ANNABELLE'S COTTAGE

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance & Operation (e) Water supplies…shall be maintained…(2) Faucets used by residents…shall deliver hot water…to attain a temperature of not less than 105 degree F…and not more than 120 degree F… 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. The water temperature was 126 Degrees F which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/18/2025 Plan of Correction During LPA's visit, the water temperature was adjusted and at 12:20 pm, the water temperature was tested again and was 106 Degrees F.

Official classification

Type B

Official code

87465(h)(6)(A)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical…(h) the following requirements shall apply to medications…(6) the licensee shall be responsible…(A) the name of the resident for whom prescribed. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observations, the licensee did not comply with the section cited above. Two out of three resident's medications did not contain a pharmacy prescription label which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/26/2025 Plan of Correction The Licensee shall send snapshots to LPA Spaeth of the medications containing a pharmacy label.

Official classification

Type B

Official code

87457(c)

Regulation authority

CCR

What the official deficiency says

87457 (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs…This requirement is not met as evidenced by: The Administrator failed to complete an Admissions Appraisal prior to the resident moving into the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

The Administrator will complete the Pre-Admissions Appraisal and send a copy to LPA Spaeth via email.

Deadline recorded: May 13, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(a)

Regulation authority

CCR

What the official deficiency says

87507 Admissions Agreement (a) The licensee shall complete an individual written admission agreement. This requirement is not met as evidenced by: The Administrator failed to obtain a signed Admissions Agreement which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

The Administrator will obtain the signed Admissions Agreement and send a copy to LPA Spaeth via email.

Deadline recorded: May 13, 2025. A deadline is not proof that correction was completed.

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 LPA's review of staff records, the licensee did not comply with the section cited above. Based upon LPA's review of Staff (S1) records, the staff member has not completed the CPR/first aide training which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/24/2024 Plan of Correction The Administrator will forward a copy of S1's completed CPR/first aide training via email to LPA Spaeth

Official classification

Type A

Official code

1569.17(c)(1)(A)

Regulation authority

HSC

What the official deficiency says

(c)(1)(A) Subsequent to initial licensure, a person specified in subdivision (b) who is not exempted from fingerprinting shall obtain either a criminal record clearance or an exemption, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in a facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Spaeth's entrance to the facility, LPA observed a relative of the caregiver who has not obtained a criminal record clearance. The licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA Spaeth obseved the relative left the facility at 11:15 am.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction LPA Spaeth observed the relative left the facilty at 11:15 am during LPA's visit to the facility.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

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). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observations, the knives and the gardening tools were not safely locked. The licensee did not comply with the section cited above in two out of two incidents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction During LPA's visit, LPA observed the caregiver securely locked the knives in a locked cabinet and locked the gardening tools in the garage.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (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: Deficient Practice Statement Based on LPA's observations, the licensee did not comply with the section cited above. The medication cabinet was not locked which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2024 Plan of Correction During LPA's visit, the medication cabinet was locked.

Official classification

Type A

Official code

87705(j)

Regulation authority

CCR

What the official deficiency says

(j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observations, the licensee did not comply with the section cited above. The egress system was not properly working which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/24/2024 Plan of Correction The Licensee will send a video to LPA Spaeth via cell phone showing the egress system is now properly working on all exits.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives…tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Based on LPA's observations, a four-prong grilling utensil was beside the outdoor grill, was not locked & the laundry room was not locked & contained laundry soap & cleaning solutions. This poses an immediate health & safety risk to the residents in care.

Official plan of correction

Staff immediately removed the grilling utensil and locked the utensil in the garage. Staff also immediately locked the laundry room. The deficiency was cleared during LPA's visit.

Deadline recorded: Jan 19, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87412(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Spaeth observations, the staff records were not available to LPA, 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: 08/07/2023 Plan of Correction Administrator will ensure staff files are located at the facility for LPA's review. Administrator will send a copy of staff training records to LPA by 8/07/2023 via email.

