MOUNTAIN VIEW COTTAGES - I

Official classification

Type B

Official code

87608(a)(5)(A)

Regulation authority

CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review, the licensee did not comply with the section cited above in that one of the residents using half bed rail did not have a physician's order on file which poses/posed a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 01/23/2026 Plan of Correction Administrator to ensure that residents with bedrails have the required physician orders on file. Administrator will send a copy of the resident's physician's order for a half bedrail to CCL/LPA by POC due date.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303(e)(2) Maintenance and Operation (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 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 degree C) and not more than 120 degree F (49 degree 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 in which bathrooms were measured at 127.4 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/07/2024 Plan of Correction Administrator shall adjust the hot water temperature and measure the water temperature several times to ensure it stays within the required range of 105-120 degrees. The water temperature log shall be submitted to LPA by 12/7/24.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) 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. Based on interviews conducted, the licensee did not ensure the air conditioner is working properly which poses a potential health, safety, and personal rights to residents in care.

Official plan of correction

The licensee shall ensure the air conditioner is in good repair at all times and submit proof of repair. **The POC has been cleared as of today. LPA observed the air conditioner working.

Deadline recorded: Jun 20, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) 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. The requirement is not met as evidenced by: Based on interviews conducted, the water was turned off due to the water pipes being in disrepair which poses a potential health and safety risk to residents in care.

Official plan of correction

The Administrator shall submit proof of repair for the bathrooms, laundry area, and hallway by POC due date 2/20/23.

Deadline recorded: Feb 20, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) 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 requirement is not met as evidence by: Based on observation the licensee did not ensure the kitchen is free of cockroaches which poses a potential risk to the health, safety, or personal rights of the persons in care.

Official plan of correction

Administrator is to ensure facility is maintain free of cockroaches at all times, will contact pest control services and create a plan that will eliminate the cockroaches in the kitchen and submit the new plan to the CCLD by 12/26/2022.

Deadline recorded: Dec 26, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) 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 requirement is not met as evidence by: Based on observation the licensee did not ensure that the kitchen's walls, cabinets and stove are clean which poses a potential risk to the health, safety, or personal rights of the persons in care.

Official plan of correction

Administrator is to ensure that the facility is maintain clean, sanitary and in good repair at all times, will replace the stove and clean kitchen's walls and cabinets. Pictures to CCLD will be submitted by 12/26/22 *The administrator showed the LPA a receipt for a new stove & will be delivered on 12/29/22*

Deadline recorded: Dec 26, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

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 requirement is not met as evidenced by: Deficient Practice Statement Based on observation, missing/broken blinds in bedroom #1 and living room area, caked on grease and food splatter on stove backsplash and surrounding walls; the licensee did not comply with the section cited above in; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/15/2022 Plan of Correction Administrator/Licensee will provide photo proof of replaced blinds, cleaned and sanitized area above stove and surrounding stove walls.