PALM GARDENS WELLNESS HOME

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

1569.625 Staff training; legislative findings; contents 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. Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as there was no documentation that staff #1-3 (S1-S3) have received required annual trainings for 2025 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/25/2025 Plan of Correction Licensee to ensure that all staff have the required training each year. Licensee to train not only S1-S3 but all staff and send proof of training to LPA by POC due date. Lizeth.villegas@dss.ca.gov

Official classification

Type B

Official code

87405(b)(2)

Regulation authority

CCR

What the official deficiency says

87405(b)(2) Administrator - Qualifications and Duties. (b)The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. (2 )Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by: Based on interview and record reviews the Licensee/Administrator failed to adhere to Title 22 regulations, resulting to multiple deficiencies cited, which poses a potential health and safety risk to residents in care.

Official plan of correction

The licensee will create a plan to ensure that the administrator performs knowledge of and conforms to applicable laws, rules and regulations. The licensee to review Title 22 87405. Plan of correction will be submitted by POC due date: 08/15/22

Deadline recorded: Aug 15, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87632(2)

Regulation authority

CCR

What the official deficiency says

87632 Hospice Care Waiver (2) The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services... This requirement is not met as evidence by: Based on interview with licensee, Licensee failed to report to CCL with resident R2 admitted at this facility as of 07/05/22. This violation possess a potential Health and Safety risk to residents in care.

Official plan of correction

Licensee will adhere to Title 22 - 87632 regulations and will ensure to notify CCL of hospice residents in care. Licensee will ensure to review this regulation and present proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 08/15/22.

Deadline recorded: Aug 15, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87204(a)

Regulation authority

CCR

What the official deficiency says

(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity. 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. The facility is operating beyond the conditions specified on the license with resident #2 admitted on 07/05/22 as hospice resident. The licensee is only license for (2) hospice. Currently, there are (3) hospice residents. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/08/2022 Plan of Correction The licensee will adhere to Title 22 Section 87204(a). The licensee will perform knowledge of and conform to applicable laws, rules, and regulations. Plan of correction will be submitted by POC due date: 08/08/22 with documentation for a request for hospice waiver increase.

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. LPA identified cleaning solution with bleach on top of the the toilet. The facility is caring for dementia residents. The violation which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/08/2022 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: 08/08/22 with proof of hazardous chemicals are stored in locked cabinets. *This citation was cleared during visit.*

Official classification

Type B

Official code

87303(a)(1)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above. LPA identified shower in bathroom #1 floor has stain marks resulting from wear and tear and appears unsanitary. This violation which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/07/2022 Plan of Correction The licensee will adhere to Title 22 Section 87303(a). The licensee will perform knowledge of and conform to applicable laws, rules, and regulations. Plan of correction will be submitted by POC due date: 09/07/22 with documentation for work order or inovice for new shower floor.