Official classification

Type A

Official code

87355(d)(3)

Regulation authority

CCR

What the official deficiency says

(3) The licensee shall submit these fingerprints to the California Department of Justice, along with a second set of fingerprints for the purpose of searching the records of the Federal Bureau of Investigation, or comply with Section 87355(c), prior to the individual's employment, residence, or initial presence in the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Spaeth observations, the licensee did not comply with the section cited above in one out of five staff members which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/02/2023 Plan of Correction LPA Spaeth observed S1 left the facility at 2:00 pm.

Official classification

Type B

Official code

87705(f)

Regulation authority

CCR

What the official deficiency says

87705Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives...(2) Over-the-counter medication, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Based on observation, the licensee failed to ensure cleaning supplies (toxins) were inaccessible to dementia residents which poses an immediate health risk to residents in care.

Official plan of correction

This item was secured during LPA's inspection and a new battery was added to the door lock. LPA confirmed the door was locked.

Deadline recorded: Oct 6, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468(a)(2)

Regulation authority

CCR

What the official deficiency says

Personal Rights (a) Residents in residential care facilities for the elderly shall have personal rights...(2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This was evidenced by: The resident wandered away from the facility at about 10:30 am on 4/01/2022 and brought back to the facilty by a neighbor. Also, based upon LPA interviewing the caregiver, the resident to leave the facility without supervision which is an immediate health and safety risk to residents in care.

Official plan of correction

Administrator will submit a written plan as to what steps will be taken to ensure residents who are not able to leave the facility unannisted do not. Administrator will also submit a signed document which states caregivers received training from the Administrator regarding the written plan.

Deadline recorded: Oct 12, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

87303 Maintenance and Operation (3) Water supplies and plumbing fixtures shall be maintained as follows: (5) Non-skid mats or strips shall be used in all bathtubs and showers. This requirement is not met as evidenced by: LPA Spaeth observed there are no non-skid mats located in the two bathrooms, which is an immediate health and safety risk to residents in care.

Deadline recorded: Jun 27, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(3)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record... This requirement was not met as evidenced by: LPA reviewed resident file and did not find a written order for the resident's half bed rails.

Official plan of correction

Administrator will obtain a current hospice care plan which indicates the need for the postural support.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports (a)(5)(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently on hospice care and..hospice care plan that specifies the need for full bed rails.This requirement was not met as evidenced by: Licensee did not comply with the section cited above by utilizing full bedrails for R1 who is on hospice however licensee does not have hospice care plan which indicates the need which poses an immediate health, safety personal rights risk to R1.

Official plan of correction

Administrator will obtain a current hospice care plan which indicates the need for the full rails.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

87555(b) General Food Service Requirements (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement was not met as evidenced by: Based upon LPA's observation the facility did not have an adequate supply of fresh fruits and vegetables and canned goods.

Official plan of correction

Administrator will purchase food needed and provide a snapshot of food purchased.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(j)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dimentia (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement was not met as evidenced by: Based upon LPA's observations, the alarm on all exit doors were not working. This poses an immediate health, safety and personal rights risk to persons in care.

Official plan of correction

Administrator will ensure alarms have been properly repaired. Administrator will send paperwork from the company (Vivint) stating the alarm has been properly repaired.

Deadline recorded: Oct 4, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.311

Regulation authority

HSC

What the official deficiency says

1569.311 Carbon monoxide detectors required; inspection. Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility...This requirement is not met as evidenced by: Based on observation and interviews, licensee failed to ensure the facility had one or more carbon monoxide detectors at the facility which poses an immediate health and safety risk to residents in care.

Official plan of correction

Administrator will provide a receipt and a picture showing the devices have been installed within the facility.

Deadline recorded: Oct 4, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

80020(a)

Regulation authority

CCR

What the official deficiency says

Fire Clearance Violations, including, but not limited to, over capacity, ambulatory status, inoperable smoke alarms, and inoperable fire alarm systems. All facilities shall secure and maintain a fire clearance approved by the city or county fire department, This is not met as evidenced by observation and inteview the licensee did not comply with the regulation above by not ensuring the smoke detectors are operational which poses an immediate health,safety personal rights risk to persons in care.

