Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. 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 [1] out of [3) staff files, LPA observed staff 3 missing current first aid and CPR certificates. Which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/13/2026 Plan of Correction Administrator will email LPA by POC date when staff 3 is scheduled for first aid/CPR training
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(d)
- Regulation authority
- CCR
What the official deficiency says
(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: 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 [2] out of [3] staff 1 & 3, are missing current and yearly training. Which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/21/2026 Plan of Correction Administrator will submit one completed training for staff 1 & 3 by POC date.
Staffing, personnel, and trainingType B
- 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 record review, the licensee did not comply with the section cited above in [2] out of [3] staff 1 & 3, are missing current and yearly training. Which poses/posed a potential health, safety or personal rights risk to persons in care..
Official plan of correction
POC Due Date: 04/21/2026 Plan of Correction Administrator will submit one completed training for staff 1 & 3 by POC date.
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 [2] out of [3] staff 1 & 3, are missing current and yearly training. Which poses/posed a potential health, safety or personal rights risk to persons in care
Official plan of correction
POC Due Date: 04/21/2026 Plan of Correction Administrator will submit one completed training for staff 1 & 3 by POC date.
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. 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 [1] out of [3) staff files, LPA observed staff 3 missing current first aid and CPR certificates. Which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/13/2026 Plan of Correction Administrator will email LPA by POC date when staff 3 is scheduled for first aid/CPR training.
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(17)(B)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: (17) Documents and information required by the following: (B) Section 87459, Functional Capabilities; 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 [3] out of [6] resident files, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/28/2026 Plan of Correction Administrator will submit completed resident records for residents 1 through 3, functional capabilities document to LPA by POC date.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87456(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (2) Perform a pre-admission appraisal. 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 [3] out of [6] resident files, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/28/2026 Plan of Correction Administrator will submit completed resident records for residents 1 through 3, pre-admission appraisal document to LPA by POC date.