Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(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. LPA identified hot water temperature in bathroom #1 at 158.0 degree F. This violation which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/24/2026 Plan of Correction Licensee will contact plumber and adjust the water heater to maintain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). Proof of correction must be sent to LPA a video at ernand.dabuet@dss.ca.gov
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(d)(3)
- Regulation authority
- CCR
What the official deficiency says
(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (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 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. Medication for Resident #1 (Potassium Chloride F10MG), Resident #3 (Morphine & Haloperidol PRN), and Resident #5 (Tamsulosin 0.4MG) were not included in the Medication Administration Log. This violation which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/24/2026 Plan of Correction Licensee wil ahere to Title 87465 (d)(3) and will ensure that prescribed/PRN medications are included in the resident's and shall be documented and maintained in the resident's records. Licensee agreed to conduct a refresher on medication training. A signed completion of training must be sent to LPA Dabuet at ernand.dabuet@dss.ca.gov
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: 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. LPA identified that Residents #2, #3, and #5 did not have a current Medical Assessment LIC 602A. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/23/2026 Plan of Correction Licensee will ensure that proper annual Medical Assessment LIC 602A for all residents in care. Licensee will provide current medical assessment LIC 602A for resident #2, #3, and #5. Proof of correction must be sent to LPA ernand.dabuet@dss.ca.gov