Official plan of correction

Adminstrator will notify the department in writing what steps were taken to clear this deficiency This is a zero tolearnce violation therefore a civil penalty in the amount of $500 has been issued. Civil penalty will continue to accrue in the amount of $100 per day until plan of correction has been submitted.

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

Official classification

Type B

Official code

87633(b)

Regulation authority

CCR

What the official deficiency says

87633(b) A current and complete hospice care plan shall be maintained ... for each hospice resident and include the following: This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above by not obtaining hospice plans for R1 and R2.

Official plan of correction

Licenseevwill obtain a copy of the hopsice care plan fro both residents and submit copies to the LPA as POC.

Deadline recorded: Oct 4, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87632(a)

Regulation authority

CCR

What the official deficiency says

In order accept or retain terminally ill residents & ... receive care from a hospice agency, the licensee shall have obtained a facility hospice care waiver from the Department. This requirement was not met as evidenced by: Based on record review,the licensee did not comply with the section cited above by retaining 2 residents on hospice prior to obtaining an approved hospice waiver which poses an potential health, safety & personal rights risk to persons in care.

Official plan of correction

Licensee will Submit hospice care waiver request or exception to retain the two hospice residents.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

87411(c)(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not ensuring 5 out of 8 staff received first aid training which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee/Administrator will provide first aid training to all staff and submit copies of certificates/cards as POC.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.69(a)

Regulation authority

HSC

What the official deficiency says

1569.69(a) Each residential care facility...shall ensure ... employee ... who assists residents with the self-administration of medications meets... training requirements: This requirement is not met as evidenced by: Upon review of the staff records, LPA observed staff has not completed the required medication trainnig.

Official plan of correction

Licensee/Administrator will schedule vendorized medication training for all staff who assist residents with medication. Verification of scheduled training with the trainers credentials will need to be submitted by 10/01/2021 and verification of completed training will need to be submitted to LPA by 10/11/2021.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.696(a)

Regulation authority

HSC

What the official deficiency says

1569.696(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care...the training requirements specified in .... The training shall include all of the following: This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by not ensuring staff received the required training which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee/Administrator will need to schedule vendorized training for all staff. Verification of scheduled10/02/2021 with the trainers credentials will need to be submitted to LPA by 10/11/2021 and verification of completed training will need to be submitted to LPA by 10/11/2021.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)

Regulation authority

HSC

What the official deficiency says

1569.625(b) Staff training; legislative findings; contents. (1) The department ...staff members ...who assist residents with personal activities of daily living to receive ... training. This training shall consist of 40 hours of training. ...(2) training requirements shall also include an additional 20 hours annually…. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by not ensuring staff received the required training which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee/administrator will schedule vendorized training for all staff. Licensee/administrator will submit verification of scheduled training with the trainers credentials to LPA by 10/01/2021 and submit verification of completed training to LPA by 10/11/2021

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(a)

Regulation authority

HSC

What the official deficiency says

87405(a) All facilities shall have a qualified and currently certified administrator. This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above by not having a certified administrator working which poses a potential health, safety, personal rights risk to persons in care.

Official plan of correction

Licensee/Administrator will need to notify the department in writing how this deficiency will be cleared.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(2)

Regulation authority

HSC

What the official deficiency says

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 by not conducting routine symptom screening for resident,staff & visitors which poses an immediate health, safety, personal rights risk to persons in care.

Official plan of correction

Licensee/Administrator will begin screening all residents, staff and visitors. Licensee/Administrator will create a sign in sheet which includes COVID symptom questions and recorded tempereatures. Licensee will send a copy of the sign in sheet to LPA Spaeth.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(d)(5)

Regulation authority

CCR

What the official deficiency says

87411(d)(5) (d) All personnel shall be given training... This training ...shall provide knowledge of and skill in the following,.. for the job assigned and ... job performance: (5) Knowledge necessary in order to recognize early signs of illness and the need for professional help. This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by not providing staff training on infection prevention, symptoms, transmission and PPE use by any individual trained in infection control which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee/Administrator will schedule training for all staff to be provided by and individual certified in infection control infection prevention, symptoms, transmission and PPE use, and all sections listed in the department LIC808 Mitigation Plan. Training will need to be scheduled within 24 hours and completed within 7 days. Licensee/Administrator will email LPA with the credentials of the trainer and the scheduled training date and submit verification of training once completed.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

87411 (f) Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by. Based on interview, the licensee did not comply with the section cited above by not having qualified staff on the premises at nights resulting in absence of supervision for the 2 residents in care which poses an immediate health, safety personal rights risk to persons in care.

