SOUTHLAND LIVING

Official classification

Type A

Official code

87465(h)(4)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: Plan of Correction

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation. 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 being met as evidenced by: Statements obtained confirmed observing cockroaches in facility hallways and in resident rooms. At 11:55am, LPA toured the dining room and observed dead cockroaches throughout the dining room area. At 12:02am, LPA toured room 69-A and observed dead cockroaches in the living room area, bathroom floor, bathroom cabinet, and inside the bathtub.

Official plan of correction

Administrator will develop a plan with a licensed pest control company and provide a copy of the contract to CCL outlining a revised approach to eradicate the ongoing issue of cockroaches inside the facility. POC must be submitted to CCL by the POC due date.

Deadline recorded: Jul 15, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303

Regulation authority

CCR

What the official deficiency says

Maintenance and Operations 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 has not been met as evidence by: During todays visit, LPA oberved there to be washers and dryers in need of repairing/replacing and 2 in operable dryers in laundry room #3. Flooring in laundry room #1 in need of replacing, and laundry room #2 in need of a thorough cleaning/dust removal which can pose a health and safety risk for residents in care.

Official plan of correction

The Licensee/Administrator shall have items cleaned/replaced/repaired and/or removed by POC date 06/22/22 and send proof of corrections to CCLD/Attn Nicol Wesley.

Deadline recorded: Jun 22, 2022. 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

Maintenance and Operations 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 has not been met as evidence by: During todays visit, LPA Wesley observed several wooden pallets, older washers, bedframes, brown wrought iron gate, yellow iron fencing, old bedroom furniture, boxes, wood pieces, broken down work truck(tags expired 2020)....Which poses a potential health and safety risk for residents in care.

Official plan of correction

The Licensee/Administrator shall have items removed by POC date 06/07/22 and send proof of corrections to CCLD/Attn Nicol Wesley.

Deadline recorded: Jun 7, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87218(a)(2)

Regulation authority

CCR

What the official deficiency says

Theft and Loss A licensee who fails to make reasonable efforts to safeguard resident property, shall reimburse a resident for or replace stolen or lost resident property at its current value. This requirement has not been met as evidence by: On 01/26/22, Amazon delivered a package#112-03293623067463 to the facility that was received in the reception area for resident #1 in which they never received the package. This can pose a potential health and safety risk for residents in care.

Official plan of correction

The Licensee/Administrator shall provide a refund to resident #1 in the amount of $20.94 by POC date 05/17/22 and send proof of corrections to CCLD/Attn Nicol Wesley.

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