SAN DIMAS RETIREMENT CENTER

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. 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 [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/25/2025 Plan of Correction Cited in error.

Official classification

Type A

Official code

87465(h)(1)(B)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care. Medications shall be centrally stored under the following circumstances: Any medication is determined by the physician to be hazardous if kept in the personal possession of the person for whom it was prescribed. This requirement was not met evidenced by: Based on observation during interview with resident (R1), 3 medications were observed on the resident's table next to the recliner. Resident stated they are confused and need help with medication management; resident could not recall the names or dosage times; which poses an immediate health and safety risk to the resident.

Official plan of correction

LVN staff removed medications from R1's room, and will begin managing R1's medications. Administrator shall: 1. Submit written proof of correction and conduct staff training by tomorrow. 2. Notify responsible party of care plan changes 3. Follow-up with Primary Care Physician for change in condition

Deadline recorded: Jul 24, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and records review, the licensee did not comply with the section cited above in 5 of out of 7 staff files missing proof of required annual training certification, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/03/2023 Plan of Correction Assistant Administrator will provide proof of required annual training certification to LPA via email by POC due date.