Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. 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 two (2) out of five (5) residents (R1 & R5) did not have any TB test results on file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/10/2025 Plan of Correction Administrator Agreed to contact R1's and R5's Physician and do a TB test by 11/10/2025. The proof will be provided to LPA by POC due date.
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
87465(h)(2) Incidental Medical and Dental Care- Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA’s observation, the licensee failed to ensure that the facility's medication was locked and inaccessible to residents in care. This posed a potential health risk to residents in care
Official plan of correction
POC Due Date: 11/10/2025 Plan of Correction All staff will complete in-service training regarding access policy to medications by the POC due date. Licensee will provide statement that moving forward, medication locking mechanism will comply with regulations. Evidence of completion to be submitted to LPA as POC.
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 7355(e)(1)
- Regulation authority
- CCR
What the official deficiency says
7355(e)(1) Criminal record clearance: (e) All individuals subject to a criminal record review... (1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidenced by: Deficient Practice Statement Licensee agreed to complete S1's and S2's fingerprints and associate both staff to the facility. Copy of proof will be submitted to LPA by POC date. Civil penalty assessed.
Official plan of correction
POC Due Date: 11/05/2025 Plan of Correction Based on interview and record review, the licensee did not comply with the section cited above by hiring S1 on 11/01/2024 S2 on 09/24/2025 without fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
87465- Incidental Medical and Dental Care: c) If the resident's physician has stated in writing... 2) Once ordered by the physician the medication is given according to the physician's directions. 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 not assuring that R3's prescribed medications were given as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/05/2025 Plan of Correction Administrator agreed to schedule vendorized training for all staff by 11/05/2025 and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion. Administrator also agreed to notify doctor and submit LIC 624 to CCL regarding the incident.
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(1)
- Regulation authority
- HSC
What the official deficiency says
Staff Training: (b) (1)(2).... This training shall consist of 40 hrs; 20 hrs, including six hrs specific to dementia care...and four hrs specific to .... before working independently with residents; remaining 20 hours shall include six hours specific to dementia...shall be completed within the first four weeks of employment. This requirement is not met as evidence by: This requirement is not met as evidenced by: Deficient Practice Statement Based on the record review and interview, the licensee failed to comply with the section cited above by not providing any required training to S1 which poses a potential health risks to residents in care.
Official plan of correction
POC Due Date: 11/10/2025 Plan of Correction Licensee/Administrator agreed to have staff complete the required training hours according to the health and safety code referenced and submit proof of training record to LPA by 11/10/2025.