OAKMONT OF VALENCIA

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care:If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff...shall be permitted to assist... (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met, evidenced by, based on the SIR, (R1) was not giving medication according to doctor's orders. This is an immediate health and safety risk to residents in care.

Official plan of correction

POC cleared during visit. LPA obtained inservice training documents and sign-in sheets for staff all who attended in the training. LPA also requested a current and updated LIC500 to show the staffing schedules for the MC unit during the times medication is being administered to residents for all shifts.

Deadline recorded: Apr 10, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the: (2) Once ordered by the physician the medication is given according to the physician's directions This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and medication record review, the licensee did not comply with the section cited above in [14] out of [101] medication record review, (6) records showed the initial dates of medication administration did not align with the actual medication counts, resulting in off-count errors, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/03/2025 Plan of Correction ED will send the updated medication checklist and training documents for recent medication training.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care:If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff...shall be permitted to assist... (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met, evidenced by, based on the SIR, (R1) was not giving medication according to doctor's orders. This is an immediate health and safety risk to residents in care.

Official plan of correction

LPA received training documents from ED that was conducted by a licensed training agency who provided training to all medication technicians working at the facility. POC cleared during the visit.

Deadline recorded: Apr 18, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(d)(4)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements-General; (d) All personnel shall be given on the job training... This training and/or related experience shall provide knowledge of and skill in the following...Knowledge required to safely assist with prescribed medications which are self-administered... This requirement was not met as evidence by: based on a SIR submitted to Licensing, it was reported (8) residents missed their daily medication. This poses as an immediate health and safety risk to residents in care.

Official plan of correction

Executive Director (ED) Myla Belson will discuss with the Regional team in regards to training and safeguard implements for staff pertaining to administration of medication and other related training.

Deadline recorded: Mar 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care:If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff...shall be permitted to assist... following requirements are met:(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met, evidenced by, based on the SIR was submitted: (8) residents were not giving medication according to doctor's orders. This is an immediate health and safety risk to residents in care.

Official plan of correction

Executive Director (ED) Myla Belson will discuss with the Regional team in regards to training and safeguard implements for staff pertaining to administration of medication and other related training.

Deadline recorded: Mar 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(d)(4)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements-General; (d) All personnel shall be given on the job training... This training and/or related experience shall provide knowledge of and skill in the following...Knowledge required to safely assist with prescribed medications which are self-administered... This requirement was not met as evidence by: It was reported to Licensing staff #1 administered the wrong medication to resident #1. This poses as an immediate health and safety risk to residents in care.

Official plan of correction

An in-service re-training was conducted with medication technicians on 10/28/2024. LPA received by the training record. It was reported that the ED Myla Belson, Rickie McGregor (LVN) and Siliva Anaya (Regional Health Services Director) were present and attended the training. POC will be cleared, but further review will be required upon meeting with management pertaining to medication errors. A follow-up visit will take place at a later date and time.

Deadline recorded: Oct 30, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

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 ...and disposition of the case. This requirement was not met evidenced; based on documentation and interviews, facility submited one SIR for R1 when there were multiple falls. This is a potential health and safety risk to residents in care.

Official plan of correction

Executive Director (ED) will submit incident report for fall dated on 06/16/2024. During visit, LPA received SIR, and POC is cleared.

Deadline recorded: Jun 28, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

00000

Regulation authority

CCR

What the official deficiency says

Deficiency narrative not available.

Deadline recorded: Jun 15, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(d)(4)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements-General; (d) All personnel shall be given on the job training... This training and/or related experience shall provide knowledge of and skill in the following...This requirement was not met as evidence by: (4) Knowledge required to safely assist with prescribed medications... Staff #1 administered the wrong medication to resident #1. This poses as an immediate health and safety risk to residents in care.

Official plan of correction

ED reported to LPA that a consulting group has been hired to provide additonal medication training to staff and the facility. ED will submit the subjects of the training and staff signatures of all who attended. LPA is aware during the visit, the consulting group is scheduled for 04/11 & 04/13, 2023. ED must submit documentation of training on 04/14/2023.

Deadline recorded: Apr 10, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211(a)(1) A,B & D Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)... This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPA the licensee did not comply with the section cited above by failing to notify CCLD regarding the incident that occured on 11/06/22 which poses a potential health and safety risk to persons in care.

Official plan of correction

Licensee shall ensure a written report is submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of any of the events. Copy of the training materials and certificates, for all staff members, shall be submitted to LPA by POC date.

Deadline recorded: Nov 17, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescriptions... This requirement is not met as evidenced by: Based on record reviews and interviews, licensee did not comply with the section above, as facility staff handling medications were not properly documenting prescribed and PRN medications on CSMDR, which poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee / Administrator will schedule vendorized training for all staff by 11/09/22 and submit to CCL the vendor information and scheduled date of training. Training certifications to be submitted to CCL upon completion by 11/09/22

Deadline recorded: Nov 8, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescriptions... This requirement is not met as evidenced by: Based on record reviews and interviews, licensee did not comply with the section above, as facility staff handling medications were not properly documenting prescribed and PRN medications on CSMDR, which poses a potential health and safety rist to residents in care.

Official plan of correction

LPA was informed that the facility completed a medication training for all staff on 09/19/22. Documents obtained and POC cleared during today's visit

Deadline recorded: Oct 5, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211(a)(1) A,B & D Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)... This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPA during the visit made on 09/01/22, the licensee did not comply with the section cited above by failing to notify CCLD regarding the twelve incidents that occured between 08/03/22 -08/22/22, which poses a potential health and safety risk to persons in care.

Official plan of correction

Licensee shall ensure a written report is submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of any of the events. Copy of the training materials and certificates, for all staff members, shall be submitted to LPA by POC date.

Deadline recorded: Sep 21, 2022. A deadline is not proof that correction was completed.