MY HOME II

Official classification

Type A

Official code

87466

Regulation authority

HSC

What the official deficiency says

The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Based on interview and records review, licensee failed to ensure that the resident was immediately sent for medical attention when observed to be so, this poses an immediate health and safery risk to the residents in care.

Official plan of correction

The Administrator agreed to conduct an in service to all the staff to avoid future occurence of the same inaction and will submit to CCL on or before the POC date.

Deadline recorded: Jun 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(8)

Regulation authority

CCR

What the official deficiency says

To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement is not met as evidenced by: Based on LPA's interview, the licensee did not protect the resident's right when S1 intended to borrow money from R1, this poses a potential personal rights risk to the resident in care.

Official plan of correction

The staff dropped the intention and no financial transaction occur. Administrator agreed to submit a statement understanding the regulation cited on or before the POC date.

Deadline recorded: Apr 8, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

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 2 out of 2 staff records reviewed did not have current first aid certificate on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/30/2023 Plan of Correction The administrator agreed to have the staff to take the first aid training and submit a copy of the certificate to CCL on or before the POC date

Official classification

Type B

Official code

87412(a)(12)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Hazardous health conditions documents as specified in Section 87411, Personnel Requirements - General. 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 2 staff record reviewed both or them did not have a Health Screening on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/30/2023 Plan of Correction The administrator agreed to have the staff obtain a health screening clearance and submit a copy of the c to CCL on or before the POC date.

Official classification

Type B

Official code

87705(c)(5)(A)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. (A) When any medical assessment, appraisal, or observation indicates that the resident's dementia care needs have changed, corresponding changes shall be made in the care and supervision provided to that resident. 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 resident record reviewed did not have a current medical assessment and had a dementia diagnosis, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/30/2023 Plan of Correction The administrator agreed to obtain a current medical assessment for R1 and submit a copy of the assessment to CCL on or before the POC date