HOPE HOME CARE FOR ELDERLY

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, interview, record review, the licensee did not comply with the section cited above in that the Administrator did not indicate the time in which residents' medications were administered in a given day which poses an immediate health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 11/05/2025 Plan of Correction Administrator agreed to consult with the residents physicians about the medication schedule and update the Medication Administration Record (MAR) to reflect the time. Administrator will send a copy of the updated MAR to LPA/CCL by POC due date.

Official classification

Type A

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. 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 that one of the residents, (R5) is not receiving hospice care has full bed rail that is prohibited which poses an immediate health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 11/05/2025 Plan of Correction Administrator requested R5's physician to send a written order for the 1/2 bedrail and provided it to LPA during the visit. ****DEFICIENCY CLEARED DURING THE VISIT.***

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

87705(c)(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, 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 which 1 out of 6 residents' physician's report are past a year of its last exam which poses a potential health and safety risk to residents in care

Official plan of correction

POC Due Date: 11/30/2023 Plan of Correction The licensee shall provide an updated physician's report for resident #6 by POC due date 11/30/23.

Official classification

Type A

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

1569.605 Liability insurance; coverage requirements On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidence by: Copy of Certificate of liability insurance provided to LPA Ramirez on 6/30/23 does not meet liability limits.

Official plan of correction

Licensee agreed to submit plan by 7/01/23 to address liability insurance. Proof of liability insurance that meets liability limits per HSC 1569.605 must be submitted to LPA by 7/10/23.

Deadline recorded: Jul 1, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87555(26)

Regulation authority

CCR

What the official deficiency says

87555 General Food Service Requirements (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidence by: Minimum of two (2) day supply of perishable food was not observed on the premises.

Official plan of correction

Licensee will maintain nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. Licensee will provide LPA Ramirez receipt of perishable food supply for a minimum of two days for six residents. Must be submitted via email to LPA by 7/1/23.

Deadline recorded: Jul 1, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(j)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidence by: • LPA Ramirez observed auditory devices in “OFF” mode and not operable during visit. LPA Ramirez advised staff and licensee to keep auditory devices in “ON” mode. LPA Ramirez observed auditory device on outside of dining room sliding door to be secured with clear tape. Staff later secured auditory device according to it’s original design.

Official plan of correction

Licensee will develop a plan to re-train staff on the importance of keeping auditory devices to " ON " mode. Proof of staff receiving training must be submitted to LPA Ramirez by 7/7/23 via email.

Deadline recorded: Jul 1, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87305(a)(b)

Regulation authority

CCR

What the official deficiency says

87305 Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all facilities shall obtain a building permit. (b) The licensing agency may require the facility to acquire a local building inspection where the agency determines that a suspected hazard to health and safety exists. This requirement is not met as evidence by: Resident Room #1 was observed to be shared. LPA Ramirez observed a 7ft x 14ft beige room divider and a white door that led into a makeshift spare bedroom. Facility sketch also states “ two (2) non-ambulatory” and does not reflect room would be utilized for staff or as a spare room for residents.

Official plan of correction

Licensee agreed to contact local code enforcement to obtain permit or inspection to ensure divider wall is safe and does not pose a potential risk to residents in care, staff or visitors. Licensee agreed to take down divider wall if permit or inspection could not be obatined by 7/14/23. Proof must be submitted to LPA Ramirez by 7/14/23 via email. Licensee agreed to refrain from using this makeshift room until code enforcement or this licensing agency grants approval.

Deadline recorded: Jul 14, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(C)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services (C) No bedroom of a resident shall be used as a passageway to another room, bath or toilet. This requirement is not met as evidence by: LPA Ramirez observed a sliding door that leads to the backyard from this makeshift spare room. Entry into this makeshift spare room can be accessed through resident room#1 door entry and sliding door entry from backyard. Per Licensee Kim, former staff would stay in this area but, the area is now being utilized by the residents currently occupying bedroom#1 as an extra area to rest.

Official plan of correction

Liensee will certify in writing to this licensing agency, that residnet bedroom #1 will not be used as a passageway to another room. Proof must be submitted to LPA Ramirez by 7/7/23 via email.

Deadline recorded: Jul 7, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(a)(1)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment: (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. This standard is not met as evidency by: File review revealed that R-1 independently moved into this facility and resided at this facility from 12/28/2021 through 01/03/2022. During this visit, LPA observed R-1 did not have a Physician's Report on file. Per Administrator, R-1 was in the process of obtaining a Physical exam.

Official plan of correction

Facility Administrator to provide a written statement as to how the facility will be in complaince with this regulation to LPA Irra by POC due date.

Deadline recorded: Jan 13, 2022. A deadline is not proof that correction was completed.