Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(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 in twelve (12) out of twelve (12) rooms toured did not have required water temperature which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/24/2026 Plan of Correction Administrator had maintenance lower water tempreature at time of visit. A water log will be created and send to LPA on 08/31/2026 with water readings. R# 135-128.6, R# 134 -127.9, R# 219-129.1,R# 224-134.6,R#310-131.3. R# 318-102.2,R#422-129.3,R# 425-129.5,R#514-129.2,R#517-129.9, R#610-129.3, and R#617-132.9.
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above 1st floor hallway had boxes on floor which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/28/2026 Plan of Correction Administrator will send LPA pictures once boxes are removed and remind staff to no leave anything on floor that may be a tripping hazard to residents.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above last emegency drill was in march of 2026 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/28/2026 Plan of Correction Administrator will conduct drill with staff and send to LPA by POC due date.