HENRIETTA'S HOME

Official classification

Type A

Official code

87608(a)(5)

Regulation authority

CCR

What the official deficiency says

Postural Supports. Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet.” Based on photographic evidence night shift caregiver placed a laundry basket under R1's hospital bed mattress in order to limit the resident from getting up at night. Pillows and rail pads were also used. This poses an immediate health and safety risk to persons in care.

Official plan of correction

Administrator shall submit a written plan of correction by tommorrow. Submit staff in-service training by Tue. Jan. 14, 2025.

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

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care. The following requirements shall apply to medications which are centrally stored: 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 was not met evidenced by: Based on photographic evidence the findings indicate that a staff backpack that was placed on top of the kitchen counter by the toaster oven had a medication bubble pack sticking out, it is unknown which resident the medication belonged to, but medications must be locked. This poses an immediate health and safety risks to persons in care.

Official plan of correction

Licensee shall ensure all medications are locked and centrally stored, controlled subtance medications are accounted for, and MAR records are accurate. Submit by tomorrow a written POC, and proof of staff training.

Deadline recorded: Dec 19, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(c)(4)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia. Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. This requirement was not met evidenced by: Resident (R1) fell twice while sitting in the dining room chair, R4 had 2 falls; 1 in their room and iin May 2024 while sitting in the dining room chair, and as a result was hospitalized due to injuries. This poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator shall ensure that all residents in care are provided with adequate care and supervision to ensure their safety. Submit: 1. A plan on how the Dementia residents' safety will be ensured while sitting. 2. Proof of staff training.

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

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements. Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: cA written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events ... date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met evidenced by: Between Dec. 2023- June 2024 there were suspected scabies cases, that resulted in prophylaxis Permethrin treatment of residents, but none of the responsible parties had knowledge of treatment and CCLD did not receive any incident reports. This poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator shall ensure all incidents involving residents are reported to CCLD via fax and responsible parties. Submit written statement and proof of staff training.

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

Official classification

Type A

Official code

1569.605

Regulation authority

CCR

What the official deficiency says

Liability insurance… all residential care facilities for the elderly … shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement was not met as evidenced by: Based on liability insurance records reviewed, interviews conducted with Administrator and relevant witnesses, it was determined that the licensee did not have required liability insurance coverage for 08/26/2022 to present which poses an immediate safety risk to residents in care.

Official plan of correction

Licensee stated they will obtain liability insurance that complies with Health & Safety Code section 1569.605 and submit proof to LPA by POC due date (05/24/23).

Deadline recorded: May 24, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.605

Regulation authority

CCR

What the official deficiency says

CONTINUATION OF ABOVE Based on interviews and records review, the licensee did not maintain liability insurance covering injury to residents and guests in the amounts specified which posed a potential Health, Safety, or Personal Rights risk to 4 persons in care.

Deadline recorded: May 24, 2023. A deadline is not proof that correction was completed.