BRIGHT SUNLIFE GUEST HOME

Official classification

Type B

Official code

87506(d)(e)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records (d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. (e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement was not met as evidenced by: Based on interviews, the Administrator/Licensee could not verify if R1 resided in this facility and did not maintain required records for R1 which poses an immediate safety risk and personal rights risk to residents in care.

Official plan of correction

Administrator stated they will search for residents records and will make records available if indeed this resident resided at this facility during the period of May 2025 to June 2025 and will notify LPA Felisa Shirley by POC due date of 5/12/26 by phone at 323-629-5133, by email, Attn: LPA Felisa Shirley at felisa.shirley@dss.ca.gov or fax to 424-544-1016.

Deadline recorded: May 12, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A 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 specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not meet by evidence by:

Official plan of correction

Licensee/Administrator shall read Title 22 87211 Reporting Requirements and send a written plan detailing how Licensee/Administrator will ensure that an incident is reported to CCLD. Administrator must conduct in-service training and provide a copy of the sign-in sheet of all facility staff in attendance. Plan of Correction (POC) is due to the CCLD/El Segundo ASC Regional Office by 06/20/25. Email to LPA Perry Scott at perry.scott@dss.ca.gov to avoid monetary penalties. Based on interviews conducted and record review, the licensee did not comply with section cited above by not submitting a written report to the licensing agency within seven days of the hospitalization of resident (R1) that occurred on 05/28/2025.

Deadline recorded: Jun 20, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(c)(3)

Regulation authority

HSC

What the official deficiency says

(c) The training shall include, but not be limited to, all of the following: (3) Residents’ rights. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review the licensee did not comply with the section cited above in having the staff take the training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/02/2023 Plan of Correction Adminisrtrator will ensure all staff will take the training and keep a copy on the staff file. As plan of correction, administrator will sent proof of correction to LPA before due date

Official classification

Type B

Official code

1569.625(c)(5)

Regulation authority

HSC

What the official deficiency says

(c) The training shall include, but not be limited to, all of the following: (5) Psychosocial needs of the elderly. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review the licensee did not comply with the section cited above in having the staff take the training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/02/2023 Plan of Correction Adminisrtrator will ensure all staff will take the training and keep a copy on the staff file. As plan of correction, administrator will sent proof of correction to LPA before due date

Official classification

Type B

Official code

1569.625(c)(9)

Regulation authority

HSC

What the official deficiency says

(c) The training shall include, but not be limited to, all of the following: (9) Cultural competency and sensitivity in issues relating to the underserved, aging, lesbian, gay, bisexual, and transgender community. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review the licensee did not comply with the section cited above in having the staff take this training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/02/2023 Plan of Correction Adminisrtrator will ensure all staff will take the training and keep a copy on the staff file. As plan of correction, administrator will sent proof of correction to LPA before due date.

Official classification

Type A

Official code

87309(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation), the licensee did not comply with the section cited above. LPA identified unlocked kitchen cabinets with sharp objects, knives and hazardous chemicals in unlocked storage cabinets. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/26/2022 Plan of Correction The licensee will adhere to Title 22 regulations 87309. The licensee will ensure that hazardousr items that pose danger to residents in care are in locked storage at all times. Proof of correction must be sent to CCLD via fax 323-981-1781 by (POC) 09/26/22. *This was corrected during visit.*

Official classification

Type B

Official code

87303(a)(1)

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. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation), the licensee did not comply with the section cited above. LPA identified bathroom #2 tub with soap, dirt and grime between tile and tub. The tub is unsanitary and requires deep cleaning. The violaton which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/10/2022 Plan of Correction The licensee will adhere to Title 22 regulations 87303. The licensee will ensure that all bathroom surfaces are sanitary and safe at all times. LIcensee will ensure to do some deep cleaning. Proof of correcction must be sent to CCLD via fax 323-981-1781 by (POC) 10/10/22.

Official classification

Type B

Official code

87303(f)(3)

Regulation authority

CCR

What the official deficiency says

(f) Solid waste shall be stored and disposed of as follows: (3) All containers, except movable bins, used for storage of solid wastes shall have tight-fitting covers on the containers; shall be in good repair; shall have external handles; and shall be leakproof and rodent-proof. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation, the licensee did not comply with the section cited above. LPA observed kitchen and bathroom trash bins unsanitary without lids. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/10/2022 Plan of Correction The licensee will adhere to Title 22 regulations 87303. The licensee will ensure to keep the facility in healthful and safe environment. Licensee to purchase trash bins with cover lids .Proof of correction must be sent to CCLD via fax 323-981-1781 by (POC) 10/10/22.

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. LPA observed stove overhead hood unsanitary and unsafe with grease and grime. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/10/2022 Plan of Correction The licensee will adhere to Title 22 regulations 87555. The licensee will ensure to maintain a safe and healthful enviroment. Kitchen surfaces must be kept clean at all time including overhead stove hood. Proof of correcction must be sent to CCLD via fax 323-981-1781 by (POC) 10/10/22.

Official classification

Type B

Official code

87555(29)

Regulation authority

CCR

What the official deficiency says

(29) All equipment, fixed or mobile, and dishes, shall be kept clean and maintained in good repair and free of breaks, open seams, cracks or chips. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation), the licensee did not comply with the section cited above. LPA identified 3 out of 5 stove burners not working properly and had to use a match to start the burners manually. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/10/2022 Plan of Correction The licensee will adhere to Title 22 regulations 87555. The licensee will ensure to repair the (3) burners that are in not working condition. Proof of correction must be sent to CCLD via fax 323-981-1781 by (POC) 10/10/22.

Official classification

Type B

Official code

87468.1(2)

Regulation authority

CCR

What the official deficiency says

(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation) and (record review), the licensee did not comply with the section cited above. LPA observed staff #2 with no mask. During record review, LPA observed daily temperature checks for residents/staff not maintained. LPA observed (MARs) not maintained daily for accuracy. LPA observed staff did not properly screen a visitor during entry. This violaiton which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/26/2022 Plan of Correction The licensee will adhere to Title 22 regulations 87468.1. The licensee will ensure that all staff wears a mask when assisting residents in care. Daily maintained records of temperature logs for staff & residents. Daily records of medication administration records for residents in care must be maintained daily for accuracy. Proof of correction must be sent to CCLD via fax 323-981-1781 by (POC) 10/10/22.

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 LPA observation, the licensee did not comply with the section cited above with water temperature ranging between 132.4 F and 121.5 F which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2021 Plan of Correction Licensee will call water specialist for the water heater and fix issue by 11/08/2021.

Official classification

Type A

Official code

87309(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above with knives not stored or locked up properly which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2021 Plan of Correction House Manager mmediately moved the knives to a locked cabinet below the kitchen sink.