ACE ELDERLY HOMES

Official classification

Type A

Official code

87615(a)(1)

Regulation authority

CCR

What the official deficiency says

87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on interviews, observations, and record reviews, Licensee was aware of (R1's) pressure injuries, which developed to Stage 3, which are prohibited health conditions, and did not have a wound care plan or hospice care. This violation poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee/Administrator will review Title 22, Section 87615, and the Plan of Operation to ensure compliance. The Licensee will retrain staff on pressure injuries and submit the completed training, including staff names and completion dates, to ernand.dabuet@dss.ca.gov by the POC date of 08/08/26. *CIVIL PENALTY*

Deadline recorded: Aug 8, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(B)

Regulation authority

CCR

What the official deficiency says

87463 Reappraisals (b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident. This requirement is not met as evidenced by: Based on interviews, observations, and record reviews, the licensee was aware of R1's change in condition, as R1's health had declined, and did not do a reappraisal for R1. This violation poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee/Administrator will review Title 22, Section 87463, and the Plan of Operation to ensure compliance. The Licensee will retrain staff on identifying residents' change in condition, including staff names and completion dates, to ernand.dabuet@dss.ca.gov by the POC date of 08/28/26.

Deadline recorded: Aug 28, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(11)

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: (11) To have their visitors...permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement was not met: Based on record review and interviews, staff prohibited a visitor from visiting with Resident #1 which posed a potential personal rights risk to client in care.

Official plan of correction

The Administrator will submit a plan of correction to regina.cloyd@dss.ca.gov by the POC due date.

Deadline recorded: Mar 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(c)(3)

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: (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. 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 6 out of 6 residents PRN records in not recording the time the PRN medication was taken, the dosage taken, and the resident's response which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/18/2025 Plan of Correction The administrator has agreed to re-read CCR 87465. The administrator has agreed to re-train staff on how to record PRN medication and email proof of correction to Socorro.Leandro@dss.ca.gov .