KAREN'S BOARD AND CARE, INC

Official classification

Type B

Official code

87211(g)

Regulation authority

CCR

What the official deficiency says

(g) The licensee shall notify the Department, in writing, within thirty (30) days of the hiring of a new administrator. The notification shall include the following: 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 two (2) residents passed away and CCLD did not receive a death report which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/23/2025 Plan of Correction The administrator shall send all unusual incident death reports to LPA when a resident passes away within 7 days of occurance.

Official classification

Type B

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on the record review, the licensee did not comply with the section cited above in four (4) out of four (4) staff did not have CPR training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/23/2025 Plan of Correction All four (4) staff shall receive CPR training and send copy to LPA.

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 the record review the licensee did not comply with the section cited above in one out of four staff not having a health screening record on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/23/2025 Plan of Correction The licensee/administrator shall send health screening copy of the employee to LPA.

Official classification

Type B

Official code

87463(h)(1)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. (1) Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on the record review the licensee did not comply with the section cited above in six out of six residents did not have a resident appraisal/reappraisal and/or update appraisal which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/23/2025 Plan of Correction The licensee/administrator shall send a copy of the resident appraisal and/or updated reappraisal to LPA.

Official classification

Type A

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview of two of the administrators and record review, the licensee did not comply with the section cited above in five out of five persons which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/03/2024 Plan of Correction Licensee/Administrator will email certification of CPR/Firstaid of all five (5) staff currently working at the facility.

Official classification

Type A

Official code

87705(c)(4)(A)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident's physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. This requirement is not met as evidenced by: Deficient Practice Statement Based on the interview of one of the administrators and record review, the licensee did not comply with the section cited above in three out of five persons which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/03/2024 Plan of Correction Licensee/Administrator has to email a staff roster showing who is working the over-night shift caring for the demetia residents.

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

87355 (e)(1) Criminal Record Clearance All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or.. This requirement is not met as evidenced by: LPA observed staff assisting residents in the bedroom. Per administrator, today is staff's first day and has not been cleared to work at the facility.

Deadline recorded: Dec 13, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

87468.1(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above due to the staff not following the infection control mitigation plan which poses an immediate health, safety or personal rights risk to persons in care.

Deadline recorded: Dec 3, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above due to knives and cleaning supplies being accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Deadline recorded: Dec 3, 2021. A deadline is not proof that correction was completed.