CLEARWATER AT GLENDORA

Official classification

Type B

Official code

87555(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (1) Where all food is provided by the facility arrangements shall be made so that each resident has available at least three meals per day. Exceptions may be allowed on weekends and holidays providing the total daily food needs are met. Not more than fifteen (15) hours shall elapse between the third and first meal. This requirement was not met as evidenced by: Based on interviews and records reviewed, it was determined that the facility failed to provide R1 with her scheduled lunch meal on 06/26/2026, as required. The facility's failure to ensure R1 received her scheduled meal poses/posed an immediate risk to the resident's health, safety, and personal rights.

Official plan of correction

The licensee shall submit a written plan describing how the facility will ensure residents receiving in-room meal service receive all scheduled meals. The licensee shall provide proof that staff have been trained on the meal delivery procedures and how missed meals will be documented and prevented.

Deadline recorded: Jul 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (1) Where all food is provided by the facility arrangements shall be made so that each resident has available at least three meals per day. Exceptions may be allowed on weekends and holidays providing the total daily food needs are met. Not more than fifteen (15) hours shall elapse between the third and first meal. This requirement was not met as evidenced by: Based on interviews and records reviewed, it was determined that the facility failed to provide R1 with theor scheduled lunch meal on 06/26/2026, as required. The facility's failure to ensure R1 received her scheduled meal poses/posed an immediate risk to the resident's health, safety, and personal rights.

Official plan of correction

The licensee shall submit a written plan describing how the facility will ensure residents receiving in-room meal service receive all scheduled meals. The licensee shall provide proof that staff have been trained on the meal delivery procedures and how missed meals will be documented and prevented.

Deadline recorded: Jul 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(9)

Regulation authority

CCR

What the official deficiency says

87468.1(a)(9) Personal Rights of Residents in All Facilities: (a) Residents...shall have all of the following personal rights: (9) To have communications to the licensee from their representatives answered promptly and appropriately. This requirement is not met as evidence by: Written request for resident records (R1) was not followed up on in a timely manner due to inadequate communication from staff.

Official plan of correction

Licensee will submit plan for resident record requests to be conducted effectively and in a timely manner. The plan will indicated a description of staff duties for each step in the record request process. Licensee will email the plan to LPA by POC due date.

Deadline recorded: Jun 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can 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: (2) Once ordered by the physician the medication is given according to the physician's directions. 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 one (1) out of three (3) residents medications were missing a medication JANUMET 50-500 MG given in evening which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/01/2025 Plan of Correction Health Services Director Jonna Mendoza ordered medication at time of visit. Administrator will send picture by email once medication is delivered.

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents...: (a)... shall...: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidence by: Based on document review and interviews licensee did not ensure R2 was provided with supervision due to aggressive behaviors to prevent R1 obtaining laceration to the head which poses an immediate risk to the health, safety, or personal rights of the persons in care.

Official plan of correction

Administrator will certify in writing and create a plan which will address the steps to take when a circustance of wandering and aggressive behaviors are observed in a resident to the department by POC due date 4/24/24. ***An immediate Civil Penalty of $500.00 is being issued today, due to Resident #2 sustaining a laceration to the head due to lack of supervision of Resident #1 while in care. Refer to LIC 421IM***

Deadline recorded: Apr 24, 2024. A deadline is not proof that correction was completed.