LONGWORTH HOME

Official classification

Type B

Official code

87217(g)(1)

Regulation authority

CCR

What the official deficiency says

(g)(1) Records of residents' cash resources maintained...account shall include a ledger accounting...for each resident, and supporting receipts filed in chronological order. Each accounting shall be kept current. This requirement is not met based on: Per record review , Residents(R) 1-4, do not have current PNI ledgers available for review. This poses a potential health and safety risk to 4 out of 4 clients in care

Official plan of correction

Licensee agrees to provide updated PNI records for R1-R4 to reconcile the cash balance for each resident and fax these records to Office Fax by POC due date.

Deadline recorded: Jan 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above as review of 3 out 4 staff files showed three staff members (S1,S2 and S3) needed a additional annual training to meet Health and Safety Code requirements. This poses a potential risk to health and safety of 4 out of 4 clients in care.

Official plan of correction

POC Due Date: 11/24/2025 Plan of Correction Licensee will provide proof of five additional training hours in Care for the Elderly for S1 and S2 and First Aid training for S3. The proof will be emailed to LPA by 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 LPA's observation, the licensee did not comply with the section cited above [4] out of [4] clients in care had access to cleaning supplies, rubbing alcohol and Hydrogen Peroxide which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/13/2025 Plan of Correction Staff made items inaccessiable to clients in care. POC cleared during visit.

Official classification

Type B

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 hot water temperture in clients' restroom measured at 99.7 F which is not within Title 22 regulations which poses/posed a potential health, safety or personal rights risk to 4 out 4 clients in care.

Official plan of correction

POC Due Date: 11/13/2025 Plan of Correction Staff adjusted the hot water heater temperture to meet Title 22 Regulations. Cleared during visit hot water temperture in clients' bathroom measured within Title 22 Regulations.(120*F)

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

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: LPA Wesley did a tour of the physical plant and saw wood pieces, and debris in the back yard. Deficient Practice Statement Based onobservation the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/30/2023 Plan of Correction The licensee shall have the items removed by POC date 12/30/2023 and send a picture to LPA Wesley showing the items were removed.

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 observation and interview, the licensee did not comply with the section cited above in having chemicals and disinfectants inaccessible to 4 out of 4 residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/16/2022 Plan of Correction Administrator Peter Ventura, stated he will provide training to staff on following regulations in regards to properly storing chemicals, disinfectants and cleaning solutions in locked areas inaccessible to residents and will provide documentation to LPA. LPA Calderon observed staff placing chemicals in locked cabinets inaccessible to residents.

Official classification

Type A

Official code

87465(c)(3)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. This requirement is not met as evidenced by: Deficient Practice Statement Based on observed , the licensee did not comply with the section cited above in having assist residents 1 out of 4 with medication and taking dosage needed which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/16/2022 Plan of Correction Administrator Peter Ventura, stated he will provide training to staff on following regulations in regards to staff properly documenting and distributing medications to residents who shall assist residents who are unable to self-administor. Ventura will provide documentation to LPA. LPA Calderon observed Ventura calling House Manager, Sarah Levante in regards to medication error. Facility will contact residents PCP for further instructions.