Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(f)(2)
- Regulation authority
- CCR
What the official deficiency says
(f) All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases or odors, pose a risk to health and safety, or provide a breeding place or food source for insects or rodents. (2) Syringes and needles are disposed of in accordance with the California Code of Regulations, Title 8, Section 5193 concerning bloodborne pathogens. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview conducted with the Administrator, the licensee did not comply with the section cited above as per interview, the needles on pre-filled insulin pens were being disposed of in the trash can which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/16/2026 Plan of Correction The Licensee shall ensure that all needles are disposed of in a safe manner at all times. ******A sharps container was ordered and delivered by the pharmacy to the facility during this visit*****
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. 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 as it was observed that Resident #2 had a half bedrail mounted on the front of the hospital bed and a full bedrail on the back of the bed and there was no written physicians order indicating the need for the postural support maintaind in the residents file, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/16/2026 Plan of Correction The Licensee will ensure that a written physician's order is obtained indicating the need for the postural supports prior to installing rails on residents' beds. Licensee will remove the full bedrail on the back of Resident #2's bed and obtain a written physican's order for the use of a half bedrail by 7/16/26
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87609(b)(4)
- Regulation authority
- CCR
What the official deficiency says
(b) Incidental medical care may be provided to residents through a licensed home health agency provided the following conditions are met: (4) The licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident's medical condition(s). 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 the facility does not have a written agreement with the home health agency on the responsibilities of the home health agency used by Resident #4 and those of the licensee which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/16/2026 Plan of Correction The Licensee agreed to contact the home health agency used by Resident #4 and obtain an agreement defining the responsibllities of the home health agency and the responsiblities of the Licensee and maintain in the resident's file by 7/16/26. *******a copy of the agreement was obtained via email during today's visit*****