MEGAN'S PLACE

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as the facility's water temperature was measured to be greater than 120 degrees F which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/14/2026 Plan of Correction Administrator agreed to submit proof of appropriate water temperature in both facility bathrooms to CCLD no later than POC due date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as cleaning chemicals and a lighter were left unsecured throughout the facility which posed an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/13/2026 Plan of Correction Staff secured the cleaning chemicals and lighter at the time of the visit. POC cleared.

Official classification

Type A

Official code

87309(c)

Regulation authority

CCR

What the official deficiency says

(c) Except as specified in subsection (d), the licensee shall implement reasonable interventions in order to ensure that nutritional supplements, vitamins, alcohol, cigarettes and other potentially toxic substances, such as certain plants, gardening supplies, and auto supplies, are stored so as not to pose a hazard to residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as suppliments, vitamins, and cigarettes were left unsecured throughout the facility when two residents were determined to be at risk if allowed access to these items which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/13/2026 Plan of Correction Staff secured items during the visit. POC cleared.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (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 as bottles of Advil and Motrin were left unsecured in drawers/cabinets which posed an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/13/2026 Plan of Correction Staff secured the medications at the time of the visit. POC cleared.

Official classification

Type B

Official code

87303(c)

Regulation authority

CCR

What the official deficiency says

(c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as one bedroom screen and the living room screen door contained tears in the screening material which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/27/2026 Plan of Correction Administrator agreed to perform repairs to the identified screens and to send proof of the completed repairs to CCLD no later than POC due date.

Official classification

Type B

Official code

1569.625(b)

Regulation authority

HSC

What the official deficiency says

(b)...staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training...shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four 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 as one staff member was observed to be missing proof of the completed 40 hours of initial trainings and was unable to appropriately identify the residents rights, forms of abuse, and the appropriate reporting procedures for suspected abuse which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/27/2026 Plan of Correction Administrator agreed to conduct training with the identified staff member and to send proof of the completed trainings to CCLD no later than POC due date.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) 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, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. 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 as one staff was missing proof of a negative TB test and two staff were missing a completed LIC 503 which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 05/27/2026 Plan of Correction Administrator agreed to submit proof of a completed TB test and proof of a completed LIC 503 for the identified staff members to CCLD no later than POC due date.

Official classification

Type B

Official code

87412(a)

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: 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 as one staff file was observed to be missing the front sheet of their LIC 501 and was missing information including the employee’s Social Security number, date of employment, educational background, past experience, etc. which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/27/2026 Plan of Correction Administrator agreed to send proof of the completed LIC 501 for the identified staff member to CCLD no later than POC due date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 as four residents files contained appraisals that were last completed more than 12 months prior which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/27/2026 Plan of Correction Administrator agreed to complete appraisals for the identified residents and to send proof of the completed appraisals to CCLD no later than POC due date.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as the fire door leading to bedroom #4 is in disrepair and failed to properly close at the time of the fire alarm test which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 04/23/2025 Plan of Correction Licensee will submit proof of completed repairs and proof of the fire door functioning properly to CCLD no later than POC due date.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as the water temparature in resident bathrooms was measured between 137.8 and 140.0 degrees Fahrenheit which posed an immediate health risk to persons in care.

Official plan of correction

POC Due Date: 04/18/2025 Plan of Correction Water temparature was adjusted and measured to be within the required range at the time of the visit. POC cleared.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) 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 on observation, the licensee did not comply with the section cited above as one sink in the common resident bathroom was observed to be leaking water into the cabinet located below which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 05/02/2025 Plan of Correction Licensee will submit proof of completed repairs to CCLD no later than POC due date.

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 record review, the licensee did not comply with the section cited above as two resident's files were observed to be missing required documents and signatures which poses a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/02/2025 Plan of Correction Licensee will submit proof of completed documentation for the identified residents no later than POC due date.

