CLIMB, INC. - RCFE 1

Official classification

Type B

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

Personnel Requirements. Facility personnel shall be competent to provide the services necessary to meet individual client needs and shall, at all times, be employed in numbers necessary to meet such needs.... This requirement was not met evidenced by: Based on interviews and record review, on 4/13/2026 the facility failed to meet required Regional Center staff-to-client ratio of 1:2. A 1:3 staff-to-client ratio was observed, and the only staff present was a day program staff and not a DSP staff, which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator agreed to submit a written plan of correction that includes a revised staffing schedule and back-up staffing plan to address staffing gaps and call offs. The plan shall include information about day program staff use in the home. *NOTE: per plan of operation, day program staff are not authorized to work in the home.

Deadline recorded: Jun 23, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights of Residents in Privately Operated Facilities.... residential care facilities for the elderly shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. Based on interviews and record review, the findings indicate the facility did not provide required DSP staffing coverage, resulting in inadequate supervision; therefore, limiting R1's right to make choices regarding participation in day program services, which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator agreed to submit a written plan that includes R1's needs and services plan and individual needs. In addition, Administrator agreed to conduct HCBS final rule training to all staff regarding individual choices.

Deadline recorded: Jun 23, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. 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 that (R1) is not enrolled in hospice and their bed had full bed rails; which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/30/2024 Plan of Correction Staff removed the rails during the visit. Submit a copy of the half-rail physician order and picture evidence.

Official classification

Type B

Official code

87412(g)

Regulation authority

CCR

What the official deficiency says

(g) All personnel records shall be maintained at the facility. 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 that personnel files/records were not on site/available for review for staff (S5 & S6; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/05/2024 Plan of Correction Administrator agreed to submit a written statement of how the deficiency was corrected and will ensure all staff that work at the facility have required forms on file.

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, 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 is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that Licensee's current liability policy is a blanket policy shared by all Climb, Inc facilities, meaning this policy does not provide the required coverage of one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate for this facility; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/21/2023 Plan of Correction Licensee shall obtain liability insurance that complies with Health & Safety Code section 1569.605 and submit proof to LPA by POC due date (8/7/2023).

Official classification

Type A

Official code

1560(c)

Regulation authority

HSC

What the official deficiency says

Suspension and Revocation. Conduct which is inimical to the health, morals, welfare, or safety of either the people of this state or an individual in, or receiving services from, the facility or certified family home. This requirement is not met as evidenced by: Based on interviews conducted on 10/13/21 a visitor entered the facility and was not screened by staff on duty. During today's visit, LPA was not screened by staff. This poses an poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator shall re-train all staff on COVID-19 infection control screening protocols and infection control procedures. Submit proof of staff re-training by tomorrow.

Deadline recorded: Nov 3, 2021. A deadline is not proof that correction was completed.