What the official deficiency says

87755 Inspection Authority of the Licensing Agency (c) The licensing agency shall have the authority to inspect, audit, & copy resident or facility records upon demand ... This requirement was not met as evidenced by: Based upon LPA's conversation with the Administrator, the resident records are locked in the administrator's office. The Administrator stated staff do not have access to the records.

Official plan of correction

The Administrator will send copies of the residents' records to LPA Spaeth via email to melissa.spaeth@dss.ca.gov by tomorrow monring, February 16, 2024.

Deadline recorded: Feb 16, 2024. 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 & Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe & locked place that is not accessible to persons other than employees......This requirement was not met as evidenced by:. Based on LPA's observation a needle was sitting on the kitchen table, and the medications were not safely locked in a cabinet. Staff did not comply with the section cited above which poses a potential health, safety & personal rights risk to residents in care.

Official plan of correction

During LPA's visit, the needle was removed from the premises. The caregiver stated the lock was broken to the medication cabinet. LPA spoke to the Adminstrator the lock must be replaced by tomorrow, 2/15/2024. The Administrator will send a snapshot of the new lock to LPA Spaeth

Deadline recorded: Feb 15, 2024. A deadline is not proof that correction was completed.