BRIGHTEN COTTAGES - PARKCREST

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 observation, interview, and record review, the licensee did not comply with the section cited above for 1 out of 6 resident which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/10/2025 Plan of Correction The administrator submit proof of TB Test Results for Resident #4 by the plan of correction due date and email proof to LPA Brown at Zina.Brown@dss.ca.gov

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports: (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: 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 for 3 out of 6 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/10/2025 Plan of Correction The admininstrator will submit proof of physician order for the use of half-bed rails for Resident 2, Resident 3 and Resident 6 by the plan of correction due date and email proof to LPA Brown at Zina.Brown@dss.ca.gov

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

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. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the administrator did not comply with the section cited above as the medication administration record (MAR) indicating that medication(s) were given to Resident 3 & Resident 6 as prescribed, however the medication given was not signed for as being administer which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/10/2025 Plan of Correction The administrator will ensure toconduct an in-service medication training for all staff and must be documented. The completion of medication training must be submitted to the department by plan of correction and must email proof at Zina.Brown@dss.ca.gov

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, the admininstrator did not comply with have a health screening on file for Staff 4 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/10/2025 Plan of Correction The administrator will ensure Staff 4 will complete LIC 503 Health Screening and must submit proof by plan of correction due date to the department by email at Zina.Brown@dss.ca.gov

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

Fire Clearance 87202(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district . . . This requirement is not met as evidence by: Based on interview, record review & observation bedridden resident #1 is currently in bedroom # 6 & is not bedroom #5 which is cleared for bedridden resident per the fire clearance assigned for bedridden resident. This poses as a immediately health & safety risk in care.

Official plan of correction

The administrator stated he will contact the families of residence who resided in bedroom #5 and bedroom #6 to get approve of switch the bedridden client in the clear room based on fire clearance. Administrator state he will send pictures within 24 hours of POC date.

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

Official classification

Type B

Official code

87465(a)(6)

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: 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, and record review, the licensee did not comply with the section cited above as during medication reviews, LPA observed documentation on the MAR indicating if residents refused or missed taking medication throughout the week which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/14/2024 Plan of Correction The administrator will ensure a in-service training regard medication documentation is completed by POC due date and provide proof of in-service training for all staff via email at zina.brown@dss.ca.gov

Official classification

Type B

Official code

87458(b)(5)

Regulation authority

CCR

What the official deficiency says

The medical assessment shall include, but not be limited to: The determination whether the person is ambulatory or nonambulatory as defined in Section 87101(a) or (n), or bedridden as defined in Section 87455(d). The assessment shall indicate whether nonambulatory status is based upon the resident’s physical condition, mental condition or both. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, 1 of the resident records review, indicated on the physicians record, the residences are bedridden. Based on LPA observation and other records reviewed, resident does not appear to be bedridden. This poses as a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/30/2024 Plan of Correction The administrator shall clarify residence ambulatory status to determine if the residence are bedridden or non-ambulatory. The facility will submit proof of updated physician report by POC due date via email at zina.brown@dss.ca.gov