AMAZING SENIOR CARE, INC

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in 1 out of 1 staff left the storage unlock for checmicals; which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2024 Plan of Correction Administrator needs to ensure that storage is lock and inaccessible to clients where chemicals are accessible.

Official classification

Type A

Official code

87309(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in 1 out of 1 staff left the storage unlock for checmicals; which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2024 Plan of Correction Administrator needs to ensure that storage is lock and inaccessible to clients where chemicals are accessible.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: 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. Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 1 out of 1 staff medication was seen seen bedroom #2 and bedroom #3 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2024 Plan of Correction Staff medication should not be in residents bedroom, this hsould be locked and inaccessible to residents.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: c) If the resident's physician has stated in writing... 2) Once ordered by the physician the medication is given according to the physician's directions. Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not assuring that R1's prescribed medications were given as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/12/2024 Plan of Correction Administrator agreed to schedule vendorized training for all staff by 11/12/2024 and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion. Administrator also agreed to notify doctor and submit LIC 624 to CCL regarding the incident.

Official classification

Type B

Official code

87307(a)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above in 1 out of 1 staff was found sleeping in bedroom #3, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2024 Plan of Correction Staff needs to be relocated and find a new place to reside, not in the facility.

Official classification

Type A

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: All RCFE staff who assist residents with personal activities & annual training as specified in Health and Safety Code sections…(1)Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. Deficient Practice Statement Based on the LPAs record review, the licensee did not comply with the section cited above. One caregiver has not completed the CPR and first aid training which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/12/2024 Plan of Correction The Licensee will send a copy of the caregiver's certificate of completion of the CPR and first aid training via email to LPA Ngo-Castaneda.

Official classification

Type B

Official code

87411(d)(3)

Regulation authority

CCR

What the official deficiency says

Personnel Requirements - General (d) (3) Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents. This requirement is not met as evidenced by: Based on an interview with the Administrator, during a previous visit conducted by the staff did not comply with the section cited above by not having staff that could communicate with residents, which poses and immediate Health and Safety and personal rights risk to persons in care.

Official plan of correction

Facility will have to train and ensure staff to have staff to properly comnunicate with the residents. This will be submitted to regional by 3.6.2024

Deadline recorded: Feb 21, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(a)

Regulation authority

CCR

What the official deficiency says

General Food Service Requirements: The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected stored, prepared, and served in a safe and healthful manner. This requirement is not met as evidenced by: Based on observation facility did not served healthy food to the residents, which poses and immediate Health & Safety and personal rights risk to persons in care.

Official plan of correction

Facility will need to have a new menu available for residents for breakfast, lunch, snacks and dinner. This will be submitted to regional office by: 3.6.2024

Deadline recorded: Feb 21, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(d)(1)

Regulation authority

CCR

What the official deficiency says

All personnel shall be given on the job training or have related experience in the job assigned to them. This training/ related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (1) Principles of good nutrition, good food preparation and storage, and menu planning. This requirement is not met as evidenced by: Facility was serving canned and frozen food.

Official plan of correction

Facility will need to have a new menu available for residents for breakfast, lunch, snacks and dinner. This will be submitted to regional office by: 3.6.2024.

Deadline recorded: Feb 21, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a)…(2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on observations, Resident #1 was not provided safe and healthful equipment as the cup and straw were not clean. This poses a potential health, safety and personal rights risk to residents in care.

Official plan of correction

Administrator will review regulation and submit a written letter certifying that, moving forward, they will ensure to follow and adhere to CCR Title 22 87468.1 Personal Rights of Residents in All Facilities; The written letter must be sent to the LPA by the POC due date.

Deadline recorded: Jun 14, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87470(c)(1)(F)

Regulation authority

CCR

What the official deficiency says

87470(c) Infection Control Requirements shall be developed by the licensee... (1) The Infection Control Plan shall include: (F) Staff shall demonstrate knowledge... appropriate to the job assigned and... This requirement is not met as evidenced by: Based on an interview with the Administrator, the licensee/administrator stated that during a previous visit conducted by the credible witness, staff did not comply with the section cited above by not wearing masks, which poses and immediate Health and Safety and personal rights risk to persons in care.

Official plan of correction

Licensee/Administrator agreed to provide in house training with all staff regarding Infection Control Requirements and COVID Protocol. A written statement signed by all staff regarding such training shall be emailed to LPA no later than 11/17/22.

Deadline recorded: Nov 17, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87307(e)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: Personal Accommodations and Services (e) Facilities providing services to residents who have physical or mental disabilities shall assure the inaccessibility of fishponds, wading pools, hot tubs, swimming pools, or similar bodies of water, when not in active use by residents, through fencing, covering or other means. Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in two out of two gates were obeserved to be unlocked by LPAs and caregiver which poses an immediate health, safety or personal rights risk to persons in care. An immediate civil penalty of $500 assessed for this violation.

Official plan of correction

POC Due Date: 09/16/2022 Plan of Correction LPA observed caregiver install padlock on gate. No further action needed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: (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 degree C) and not more than 120 degree F (49 degree C). Deficient Practice Statement Based on LPAs observation, the licensee did not comply with the section cited above in one out of two bathrooms water temperture was measured at 124 degress F which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/16/2022 Plan of Correction As POC staff adjusted water temperture to 105-120 degress F. No further action needed.