SUNCOAST SENIOR LIVING AT LONG BEACH

Official classification

Type B

Official code

87468(a)(11)

Regulation authority

CCR

What the official deficiency says

Personal Rights. (a) Each resident shall have personal rights which include, but are not limited to, the following: (11) To have his/her visitors, including ombudspersons and advocacy representatives permitted to visit privately...provided that the rights of other residents are not infringed upon. This requirement was not met as evidenced by Based on interviews, the licensee did not comply with the section cited above as he prevented the Long Term Care Ombudsmen from speaking privately with Resident in care which poses an immediate personal rights risk to persons in care.

Official plan of correction

Licensee to come up with a plan to allow privacy for subsequent visits from the Long Term Care Ombudsman. Plan to be submitted to LPA via email by due date (03/07/2025) Deborah.Lee@dss.ca.gov.

Deadline recorded: Mar 7, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

All individuals subject to a criminal record review shall prior to working, residing or volunteering in a licensed facility.ottain a California clearance. This requirement was not met as evidenced by: LPA was unable to to verify S2 criminal clearance or association to facility. Which poses an immediate health & safety risk.

Official plan of correction

LIcensee will ensure that S2 obtains a criminal records clearance and association to facility prior to working in the facility. Licensee will ensure S2 shall not work in the facility until a clearance is obtain. Violation of Section 87355(e) will result in an immediate assessment of civil penalties of one hundred dollars ($100) per violation for a maximum of 5 days by the Department. Civil penalties have been assesed for th amount of $500.00.

Deadline recorded: Oct 4, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87203

Regulation authority

CCR

What the official deficiency says

Fire Safety. All facilities shall be maintained in conformity with the regulation adopted by the State Fire Marshal for the protection of life and property against fire and panic. This regulation is not met as evidenced by: Based on record reviews, observation and interviews the licensee failed to ensure that fire extinguishers are subjected to annual maintenance per Title 19, Divison 1 -State Fire Marshal, Chapter 3 - Fire Extinguisher which poses a potential health and safety risk to persons in care.

Official plan of correction

LPA and Assistant Administrator have agreed that Assistant Administrator will purchase two (2) new fire extinguishers, provide LPA receipt of purchase and will keep yearly records of services on file moving forward. LPA email address: Mario.Leon@dss.ca.gov

Deadline recorded: Oct 18, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

(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, Personnel Requirements - General. 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 During todays record review LPA did not observe health screeining report (LIC503) for S1, S2, & S3 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/26/2023 Plan of Correction The licensee agrees to obtain health screening reports LIC503 for S1, S2, & S3.Proof of correction will be emailed to socorro.leandro@dss.ca.gov.

Official classification

Type B

Official code

87412(a)(13)(B)

Regulation authority

CCR

What the official deficiency says

(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: (13) For employees that are required to be fingerprinted pursuant to Section 87355, Criminal Record Clearance: (B) Documentation of either a criminal record clearance or a criminal record exemption as required by Section 87355(e). 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, LPA did not observe a criminal record clearance for S3.which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/05/2023 Plan of Correction During todays visit the administrator removed S3 from work schedule. The administrator agreed to obtain S3's criminal record clearance prior to allowing S3 back to work. Proof of correction will be emailed to socorro.leandro@dss.ca.gov.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. 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 during todays record review LPA observed S1 first aid certificate expired on 11/2020, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/26/2023 Plan of Correction The licensee agrees to obtain first aid certificate for S1. Proof of correction will be emailed to socorro.leandro@dsss.ca.gov.

Official classification

Type B

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. 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 during todays visit LPA did not observe records of S1, S2 and S3' initial 10-hour trainings, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/05/2023 Plan of Correction The licensee agrees to maintain records of S1, S2 and S3' initial 10-hour trainings. Proof of correction will be emailed to socorro.leandro@dsss.ca.gov.

Official classification

Type B

Official code

87616(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) Written requests shall include, but are not limited to, the following: (1) Documentation of the resident's current health condition including updated medical reports, other documentation of the current health, prognosis, and expected duration of condition. 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, during todays record review LPA did not observe physian reports (LIC602A) for R1, R4, & R5. which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/26/2023 Plan of Correction The licensee agrees to obtain physian reports (LIC602A) for R1, R4, & R5. Proof of correction will be emailed to socorro.leandro@dsss.ca.gov.

Official classification

Type A

Official code

87355(c)

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. Plan of correction will be submitted by POC due date: 08/26/22

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

Official classification

Type B

Official code

87608(B)

Regulation authority

CCR

What the official deficiency says

87608 - Postural Supports (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidence by: Based on interview with administrator, Licensee failed to show proof for full bed rails for (R1) who is not a hospice reisdent. This violation possess a potential Health and Safety risk to residents in care.

Official plan of correction

Licensee will adhere to the regulations 87705 and will conduct a fire/earthquake drill as required. Licensee will ensure to provide proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 08/26/22

Deadline recorded: Aug 26, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. 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 identify bathroom for resident #1 is cluttered with wheelchair and chairs obstructing passage way. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/15/2022 Plan of Correction Licensee will adhere to the regulations 87307 will remove any items obstructing exits and passage ways. Licensee will ensure to provide proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 08/15/22

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 (2) gallons of paint and cleaning solutions with bleach under sink and knives 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: 08/15/2022 Plan of Correction Licensee will adhere to the regulations 87309 and stored toxic or hazidous items in lock storage. Licensee will ensure to provide proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 08/15/22

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 medication on top of refrigerator, bathroom and unlocked portabel refrigerator accessible to resident in care. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/15/2022 Plan of Correction Licensee will adhere to the regulations 8745 and store all medications in locked storage. Licensee will ensure to provide proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 08/15/22

Official classification

Type B

Official code

87303(a)

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. This requirement is not met as evidenced by: Deficient Practice Statement Based observation, the licensee did not comply with the section cited above. LPA identified the entire facility cluttered and disarray. The kitchen counters not cleared with dirty dishes in sink. This voilation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/26/2022 Plan of Correction Licensee will adhere to the regulations 87303 and clear all rooms including the kitchen of clutter Licensee will ensure to provide proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 08/26/22

Official classification

Type B

Official code

87307(d)(2)

Regulation authority

CCR

What the official deficiency says

(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: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA identified missing smoke detectors in room #1, #3, #4 and living room. R1's room missing a window covering. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/26/2022 Plan of Correction Licensee will adhere to the regulations 87307 and install missing smoke detectors and window covering for (R1)'s room. Licensee will ensure to provide proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 08/26/22

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation) and (record review)], the licensee did not comply with the section cited above. LPA identified resident #1 (R1) had incomplete or missing service records for CCL to review. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/26/2022 Plan of Correction Licensee will adhere to the regulations 87506 will collect all required service records for resident #1. Licensee will ensure to provide proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 08/26/22