CASA DEL SOL RESIDENCE

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 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, interview, the licensee did not comply with the section cited above the hot water temperature tested 138. 3F which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/06/2023 Plan of Correction The head Nurse valorie Hanson adjusted the hot water temperature between 110.7F. The manager will create a plan to ensure future compliance. Head Nurse will submit the plan of correction to LPA via email. Antonine.Rchard@dss.ca.gov

Official classification

Type B

Official code

1569.69(a)

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: 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 2 out of 4 staff Britney Cruz, and Isis Melara are missing their TB tests, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/15/2023 Plan of Correction The Head Nurse will create a plan to ensure future employees have TB test done before they can work with residents. The Head Nurse Valorie Hanson will submit the paln of correction on 09/15/2023 to LPA via email Antonine.Richard@dss.ca.gov (323) 516-4092.

Official classification

Type B

Official code

87303a

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 was not met as evidence by: based on room J water leak and no heat and pipe broken outside room G main building.

Official plan of correction

Administrator to repair roof asap. Send copy of completed repairs invocie by or on POC due date.

Deadline recorded: Mar 8, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

97355(e)(2)

Regulation authority

CCR

What the official deficiency says

Request a transfer of a criminal record clearance as specified in Section 87355(c)... This requirement not met as evidenced by: On 6/3/22 LPA meet with staff#1 who was not associated to the facility. This poses an immediate health and safety risk.

Official plan of correction

Submit A signed criminal background clearance transfer request LIC9182, a copy of idividuals Driver license or valid identification card and LIC508, criminal record statement by POC.

Deadline recorded: Jun 4, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

Administrator - Qualifications and Duties All facilities shall have a qualified and currently certified administrator… …When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. This requirement is not met as evidenced by:: LPA was unable to verify administrator certification during the visit or verify stand in staff qualifications who substitute while the administrator is out of town. Deficient Practice Statement Based on observation and record review , the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/10/2021 Plan of Correction The adminsitrator will send verification of his adminstrator certificate and send documentation of current staff credentials who are substituting when he is absent.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence. This requirement is not met as evidenced by:The administrator failed to report to licensing that he would be out of town and designate a qualified staff to substitute in his absence. Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above iwhich poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/10/2021 Plan of Correction The administrator will send CCL documentation indicating that he understands the reporting requirement of notifying CCL when he is out of town and delegate staff in his absence.