AMERICARE ASSISTED LIVING OF ROLLING HILLS

Official classification

Type B

Official code

87465(f)(1)

Regulation authority

CCR

What the official deficiency says

(f) Emergency care requirements shall include the following: (1) The name, address, and telephone number of each resident's physician and dentist shall be readily available to that resident, the licensee, and facility staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation of record review, the licensee did not comply with the section cited above in two out of three (R3,R4) which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/08/2025 Plan of Correction Licensee (S1) has agreed to contact responsible parties (R4) to request a choice of personally preferred physician/mental/dentist, on or prior to the POC due date. S1 will forward, via email at Mario.Leon@DSS.CA.GOV, updated contact Idenitification of LIC601, ID & emergency contact. S1 was provided an appropriate dentist for R3 while LPA was on-site. S1 was provided an appropriate physician/mental/dentist for R4 whiole LPA was on site.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) 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: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in allowing two (2) wasp nests to remain in good health, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/08/2025 Plan of Correction Nests were removed by professional exterminators while LPA was on-site.

Official classification

Type A

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This has not been met as evidenced by: Based on observation and interviews the licensee failed to keep the indoor passageways free from obstruction. CCLD & S1 observed door latches intstalled on rooms 3, 5 and bathroom 1, which poses an immediate risk to the safety and personal rights risk to all residents in care.

Official plan of correction

The Licensee had the door latches in rooms 3, 5 and bathroom 1 removed during the investigation. The Licensee has agreed that the faciility will conduct an in-service training regarding title 22 regulation 87307(d)(6) - Personal Accommodations and Services Licensee will submit POC, via email Mario.Leon@DSS.CA.GOV, to CCLD staff on or prior to POC due date.

Deadline recorded: Nov 22, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. 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 having cleaning agents found unlocked inside cabinet of second bathroom which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/30/2024 Plan of Correction Facility staff locked cleaning agents while LPA was present. As part of Plan of Correction, licensee will ensure all cleaning agents are lock at all times. Licensee will conduct a re-traininig for all facility staff on how to keep cleaning agents lock. Proof of training will be sent to LPA via email before POC due date.

Official classification

Type B

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. 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 facility staff did not documented medication given for R#1 and R#2 on the days: 4/24, 4/25, 4/26, 4/27, and 4/28,which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/13/2024 Plan of Correction Licensee will ensure all facility staff will document medication given to residents in care at all times. As part an Plan of Correction, licensee will re-train all facility staff on how to properly document medications given to residents in care. Proof of training will be sent to LPA via email before POC due date.

Official classification

Type B

Official code

87411(d)(5)

Regulation authority

CCR

What the official deficiency says

Personnel Requirements – General. All personnel shall be given on the job training or have related experience in the job assigned to them....This requirement was not met as evidenced by: Based on record reviews and interviews conducted by Investigator (IB) Dennis Seng the licensee failed to ensure that staff had the knowledge necessary in order to recognize early signs of illness and the need for professional help. Staff S1 and S2 recognized R1 having pressure sores but failed to seek professional help even after being told to by R1’s home health agency which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee shall ensure all staff receive training on Emergency Procedures/ Care for Elderly Residents and submit sign in sheet, training materials and instructor information to Licensing by the POC due date.

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

Official classification

Type A

Official code

87615(a)(1)

Regulation authority

CCR

What the official deficiency says

87615(a)(1) Prohibited Health Conditions. Persons who require health services for or have a health condition including, but not limited to,..... This requirement was not met as evidenced by: Based on record reviews and interviews conducted by Investigator (IB) Dennis Cheng the licensee failed to ensure that residents with stage 3 pressure injuries are not retained at the facility, R1 developed Stage III pressure injuries on left sacrum and right buttocks while in care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee shall review Title 22 regulations regarding Prohibited Health Conditions and submit a statement confirming review of the regulations and acknowledging understanding.

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

Official classification

Type A

Official code

87466

Regulation authority

CCR

What the official deficiency says

Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. ....This requirement was not met as evidenced by: Based on record reviews and interviews conducted by Investigator (IB) Dennis Cheng the licensee failed to ensure that observation of unmet needs are brought to the attention of the resident's physician, staff failed bring R1’s complaints of pain and pressure sores to attention of R1’s physician which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee shall ensure all staff receive training on observation of the residents and submit sign-in sheet, training materials and instructor information to Licensing by POC due date.

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