Official plan of correction

The Administrator agrees to provide CCL with a current, complete Personnel Report (LIC 500) This deficiency resulted in an absence of supervision which is a zero tolerance deficiency as per Health & Safety Code 1597.58 which states that an immediate Civil Penalty of $500 will be assessed at the time of the citation and an additional $100 per day until the deficiency is corrected.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468(a)(1)

Regulation authority

CCR

What the official deficiency says

Residents in all residential care facilities shall have all of the following personal rights: (1)To be accorded dignity in their personal relationships with staff. This requirement was not met as evidenced by: Based on observation, interview, the licensee did not comply with the section by R1 by placing a baby monitor in resident room to monitor residents at night which poses an immediate health, safety and personal rights risk to persons in care.

Official plan of correction

The Administrator agrees to provide CCL with a current, complete and correct Personnel Report (LIC 500) that documents sufficient staffing and includes designated on-call staff with contact information and estimated response time to the facility in an emergency.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(6)(6)

Regulation authority

CCR

What the official deficiency says

87465 (h)(6) (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications ... is maintained for at least one year and includes… This requirement is not met as evidenced by:Based on interview and record review, the licensee did not comply with the section cited above by not completing/retaining centrally stored medication & destruction record for 2 out of 2 residents which poses a potential health, safety and personal rights risk to persons in care

Official plan of correction

Licensee will complete centrally stored medication and destruction records for all residents and submit copies to the LPA as POC.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(b)(c)(d)

Regulation authority

CCR

What the official deficiency says

Licensee is required to have PRN authorization letter on file signed by a physician to determine whether or not the residents can communicate the need and/or symptoms clearly for the as needed (PRN) medication. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not obtaining PRN authorization letters for 2 residents which poses a potential health,safety or personal rights risk to persons in care.

Official plan of correction

Licensee will contact residents Physicians to obtain PRN authorization letters for all residents who they provide medication assistance to. Copies of the PRN authorization letters will need to be submitted as POC.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87205(b)

Regulation authority

CCR

What the official deficiency says

87205 (b) Accountability of Licensee Governing Body-(b) If the licensee is a corporation or an association, the governing body shall be active, and functioning in order to assure accountability. This requirement is not met as evidenced by: the licensee did not comply with the section cited above by not ensuring that the corporation remains active which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

Licensee will resolve the corporation status and ensure that it is active. Proof of resolution will need to be submitted as POC.

Deadline recorded: Oct 8, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

Liability insurance; coverage requirements On and after July 1, 2015, all residential care facilities for the elderly...shall maintain liability insurance covering injury to residents and guests...This requirement was not met as evidenced by: Based on interview, the licensee did not comply with the section cited above as the failing to obtain/maintain liability insurance which poses a potential health, safety, personal rights risk to persons in care.

Official plan of correction

Licensee will review the health and safety code, obtain liability insurance as required by the health and safety code. Copy of the current liability insurance certificate will need to be submitted as POC.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87305(a)

Regulation authority

CCR

What the official deficiency says

87305(a) Alterations to Existing Building or New Facilities Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by: Based on observations, the licensee did not comply with the section cited above by building unpermitted staff rooms in the garage which poses an immediate health, safety and personal rights risk to persons in care and staff.

Official plan of correction

Licensee will notify the department in writing how this deficiency has been cleared.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87207

Regulation authority

CCR

What the official deficiency says

False Claims: No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above by providing false/misleading statement regarding the designated facility administrator.

Official plan of correction

The licensee will submit a written explanation why the false/misleading statements were made and what steps will be taken to prevent a repeat of this deficiency.

Deadline recorded: Oct 11, 2021. A deadline is not proof that correction was completed.