TOUCHING HEARTS BOARDING CARE

Official classification

Type B

Official code

1569.683(a)(2-4)

Regulation authority

HSC

What the official deficiency says

Eviction notices... (a) In addition to complying with other applicable regulations... (2) Resources available to assist... (3) Information about the resident's right... (4) The following statement: " In order to evict a resident who... " This requirement is not met as evidenced by: Based on interviews and record reviews, licensee did not comply with the section cited above, by issuing an anlawful eviction letter to R1, without providing required information which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator discussed and agreedto providing a statement that moving forward they will abide by the regualtions. Statement will be emailed to LPA by POC due date.

Deadline recorded: Jan 23, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87615(a)

Regulation authority

CCR

What the official deficiency says

87615 Prohibited Health Conitions-(ja) Persons who require health services for or have a health condition including but not limited to, those specified bewlow shall not be admitted or retained at a residential care for the elderly; (1) Stage 3 and 4 pressure injuries. This requirement was not met as evidenced by: Based on interviews and records review, the administrator retained a resident with stage 3 and 4 pressure injuries in the facility. This poses an immediate health and safety risk to residents in care.

Official plan of correction

The administrator will submit in writing to CCL by 12/15/23, how they will ensure that moving forward residents with stage 3 or 4 pressure injuries are not accepted or retained in the facility.

Deadline recorded: Dec 15, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(g)

Regulation authority

CCR

What the official deficiency says

87411(g) Personnel Requirements-General-Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: 1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations. This requirement was not met as evidenced by: Based on observation and records review, the Licensee hired an employee who was not fingerprint cleared. This poses an immediate health and safety risk to residents in care.

Official plan of correction

The Licensee will request a criminal record excemption for the uncleared employee or will terminate the employee effective immediately.

Deadline recorded: Dec 5, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(d)(2)

Regulation authority

CCR

What the official deficiency says

87405 (d)(1)(2) Administrator Qualifications and Duties-The administrator shall have the qualifications specified in Sections 97405(d) (1) through (7)..(2) Knowledge of the ability to conform to the applicable laws, rules, and regulations... This requirement was not met as evidenced by: Licensee did not ensure that the Administrator has enough knowledge to comply with Title 22 Regulations. Based on interview and record review, the facility is not in compliance with Title 22 Regulations.

Official plan of correction

The administrator will enroll and take more administrator courses and provide proof of enrollment to CCLD by Dec. 5, 2023.

Deadline recorded: Dec 5, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(B)

Regulation authority

CCR

What the official deficiency says

87211(a)(1)(B) Reporting Requirements-(a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(1) A written report shall be submitted to the licensing agency for (B) any serious injury as determined by the attending physician and occuring while the resident is under facility supervision. This requirement was not met as evidenced by: The licensee did not notify the Department that a resident had entered hospice care. This poses a potential health and safety risk to residents in care.

Official plan of correction

The licensee shall submit in writing to the Department by Dec. 5, 2023, how they will ensure that all reports pertaining to the residents health, injury, or death will be sent to licensing in a timely manner.

Deadline recorded: Dec 5, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87633(h)(3)

Regulation authority

CCR

What the official deficiency says

87633(h)(3)-Hospice Care of Terminally Ill Residents (h) For each terminally ill resident receiving hospice services in the facility, the licensee shall maintain the following in the resident's record (3) A copy of the written certification statement of the resident's terminal illness from the medical director of hospice... This requirement was not met as evidenced by: The licensee did not provide the Department representative with this documentation. This poses a potential health and safety risk to residents in care.

Official plan of correction

The licensee shall submit in writing by Dec.5, 2023, how they will ensure that residents in hospice have complete hospice records.

Deadline recorded: Nov 21, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(16)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have the followig personal rights (16) To received medical care or other services. This requirement was not met as evidenced by: The Licensee did not allow an ambulance to take R1 to the hospital immediately and receive medical care. This poses an immediate health and safety risk to residents in care.

Official plan of correction

The licensee shall submit in writing by Dec. 5, 2023 to Licensing how they will ensure that residents receive medical care when they request it.

Deadline recorded: Dec 5, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(g)

Regulation authority

CCR

What the official deficiency says

87465(g) Incidental Medical and Dental Care-The telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident's health including, but not limited to, an apparent life-threathening medical crisis... This requiement was not met as evidenced by: Based on inherviews and records review, the Licensee failed to allow the 911 ambulance to take R1 to the hospital. Instead the Licensee called a private ambulance that took several hours to arrive to take R1 to the hospital. This poses an immediate health and safety risk to residents in care.

Official plan of correction

The licensee shall submit in writing to CCLD by Dec. 5, 2023, how they will ensure that all residents in care are provided timely medical care when a medical crisis arises.

Deadline recorded: Dec 5, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. A group of 7 people from a nearby hospital arrived and took a tour of facility including resident's rooms without prior consent from residents or resposible party which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/25/2023 Plan of Correction Administrator will provide training to all staff and send proof to LPA by POC date

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, the licensee did not comply with the section cited above,. Door shim is in need of repair by room 1 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/26/2023 Plan of Correction Administrator will repair door shim by room 1 and send proof to LPA by POC date.

Official classification

Type B

Official code

87468.2(a)

Regulation authority

CCR

What the official deficiency says

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: 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 observed staff without face mask upon entry to facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/25/2023 Plan of Correction Administrator will provide training to all staff in infection control and send proof to LPA by POC date.