Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
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 LPAs inspection, the licensee did not comply with the section cited above, the licensee did not comply with the section cited above. At 2:20pm, LPAs measured a hot water termperature at 155.1°F. This poses an immediate health, safety risk to persons in care.
Official plan of correction
POC Due Date: 10/03/2025 Plan of Correction Licensee/Administrator agreed to adjust a hot water temperature. Licensee/Administrator will measure a hot water temperature twice a day (8am and 8pm) for seven (7) days and submit the log to LPA on 10/08/25
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
Postural Supports. A written order from a physician indicating the need for postural support shall be maintained in the resident’s record. The licensing agency is authorized to require additional documentation if needed This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs observation and record review, the licensee did not comply with the section cited above, by not obtaining doctors order for 1/2 bedrails for R2, R3 and R4, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/03/2025 Plan of Correction Administrator will follow up with the doctor or family member to ensure a prescription is received and kept in the file for R1, R2 and R3. A copy of the prescription order will be submitted to LPA by POC date
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(C)(2)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care(h)The following requirements shall apply to medications which are centrally stored(C) Because...dangers related to the medication itself (2)...medicines shall be kept in a safe and locked place that is not accessible to persons other than employees… This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs observation and inspection, the licensee did not comply with the section cited above, by failling to lock norco and insulin medications stored in the small refrigerator located across from bedroom #6, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/03/2025 Plan of Correction Administrator will place a lock on the refrigerator or purchase a box with the lock and submit proof of pictures to LPA by POC date.