BENTLEY MANOR

Official classification

Type A

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

HSC 1569.605 –Liability insurance… all residential care facilities for the elderly … shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement was not met as evidenced by: Based on liability insurance records reviewed, interviews conducted with Administrator and relevant witnesses, it was determined that the licensee did not have required liability insurance coverage for 08/26/2022 to 12/06/22 which poses an immediate safety risk to residents in care.

Official plan of correction

Licensee stated they will obtain liability insurance that complies with Health & Safety Code section 1569.605 and submit proof to LPA by POC due date (08/25/23).

Deadline recorded: Aug 25, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

HSC 1569.605 –Liability insurance… all residential care facilities for the elderly … shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement was not met as evidenced by: Based on liability insurance records reviewed, interviews conducted with Administrator and relevant witnesses, it was determined that the licensee did not have required liability insurance coverage for 08/26/2022 to present which poses an immediate safety risk to residents in care. Based on interviews and records review, the licensee did not maintain liability insurance covering injury to residents and guests in the amounts specified which posed a potential Health, Safety, or Personal Rights risk to 25 persons in care.

Official plan of correction

Licensee stated they will obtain liability insurance that complies with Health & Safety Code section 1569.605 and submit proof to LPA by POC due date (05/24/23).

Deadline recorded: May 24, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(c)(1)(C)

Regulation authority

CCR

What the official deficiency says

87355(c)(1)(c) A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another, or from Trust Line to a state licensed facility by providing the following documents to the Department: (1) A signed Criminal Background Clearance Transfer Request, LIC 9182. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation)(record review), the licensee did not comply with the section cited above. LPA identified staff #2-#10 did not have a Criminal Clearance Background Clearance Transfer associated at this facility. This violation poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/14/2022 Plan of Correction Licensee to ensure that all staff prior to working in the facility obtain a Criminal Background Clearance and Criminal Background Transfer Request and provide proof of correction to CCLD by POC due date. ***A CIVIL PENALTY IS BEING ISSUED TODAY*** POC due: 12/14/22

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 is not met as evidenced by: Deficient Practice Statement Based on interview and record reviews the administrator failed to adhere to Title 22 regulations, resulting to multiple citations, This violation poses a potential health and safety to residents in care.

Official plan of correction

POC Due Date: 12/27/2022 Plan of Correction The licensee/admnistrator will create a plan to ensure that the administrator performs knowledge of and conform to applicable laws, rules and regulations. A written statement from licensee that reviewed 87405 proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 12/27/22.