RESERVE AT THOUSAND OAKS, THE

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation], the licensee did not comply with the section cited above as water in room F7 measured at 138.4 degrees F and water in E1 measured at 133.1 degrees F, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 07/16/2024 Plan of Correction During today's visit, water was adjusted in both resident rooms. Maintenance informed LPA that each individual unit has their own water heater and that random water temperature inspections occur monthly. LPA advised to inspect units more regularly to ensure water temperature remains within the appropriate range.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above as the ceiling in the main building second floor common area was covered in plastic and observed to be leaking water and has been for about a month, which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/23/2024 Plan of Correction Associate Executive Director indicated that the area is pending repair at this time. Management will provide plan for repair by 07/23/2024 and subsequent proof of repair to CCL upon completion.

Official classification

Type B

Official code

87555(b)(27)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as fruit/drain flies were observed in both the kitchen and in the server station just outside the kitchen, which poses a potential health and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/23/2024 Plan of Correction Associate Executive Director indicated that pest control will be coming out on Friday to address the situation. Management will provide proof to CCL by POC due date of pest control service.

Official classification

Type B

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as the Fitness Room in the main building was observed to be unlocked and unattended and contained accessible scissors and screwdrivers, laundry detergent was left unattended in the laundry room, as well as an additional staff office was left unattended and contained staff's persoal items, personal care items and COVID tests, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 07/30/2024 Plan of Correction Doors to the Fitness Room were closed, laundry detergent was returned to the resident it belonged to, and the staff returned to the room. Relevant staff training will be conducted and proof sent to CCL by POC due date.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465(a)(4) Incidental Medical and Dental Care. The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on the medication audit, the licensee did not comply with the section cited above, as the medication count was off for 1 out of 5 residents (R1), which poses an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 07/14/2023 Plan of Correction The Administrator agreed to do the following: 1. Conduct a medication audit with medication technicians, ensuring that staff are up-to-date regarding medication administration procedures. Training must begin within the next 48 hours, to be completed by 7/21/2023.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

87411(c)(1) Personnel Requirements – General. 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 3 out of 6 staff files (S1, S2, S3), which poses a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 07/21/2023 Plan of Correction The Administrator has agreed to do the following: 1. Obtain valid first aid certification for the three staff no later than 7/21/2023

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1(a)(1) Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above, as S1 admitted to hugging and kissing R1 on the forehead, as well as accepted gifts from residents, which poses an immediate personal rights risk to residents in care.

Official plan of correction

The Administrator agreed to do the following: 1. S1 was placed on leave as of 5/24/2022 and has since resigned. 2. Facility staff will review Regulation 87468 and the internal policy regarding accepting gratuities. Proof of completion provided no later than 8/30/2022.

Deadline recorded: Aug 30, 2022. A deadline is not proof that correction was completed.