BETD SAN FERNANDO CARE LLC

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. 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 maintaining the medications in original bottles, rather than storing in weekly pill boxes, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/30/2025 Plan of Correction Administrator removed the pills from the weekly pill boxes and will ensure that medications are only removed from the original bottles, prior to administration. Administrator will ensure medications are kept in original bottles at all times.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above, in which 3 resident files did not have current physician reports, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/10/2025 Plan of Correction Administrator will obtain current copies of physician records and will submit by the POC date.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

87405(a) Administrator Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. Tthis was not met as evidence by: Based on interview and record review the Administrator failed to renew Administrator certificate, this poses a potential health and safety risk to residents in care.

Official plan of correction

Administrator discussed and agreed to submit all required documentation for certificate renewal by POC due date and will email LPA Casillas verification.

Deadline recorded: Feb 11, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

1569.605 Liability Insurance. On and after July 1, 2015, all residential care facilities for the elderly…shall maintain liability insurance ...of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000)…This was not met as evidence by: Based on record review, facility does not currently have valid or active liability insurance, this poses a potential health and safety risk to residents in care

Official plan of correction

Administrator will purchase liability insurance and will submit proof via email to LPA Casillas by POC due date.

Deadline recorded: Feb 11, 2025. A deadline is not proof that correction was completed.