Official classification

Type B

Official code

87468.1(b)(8)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents... (b) All residents...shall be protected from all of the actions specified in this subsection... (8) Deny or restrict medical or nonmedical care that is appropriate to a resident’s organs and bodily needs... This requirement is not met as evidenced by: Based on interviews the licensee did not comply with the section cited above as R1's facial wound became infested with maggots while in care at the facility which poses a potential health or personal rights risk to clients in care.

Official plan of correction

Licensee will submit a statement of understanding to CCLD confirming that they have read the entirety of CCR 87468.1 and that they understand the importance of seeking timely medical care and respecting resident's rights to CCLD no later than POC due date.

Deadline recorded: Jan 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87224(a)

Regulation authority

CCR

What the official deficiency says

87224 Eviction Procedures (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required... This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as a lawful eviction for R1 was not submitted to CCLD prior to the resident's eviction from the facility which posed a potential personal rights risk to clients in care.

Official plan of correction

The licensee will submit a statement of understanding to CCLD confirming that they have read the entirety of CCR 87224 and understand the importance of following proper eviction procedures.

Deadline recorded: Dec 31, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall... (1) The licensee shall arrange...for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on interview the licensee did not comply with the section cited above as medical care for R1's facial wound was sought 3 days after first being identified which posed a potential health risk to clients in care.

Official plan of correction

The licensee will submit a statement of understanding to CCLD confirming that they have read the entirety of CCR 87645 and understand the importance of seeking medical care for residents in a timely manner.

Deadline recorded: Dec 31, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year.... This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as resident 1's file was observed to contain an incomplete medical assessment which poses a potential health and safety risk to clients in care.

Official plan of correction

Licensee will submit a statement of understanding confirming that they have read the entirety of CCR 87458 and that they understand the importance of completing a medical assessment prior to accepting a client into their care no later than POC due date.

Deadline recorded: Nov 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87457(a)(2)

Regulation authority

CCR

What the official deficiency says

87457 Pre-Admission Appraisal General (a) Prior to admission, the... resident ...shall be interviewed by the licensee... (2) The...resident's...her background, including...medical background... shall be discussed. This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as no preadmission appraisal of resident 1 was completed prior to accepting resident 1 into care which poses a potential health and safety rick to clients in care.

Official plan of correction

Licensee will submit a statement of understanding confirming that they have read the entirety of CCR 87457 and that they understand the importance of completing a pre-admission appraisal prior to accepting a client into their care no later than POC due date.

Deadline recorded: Nov 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a)... licensee shall furnish to the licensing agency such reports... (1) A...report shall be submitted to the licensing agency...within seven days... (D) Any incident...health of any resident... This requirement is not met as evidenced by: Based on record review and interview the licensee did not comply with the section cited above as no special incident reports were submitted for the hospitalization of Resident 1 which poses a potential health, safety, or personal rights risk to clients in care.

Official plan of correction

Licensee will submit a statement of understanding confirming that they have reviewed the entirety of CCR 87211 and that they understand the importance of accurate and timely reporting. Licensee will submit the statement to CCLD no later than POC due date.

Deadline recorded: Nov 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports (a) ...Postural supports may be used under the following conditions. (5)... (B) Bed rails that extend the entire length of the bed are prohibited except for ...hospice care... This requirement is not met as evidenced by Based on observation and record review the licensee did not comply with the section cited above as a resident's bed was observed to contail full bed rails, the resident is not on hospice and does not have a doctor's order for full bed rails which poses a potential personal rights risk to clients in care.

Official plan of correction

Licensee will remove the full bedrails from the identified resident's bed and will submit a statement of understanding that they have read CCR 87608 and understand the proper use of postural supports. licensee will submit proof no later than POC due date.

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

Official classification

Type B

Official code

87507(c)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements (c) Admission agreements shall be signed and dated...no later than seven days following admission... This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as a resident's file was observed to contain an admission agreement that was not filled out or signed which poses a potential personal rights risk to clients in care.

Official plan of correction

Licensee will submit a statement of understanding confirming that they have read the entirety of CCR 87507 and that they understand the importance of completing admission agreements in a timely manner. Licensee will submit documents to CCLD no later than POC due date.

Deadline recorded: Nov 15, 2024. A deadline is not proof that correction was completed.