NORTH RESIDENTIAL CARE INC

Official classification

Type A

Official code

87465(h)(1)(C)

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: (1) Medications shall be centrally stored... (C) Because of ...the condition or the habits of other persons in the facility... This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as a bag of prescription medications were left unsecured at the entryway infection control point which posed a potential health and safety risk to clients in care.

Official plan of correction

Staff secured the medications at the time of the visit. POC cleared.

Deadline recorded: May 14, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following... shall apply... (6) ... a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as three resident CSMDRs contained inaccurate information including date filled, prescription numbers, dates started, etc. which poses a potential health risk to persons in care.

Official plan of correction

Administrator agreed to submit proof of accurate CSMDRs for the identified residents to CCLD no later than POC due date.

Deadline recorded: May 28, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(c)(1)(A)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment (c) ... results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above as one resident file was observed to be missing proof of a negative TB test which poses a potential health risk to clients in care.

Official plan of correction

Administrator agreed to submit proof of a negative TB test for the identified individual to CCLD no later than POC due date.

Deadline recorded: May 28, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.149

Regulation authority

HSC

What the official deficiency says

§1569.149 Fire clearance approval... ... the facility shall secure and maintain a fire clearance approval from the local fire enforcing agency... This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as the facility's fire door failed to close on two separate tests of the facility's fire alarm system which poses an immediate safety risk to clients in care.

Official plan of correction

Administrator agreed to contact a licensed professional to service the facility's fire door to ensure proper operation. Licensee agreed to submit proof of the completed service and proof of the functioning fire door to CCLD no later than POC due date.

Deadline recorded: Apr 17, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times.... This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as two facility windows had large cracks across the glass which poses a potential safety risk to clients in care.

Official plan of correction

Administrator agreed to replace the two damaged windows and to send proof of the completed replacement to CCLD no later than POC due date.

Deadline recorded: Apr 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

87555 General Food Service Requirements (b) The following food service requirements shall apply: (8) All food shall be of good quality... This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as the facility's refrigerator contained expired milk, yoghurt, and dressing which posed a potential health risk to clients in care.

Official plan of correction

The Administrator threw away the expired items at the time of the visit. Administrator agreed to conduct an audit of all of the facility's food supplies to ensure no additional expired items are stored at the facility. Administrator agreed to submit proof of the completed audit to CCLD no later than... ... POC due date.

Deadline recorded: Apr 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(c)(2)(C)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (c) Licensees shall maintain in the personnel records... (2) Documentation of staff training shall include: (C) Date(s) of attendance... This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above as the facility did not accurately record the dates of attendance to mandatory trainings for two facility staff members which poses a potential health, safety, or personal rights risk to clients in care.

Official plan of correction

The Administrator agreed to submit a true and accurate record of trainings completed for the two (2) identified staff members to CCLD no later than POC due date.

Deadline recorded: Apr 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87202(a)(2)

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: (2) Bedridden persons 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 as the facility does not have a bedridden approved fire clearance and one resident was determined by their physician to be bedridden and confirmed that they were unable to reposition without assistance which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 04/10/2025 Plan of Correction Licensee agreed to relocate the identified resident to NoHo Residential Care which is another facility operated by the same Administrator and has a bedridden approved fire clearance. Administrator agreed to relocate the resident no later than POC due date.

Official classification

Type A

Official code

87615(a)(5)

Regulation authority

CCR

What the official deficiency says

(a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (5) Residents who depend on others to perform all activities of daily living for them as set forth in Section 87459, Functional Capabilities. 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 three (3) out of six (6) residents have no capacitiy/ depend on others for self-care and is neither on hospice nor did the facility submit an exception waiver request to admit or retain residents at the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/18/2024 Plan of Correction The Administrator stated that she will Regulation 87615 and submit an exceptions for R1, R2, and R3 to CCL no later than 05/03/2024.

Official classification

Type B

Official code

87467(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Prior to, or within two weeks of the resident's admission, the licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, and any other appropriate parties, to prepare a written record of the care the resident will receive in the facility, and the resident's preferences regarding the services provided at the facility. (3) The licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident's condition, or once every 12 months, whichever occurs first. Significant changes shall include, but not be limited to occurrences specified in Section 87463, Reappraisals. 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 three (3) out of six (6) residents require updated appraisals/needs and service plan which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/03/2024 Plan of Correction The Administrator stated that she will complete residents appraisals/ needs and service plan by due date.