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Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(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 degrees C) and not more than 120 degree F (49 degrees C). 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 [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: Plan of Correction

Official classification

Type A

Official code

87303(e)(3)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (3) Taps delivering water at 125 degree F (52 degrees C) or above shall be prominently identified by warning signs. 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 [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: Plan of Correction

Official classification

Type B

Official code

87305(a)

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. This requirement was not met as evidence by: LPA Ramirez observed a cloth room divider near corner of garage, that was sectioning off an area of the garage. LPA Ramirez observed a bed with linen, several shoes, and various articles of clothing in bags and boxes.

Official plan of correction

Licensee will obtain proper city permits for the room built inside the garage, currently used for live-in staff, or demolish the room if not permitted by the city. Proof to be submitted to LPA via email by POC due date. Licensee will submit picture proof by due date of demolished room if unable to obtain permit.

Deadline recorded: Mar 21, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. 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 1 of 4 residents medication not having record of dosages for several centrally stored medications, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/22/2023 Plan of Correction Licensee will obtain record of prescribed medications for R4 and submit proof to LPA via email by POC due date.

Official classification

Type B

Official code

87305(a)

Regulation authority

CCR

What the official deficiency says

Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in building a room inside the garage without proper city permits/notification to licensing and using it as a live-in staff room, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/29/2023 Plan of Correction Licensee will obtain proper city permits for the room built inside the garage, currently used for live-in staff, or demolish the room if not permitted by the city. Proof to be submitted to LPA via email by POC due date.

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h)The following requirements shall apply to medications which are centrally stored:(6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: 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 (4) of (4) residents without accurate records of centrally stored medications, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/29/2023 Plan of Correction Licensee to send LPA, via email, accurate records for centrally stored prescription medications for 4 residents, by POC due date.

Official classification

Type B

Official code

87035(a)

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. The requirement was not met as evidenced by LPA observation- LPA observed there's a live in staff room in the garage which was not indicate on the facility sketch and administrator admitted there's no city permit.

Official plan of correction

The administrator will ensure prior to construction or alteration, all facilities shall obtain a building permit. The administrator will go and obtain a city permit and also updated the facility sketch and send it to LPA by POC date.

Deadline recorded: Oct 17, 2022. A deadline is not proof that correction was completed.