CHATEAU LONG BEACH

Official classification

Type B

Official code

87457(a)(1)

Regulation authority

CCR

What the official deficiency says

87457 Pre-Admission Appraisal. Prior to admission, the prospective resident and his/her responsible person, if any, shall be interviewed by the licensee or the employee responsible for facility admissions. Sufficient information about the facility and its services shall be provided...Based on involved in the placement to make an interviews and record review, facility staff failed to ensure a pre admission appraisal was done prior to R1 receiving services/ moving intoThe Chateau of Long Beach, which poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee, Administrator, and all staff who assist with pre admission appraisals and admission to review regulation cited, and ensure all pre admission appraisals are conducted prior to resident officially moving into the facility and receiving services. LPA to receive by POC due date, astatement from Licensee/Administrator indicating that regulation has been reviewed and is understood

Deadline recorded: Feb 4, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: The licensee shall assist residents with self-administered medications as needed. Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee/Administrator did not comply with the section cited above as there was no documentation on the medication administration record (MAR) indicating that medication(s) were given to residents #1-4 as prescribed by physician which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/18/2025 Plan of Correction Licensee/Administrator to conduct Inservice with all staff who assist residents with medication administration. In service will include the importance of documenting medications given and/or refused. LPA to receive proof of in-service by POC due date.

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 and records reviewed, the licensee did not comply with the section cited above. On 01/28/2025, upon arrival to the hospital, R1 was diagnosed with stage 3 and stage 4 pressure injuries near the buttock area. The licensee retained R1 while having a stage 3 pressure injury while in care. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

The Assistant Administrator, Olivia Alvarado agreed to create a plan to ensure that the facility will not admit or retain residents with stage 3 or stage 4 pressure injuries. Proof of corrections will be emailed to Socorro.Leandro@dss.ca.gov.

Deadline recorded: Aug 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on interviews and records reviewed, the licensee did not comply with the section cited above. The licensee did not ensure that R1 received wound care services from 12/28/2024 to 1/28/2025 which resulted to R1 developing stage 3 and stage 4 pressure injuries while in care. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

The Assistant Administrator, Olivia Alvarado agreed to create a plan to ensure that residents with stage 1 and stage 2 pressure injuries receive continuous wound care with skilled professionals (e.g. Home Health, Physician, LVNs, Palliative Care, Hospice Care). Proof of corrections will be emailed to Socorro.Leandro@dss.ca.gov .

Deadline recorded: Aug 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(15)

Regulation authority

HSC

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To send and receive unopened correspondence in a prompt manner. Based on interviews the facility failed to provide residents with mail correspondence as residents are being made to open their mail in the presence of a staff member which is a personal rights violation to resident in care.

Official plan of correction

Licensee/Administrator to develop a plan on how the facility will ensure resident(s) personal rights are not violated moving forward, Licensee/Administrator to submit plan to LPA by POC due date. Licensee/Administrator will conduct an in-service regarding mail correspondence procedures and on residents personal rights. Copy of in-service sign in sheet to be sent to LPA by POC due date.

Deadline recorded: Jun 6, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition...the licensee did not comply with the section anove as there is no proof of written/documented re-appraisal for R1 which poses a health and safety risk to residents in care.

Official plan of correction

Licensee/Administrator will review title 22 regulations and submit statement acknowledging the review and understanding of the regulation. Licensee/ Administrator will train staff to ensure staff understand regulations. Statement to be submitted to LPA by POC due date.

Deadline recorded: Mar 20, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(5)(D)

Regulation authority

CCR

What the official deficiency says

Admission Agreements The refund of prepaid monthly fees for any condition listed in (C)1. and (C)2. above shall be given as specified below: If the resident does not provide the above 5-day notice the licensee shall refund a proportional daily amount of any prepaid monthly fee(s) within seven days from the date that the resident leaves the facility, and the unit is vacated. The licensee did not comply with the section above as Facility failed to provide R1 with refund when the residents belongings were removed from the facility by family on 05/29/24.

Official plan of correction

Submit a plan to dept outlining the steps they will take to get into compliance with title 22 regulations. Plan to be submitted to LPA by POC due date.

Deadline recorded: Mar 20, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained.. (2) Faucets used by residents for personal care... shall deliver hot water. Hot water temperature controls shall be maintained... regulate...105-degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: During the inspection, LPA found 8 of the 11 rooms were not compliance with Title 22. hot water temperatures were not between 105- and 120-degrees F. This volation poses an immediate health and safety to residents in care.

Official plan of correction

Licensee will adhere to Title 22 Section 87303 and ensure that water temperature is maintained to regulate hot water not less than 105 degrees F and not more than 120 degrees F. The licensee will make adjustment with the water heaters. Proof of correction is due by: 11/23/22 faxed 323-981-1781.

Deadline recorded: Nov 23, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87307(a)(2)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall... provide comfortable living accommodations..(2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement is not met as evidenced by: During the inspection and interviews the facility failed to provide a safe and healthful environment for not having hot water temperature from 11/09/22 - 11/17/22. This volation poses an immediate health and safety to residents in care.

Official plan of correction

Licensee will adhere to Title 22 Section 87307 and ensure the faclity in in good repair and hot water is available at all times.The licensee will replace any defected water heaters. Proof of correction is due by: 11/23/22 faxed 323-981-1781. This violation is corrected during the visit. An invoice from MRS Plumbing Inc was provided for servcies.

Deadline recorded: Nov 22, 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

(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: Deficient Practice Statement Based on [(observation) the licensee failed to adhere to section cited above. LPA identified paint toxic chemicals not stored in locked cabinets. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/24/2022 Plan of Correction The licensee will adhere to Title 22 section 87309 and ensure that all hazardous chemical solutions are stored and locked. This violation must be corrected by POC date 10/24/22. *This violation was corrected during visit.*

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care. A: A plan for incidental medical and dental care shall be developed by each facility. 4: The licensee shall assist residents with self-administered medications as needed.. This requirement is not met as evidenced by: Based on observations and interviews LPA Calderon confirmed that the facility ran out of type 75 insulin for witness 1 for 3 daya. This poses a potential health & safety risk to residents in care.

Official plan of correction

Faciity administrator will provide training to staff regarding the odering of medication for residents and the proper documenation and record keeping for facility by the POC date to LPA Calderon.

Deadline recorded: Aug 19, 2022. A deadline is not proof that correction was completed.