BELLA VISTA

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(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: Deficient Practice Statement Based on interview, record review, the licensee did not comply with the section cited above in that first aid/CPR training in (2) out of (5) staff files reviewed were expired which poses/posed a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 07/11/2025 Plan of Correction Administrator agreed to submit proof of current first aid/CPR training for S1-S2 to CCL/LPA by POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303..Maintenance and Operation..(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include.. maintenance services .. for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on LPA’s observations during the physical plant tour and interviews, LPA observed dead roaches in R1's bedroom and bathroom which poses a potential health, safety, and/or personal rights risk to the residents in care.

Official plan of correction

Administrator will continue to have the facility specifically R1's room to be serviced by a pest control on a regular basis and submit copies of the exterminator's service report/invoices to LPA/CCL by POC due date.

Deadline recorded: Dec 27, 2024. A deadline is not proof that correction was completed.

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 Administrator did not comply with the section cited above in which (2) out of (5) random resident rooms inspected did not meet the required water temperature readings. Room #32 (101.3 deg F) and Room #35 (95.3 deg F) which poses/posed a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 05/17/2024 Plan of Correction Administrator will submit a 7-day log of water temperature in Rooms #32 & #35 and ensure that the water readings are within Title 22 Regs. Log to be submitted to CCL/LPA by POC due date.

Official classification

Type B

Official code

87303(f)(1)

Regulation authority

CCR

What the official deficiency says

(f) Solid waste shall be stored and disposed of as follows: (1) Solid waste shall be stored, located and disposed of in a manner that will not permit the transmission of a communicable disease or of odors, create a nuisance, provide a breeding place or food source for insects or rodents. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the Administrator did not comply with the section cited above in that LPAs observed drain flies inside the bathroom in Room #9 which poses/posed a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 05/17/2024 Plan of Correction Administrator will submit a copy of the invoice and service report from pest control company to CCL/LPA by POC due date.

Official classification

Type B

Official code

87303(g)(1)

Regulation authority

CCR

What the official deficiency says

(g) Facilities which have machines and do their own laundry shall: (1) Have adequate supplies available and equipment maintained in good repair. Space used to sort soiled linen shall be separate from the clean linen storage and handling area. Except for facilities licensed for fifteen (15) residents or less, the space used to do laundry shall not be part of an area used for storage of anything other than clean linens and/or other supplies normally associated with laundry activities. Steam, odors, lint and objectionable laundry noise shall not reach resident or employee areas. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the Administrator did not comply with the section cited above in that one of the washing machines in the laundry room is inoperable and missing a door which poses/posed a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 05/17/2024 Plan of Correction Administrator will send a copy of the invoice from the service technician to show that the washing machine has been replaced or fixed. Invoice/report to be submitted to CCL/LPA by POC due date.

Official classification

Type B

Official code

1569.695(f)(1)

Regulation authority

HSC

What the official deficiency says

(f) A facility shall have both of the following in place: (1) An evacuation chair at each stairwell, on or before July 1, 2019. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the Administrator did not comply with the section cited above in that the facility does not have an evacuation chair at each stairwell available to facility staff during an emergency which poses/posed a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 05/17/2024 Plan of Correction Administrator will submit a proof of purchase of the evacuation chair and submit photos that it had been installed in the stairwell. Proof of purchase and photos to be submitted to CCL/LPA by POC due date.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review, the Administrator did not comply with the section cited above in that LPAs observed 1/2 bedrail in C2's bedroom (Room #8) and facility cannot provide a written order from C2's physician which poses/posed a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 05/17/2024 Plan of Correction Administrator to submit a copy of the Physician's order for the 1/2 bedrail for C2 to CCL/LPA by POC due date.

Official classification

Type B

Official code

87468.1

Regulation authority

CCR

What the official deficiency says

Personal Rights of Resident in all Facilities. Each resident shall be accorded dignity in his/her personal relationships with staff, residents and other persons. On 6/1/23 LPA Calderon interviewed staff(s) and resident(s). S1 admitted hand gestures and that at the time did not think R1 would take offensively. R1 stated gesture and how matter was approached was inappropriate felt that S1 made her feel uncomfortable.

Official plan of correction

Per Administartor reported that S1 was out on a leave, and training in sexual harrasment training will occur. Licensee/ Administrator will go over Personal Right Regulations 87468.1 and sexual harrasment training will provide proof to LPA Calderon by 6/30/23.

Deadline recorded: Jun 30, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

Care of Persons with Dementia The following shall be stored inaccessible to residents with dementia: 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; During today vist, LPAs oberserved two bottles of the laundry detergent in the laundry room left accessible to residents, which poses immediate health and safety risks to the residents in care.

Deadline recorded: Sep 7, 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

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 met as evidenced by: During today visit, LPAs observed one private bathroom in room #20 has no running hot water. The staff will move the resident to another room temporarily until the plumber fixes the issues The plumber is scheduled to come out on 9-8-22

Deadline recorded: Sep 9, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87470(c)(1)(F)

Regulation authority

CCR

What the official deficiency says

87470 nfection Control Requirements (c)An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. (1) The infection control plan shall include of the following: (F) Staff shall demonstrate knowledge of and skill in infection control, as appropriate to the job assigned and as evidenced by safe and effective job performance. The requirement is not met as evidenced by: LPA observation, LPA observed S2 did not wear mask while talking to the visitor which posed an potential risk to residents in care.

Official plan of correction

The administrator will ensure the facility is following infection control plan and the administrator will retrain the staff about the infection control and send the staff training log to LPA by POC due date.

Deadline recorded: Aug 3, 2022. A deadline is not proof that correction was completed.