ADORABLE REDBEAM HOME

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regualte the temperature of hot water used by residents to attain a temperature of not less than 105-degrees F and not more than 120-degrees F. 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 tested the water temperature in the bathrooms and kitchen and the temperature measured 120.4-, 123.3-, 124.3-, and 123.4-degrees F, which posed a potential health, and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/14/2023 Plan of Correction Administrator changed the temperature on the water heater during visit. LPA retested the temperature and the new temperature measured 115.0-degrees F.

Official classification

Type B

Official code

87411(c)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (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 (observation) (record review), the licensee did not comply with the section cited. LPA identified staff #6 and staff #7 did not have current CPR First Aid. This violation poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/27/2022 Plan of Correction Licensee will ensure to adhere to Title 22 87411 and obtain CPR/First Aid for staff #6 and staff #7. Proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 12/27.22.

Official classification

Type A

Official code

87413(a)(1)

Regulation authority

CCR

What the official deficiency says

87413 Personnel - Operations(a) In each facility: (1) When regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks. This requirement is not met as evidenced by: Based on interview, observation, and record review the licensee failed to ensure the safety of the residents, RM Yates was informed on 10/30/21, at 10:46am, by a text, from individual on behalf of the Administrator, that facility did not have sufficient staff, to care for three residents, and would be relocating the residents to other RCFE facilities which posed a health risk to residents in care.

Official plan of correction

Administrator will submit to DSS Licensing-LPA Senaha a staff schedule report prior to the admission of any new residents to the Adorable Redbeam Home facility.

Deadline recorded: Oct 30, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia...(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: Based on interview, observation, and record review the licensee failed to ensure the safety of the residents, RM Yates observed on 10/30/21, at 2:10pm, scissors on top of dining table, and also, RM Yates observed a pill box in S2 walker storage which posed a health risk to residents in care.

Official plan of correction

Administrator was informed of the accessibility of the scissors, and pill box to residents, in care, and immediately removed the items from the dining table and storage walker and placed the items in a locked closet drawer.

Deadline recorded: Oct 30, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: This requirement is not met as evidenced by: Based on interview, observation, and record review the licensee failed to ensure that facility ground items are safe for the residents, on 10/30/21, RM Yates observed an inoperable para transit bus parked in the facility's drive way, and also observed, that the inside of the bus was used as storage space, which posed a potential health risk to residents in care.

Official plan of correction

Administrator will remove the para transit bus from the facility's driveway, and fax a photo copy of the facility drive way to LPA Senaha. POC due date: 11/30/2021. LPA fax number: (323) 981-1781

Deadline recorded: Nov 30, 2021. A deadline is not proof that correction was completed.