CASA AMORE

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on record review and LPA observation, the licensee did not comply with the section cited above in not properly securing medication making accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator locked door leading to garage and ordered small refrigerator that is able to lock. Administrator provided copy of receipt on todays visit. POC cleared today.

Deadline recorded: Jul 10, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(f)(4)

Regulation authority

CCR

What the official deficiency says

(f) Solid waste shall be stored and disposed of as follows: (4)Movable bins when used for storing... shall have tight-fitting covers on the containers; shall be in good repair; and shall be rodent-proof unless stored in a room or screened enclosure. This requirement is not met as evidenced by: Based LPA observation, the licensee did not comply with the section cited above in not have tight-fitting cover/lid on one(1) trash bin which posed an potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator purchased a trash bin with sensors that will open lid automatically. Administrator provided copy of receipt on todays visit. Administrator will submit a picture of trash bins to LPA by POC due date.

Deadline recorded: Jul 19, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(b)

Regulation authority

CCR

What the official deficiency says

(b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia... This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above in not providing CCL with a Plan of Operation that address the care needs of residents with dementia while currently providing services to residents with dementia which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee will create and submit a Dementia Care plan for approval to CCL by POC due date.

Deadline recorded: Dec 1, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in two (2) out of two (2) staff present at the facility not having current CPR/First Aid certification which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/20/2023 Plan of Correction Licensee will make sure to have a staff with (CPR) training and first aid training on duty and on the premises at all times. Licensee will provide a copy of CPR/First Aid certification for both staff by POC due date.

Official classification

Type A

Official code

87465(h)(4)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. 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 one (1) out of six (6) residents by accepting and administering medication with an altered label which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/17/2023 Plan of Correction Licensee will immediately contact responsible person/ primary physician / pharmacists to obtain the correct prescription dosage. A copy of prescription with dosage will be provided to LPA by POC due date.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 two (2) out of two (2)present at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/03/2023 Plan of Correction Licensee will schedule all staff for vendorized annual training and provide either completed certification of training or registration of future scheduled training of all staff to LPA by POC due date.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in one (1) out of six (6) residents did not have medical assessment provided to the facility before being admitted which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/27/2023 Plan of Correction Licensee will request a medical assessment / physician's report and provide a completed copy to LPA by POC due date.

Official classification

Type B

Official code

87219(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. The activities made available shall include: (1) Socialization, achieved through activities such as group discussion and conversation, recreation, arts, crafts, music, and care of pets. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above in not providing planned activities for the residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/20/2023 Plan of Correction Licensee will create a lisit of planned activities for residents and provide a copy to LPA by POC due date.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. 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 six (6) residents not having an annual medical assessment or reappraisal conducted which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/27/2023 Plan of Correction Licensee will request a medical assessment conducted for resident in question and provide copy of complete medical assessment/physician's report to LPA by POC due date.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

87202(a) Fire Clearance All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department… Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance… This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review the licensee did not comply with the section cited above in that the facility has one bedridden resident and the fire clearance does not have approval for bedridden residents, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/17/2022 Plan of Correction The Administrator stated they will provide the previously obtained fire clearance that shows they were approved for bedridden residents, or if not found they will obtain bedridden clearance from the fire department and provide the LPA with verification of appointment set by the POC due date.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 (h)(2) Incidental Medical and Dental Care Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in that medications were found in the unlocked kitchen cabinet, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/17/2022 Plan of Correction The Administrator stated staff will be provided in house training on locking away all medications. Training material and signatures of all staff that have completed the training will be sent to the LPA by the POC due date.

Official classification

Type B

Official code

87470(c)

Regulation authority

CCR

What the official deficiency says

87470(c) Infection Control Requirements shall be developed by the licensee... (1) The Infection Control Plan shall include: (F) Staff shall demonstrate knowledge... appropriate to the job assigned and as evidenced by safe and effective job performance. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in that staff did not screen LPA for symptoms of COVID 19 upon entry, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/23/2022 Plan of Correction Licensee/Administrator and all staff will attend infection control training to be provided by an individual trained in infection control. Proof of training will be provided to LPA by the POC due date.