CANTON COTTAGE

Official classification

Type B

Official code

87458(a)(1)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (a)The licensee shall ensure that personnel records are maintained on the licensee, administrator, and each employee. Each personnel record shall contain the following information:(11) A health screening as specified in Section 87411. This requirement was not met as evidenced by: Based on record review, the licensee failed to staff #2 & #6 (S2) & (S6) had health screening for TB. This violation possesses a potential Health or Personal Rights risks to residents.

Official plan of correction

Licensee shall ensure all residents conduct a health screening for TB. Licensee also agreed to have test results as proof of correction and will be submitted to CCLD by 09/11/23 to ernand.dabuet@dss.ca.gov

Deadline recorded: Sep 11, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement was not met as evidenced by: Based on record review, the licensee failed to ensure staff #4 (S4) had First Aid/CPR completed. This violation possesses a potential Health or Personal Rights risks to residents.

Official plan of correction

Licensee shall ensure staff #4 will complete First Aid/CPR training. Licensee also agreed to have results as proof of correction and will be submitted to CCLD by 09/11/23 to ernand.dabuet@dss.ca.gov

Deadline recorded: Aug 28, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(c)(5)(A)

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. (A) When any medical assessment, appraisal, or observation indicates that the resident's dementia care needs have changed, corresponding changes shall be made in the care and supervision provided to that resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited. LPA identify resident #1 (R1) did not not have a current medical nor appraisal assessment. The last med/appraisal assessment is dated 2021. This violaton which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/09/2023 Plan of Correction Licensee will ensure to adhere to Title 22 87705 and submit a current medical and appraisal for resident #1(R1). Proof of correction must be sent to LPA Dabuet at ernand.dabuet@dsss.ca.gov by 09/09/23.

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 did not comply with the section cited above in cleaning solutions and other hazardous materials were found under the bathroom sink in an unlocked cabinet. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/07/2022 Plan of Correction The licensee will adhere to Title 22 Section 87309. The licensee will perform knowledge of and conform to applicable laws, rules, and regulations. Plan of correction will be submitted by POC due date: 08/07/22 proof of chemicals and cleaning solutions are stored in locked cabinets. *This violaton was corrected during visit.*

Official classification

Type A

Official code

87309(a)(1)

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. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation), the licensee did not comply with the section cited above LPA identifed sharp knives under the kitchen sink and inside the dishwasher accesible to reisdent in care not stored in locked storage. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/07/2022 Plan of Correction The licensee will adhere to Title 22 Section 87309. The licensee will perform knowledge of and conform to applicable laws, rules, and regulations. Plan of correction will be submitted by POC due date: 08/07/22 proof of sharp objects that pose danger to residents in care are stored in locked cabinets.