INDEPENDENT ENTERPRISE HEALTH CARE INC

Official classification

Type A

Official code

87303(b)(2)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation: The facility shall cool rooms to a comfortable range, between 78 degrees F and 85 degrees, or in areas of extreme heat to 30 degrees F less than the outside temperature. This requirement was not met as evidenced by information recieved by a credible agency submitted to CCL confirming that facility temperature was approximately 89 degrees indoor, while exterior temperature was at least 100 degrees. This posed an immediate health and safety risk to the residents in care.

Official plan of correction

Moving forward, the administrator will insure that the facility will maintain a comfortable temperature for the residents at all times. As POC, administrator and staff will review this section of the regulation, and self-certify that they’ve read and understood regulation. Copy of this self-certification is due to CCL by 08/13/24

Deadline recorded: Aug 6, 2024. 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) The following food service requirements shall apply:(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 is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in maintaining an adequate supply of 2-day perishable and 7 day non-perishable food supply on the premises which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/21/2023 Plan of Correction Administrator will submit a copy of grocery receipts and pictures of food supply by POC due date.

Official classification

Type A

Official code

87611(a)

Regulation authority

CCR

What the official deficiency says

87611 (a)Prior to accepting or retaining a resident with an allowable health condition as specified in Section 87618, Oxygen Administration - Gas and Liquid; Section 87619, Intermittent Positive Pressure Breathing (IPPB) Machine; Section 87621, Colostomy/Ileostomy; Section 87626, Contractures; or Section 87631, Healing Wounds; licensees who have, or have had, any of the following within the last two years, shall obtain Department approval... 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 one (1) out of four (4) residents by not obtaining Department approval for retaining R1 who has a healing wound which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/24/2023 Plan of Correction Administrator will submit a written request for a restricted health condition for Resident #1 (R1) that includes but is not limited to: (1) Documentation of the resident's current health condition including updated medical reports, other documentation of the current health, prognosis, and expected duration of condition. (2) The licensee's plan for ensuring that the resident's health related needs can be met by the facility by POC due date.

Official classification

Type A

Official code

87755(a)

Regulation authority

CCR

What the official deficiency says

87755(a) Any duly authorized officer, employee or agent of the licensing agency may, upon proper identification and upon stating the purpose of his/her visit, enter and inspect the entire premise of any place providing services at any time, with or without advance notice. 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 by not providing access to the garage. Caregiver present did not have a key to allow the LPA access to the garage during a physical plant tour which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/21/2023 Plan of Correction Administrator will ensure that facility staff be able to provide access to entire premise to Any duly authorized officer, employee or agent of the licensing agency when the Licensee or Administrator is not able to be present. Administrator will submit a statement of understanding and a plan for how they will ensure access to any place in the facility by POC due date.

Official classification

Type B

Official code

87412(f)

Regulation authority

CCR

What the official deficiency says

87412(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 observation and record review, the licensee did not comply with the section cited above in one (1) out of one (1) personnel records by not having records available to LPA during unannounced annual visit which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/26/2023 Plan of Correction Licensee will send copies of LIC501, LIC503, First Aid / CPR certificate of staff present during annual inspection to CCL by POC due date.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

87506(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in four (4) out four (4) residents by not having resident records readily available to LPA or staff present for unannounced annual inspection which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/26/2023 Plan of Correction Administrator will ensure that current resident records are kept readily available to facility staff and licensing agency staff. Administrator review title 22 regulation 87506(a)-(e), and send a written statement that the regulation has been reviewed by POC due date.

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 the licensee/administrator confirmed 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 an 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 01/28/23.

Deadline recorded: Jan 28, 2023. A deadline is not proof that correction was completed.