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 [4] out of [total 4] staff files were missing initial or yearly training. Which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/11/2026 Plan of Correction Administrator will submit initial/orientation training records and certificates to LPA 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 [4] out of [total 4] staff files were missing initial or yearly training. Which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/11/2026 Plan of Correction Administrator will submit initial/orientation training records and certificates to LPA 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 [4] files was missing first aid/CPR certificate for staff. Which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/27/2026 Plan of Correction First aid/CPR certificate for staff will be submitted to LPA by POC date.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(a)
- Regulation authority
- HSC
What the official deficiency says
(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: 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 [4] out of [4] staff files were,missing medication training records. Which pose a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/11/2026 Plan of Correction Administrator will submit medication training certificates for all staff by POC date.
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(17)(A)
- 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: (A) Section 87457, 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 [6] out of [6] resident records were missing pre-admission appraisals. Which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/11/2026 Plan of Correction Administrator will submit (6) pre-admission appraisals for all residents admitted to the facility.
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 [6] out of [6] resident records were missing functional capabilities documents. Which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/11/2026 Plan of Correction Administrator will submit (6) functional capabilities documents for all residents admitted to the facility.
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(17)(E)
- 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: (E) Section 87463, Reappraisals; and 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 [total 6] residents were missing reappraisals in files. Which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/11/2026 Plan of Correction Administrator will submit reappraisals for the (2) residents 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 [6] out of [6] resident records were missing pre-admission appraisals. Which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/11/2026 Plan of Correction Administrator will submit (6) pre-admission appraisals for all residents admitted to the facility.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(h)
- Regulation authority
- CCR
What the official deficiency says
(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. 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 [6] residents did not have a current medical assessment. Which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/20/2026 Plan of Correction POC cleared during the visit. Administrator was able to obtain current medical assessment for resident.