TREASURE HERITAGE

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met evidence by: Based on interviews, record review and observations, S2's CPR is expired, training documentation could not be provided and LPA observed S2 to have left all (3) residents alone which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

The Licensee/Administrator will review the regulation and email LPA Segovia a statement of understanding additionally a copy of S2's renewed CPR by POC due date. POC due date: 4/16/2026

Deadline recorded: Apr 16, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87224(a)

Regulation authority

CCR

What the official deficiency says

87224 Eviction Procedures (a) The licensee may evict a resident for one or more of the reasons listed...Thirty (30) days written notice to the resident is required... This requirement is not met by: Based on interviews, the Licensee/administrator failed to ensure Resident 1 (R1) was given the proper 30 (thirty) day notice for eviction. R1 was not allowed back to the facility after hospitalization discharge. This posed an immediate health and safety risk to residents in care.

Official plan of correction

Licensee/Administrator will ensure to send Community Care Licensing Division a proper thirty (30) day notice regarding R1. The POC due date: 04/16/2026

Deadline recorded: Apr 16, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and LPA's interview with the administrator, the licensee did not comply with the section cited above in not reporting within seven days of the occurrence unusual incident/injury regarding R2 to CCL which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/23/2026 Plan of Correction Administrator agreed to provided Unusual Incident/Injury Reports to LPA for the events involving R2 that occurred in December 2025.

Official classification

Type B

Official code

87458(c)(1)(A)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. 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 1 out of 5 resident (R3) did not have TB exam results on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/23/2026 Plan of Correction Administrator agreed to provide copies of resident's TB results to LPA by POC due date 01/23/26.

Official classification

Type B

Official code

87458(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude care of the person by the facility. 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 in care by not having results of a communicable tuberculosis exam on file for resident #2 (R2) which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/15/2024 Plan of Correction Administrator requested results from Hospice nurse present during visit. Administrator will send a copy on TB examination and results to LPA by POC due date.

Official classification

Type B

Official code

87570(c)(1)(F)

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.. This requirement is not met as evidenced by: Based on observation and an interview with the Administrator, Administrator did not ensure staff complied with the section cited above by not wearing masks which poses a potential Health and Safety and personal rights risk to persons in care.

Official plan of correction

Administrator agreed to provide in house training with all staff regarding Infection Control Requirements and COVID Protocol. A written statement signed by all staff regarding such training shall be emailed to LPA no later than 10/8/22.

Deadline recorded: Oct 8, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above. Cleaning agents and chemicals were found to be accessible to residents. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator will conduct in-house training with all staff to keep cleaning solutions and chemicals inaccesible to residents and proof of training will be sent to LPA by due date.

Deadline recorded: Oct 16, 2021. A deadline is not proof that correction was completed.