TRUDEZ HOME CARE

Official classification

Type B

Official code

87465(h)(2)

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: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for.... medication. This requirement is not met as evidenced by: Based on LPA interviews, the licensee did not ensure that medication was kept locked and inaccessible to residents in care which poses a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

The Licensee will review regulation and submit a written letter certifying that, moving forward, they will ensure to follow and adhere to CCR Title 22 87465 Incidental Medical and Dental Care; The written letter must be sent to the LPA by the POC due date.

Deadline recorded: Oct 27, 2023. A deadline is not proof that correction was completed.

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 observations, the licensee did not comply with the section cited above as the facility did not make sharps and knives inaccessible to residents in care which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/26/2023 Plan of Correction The Licensee will review regulation and submit a written letter certifying that, moving forward, they will ensure to follow and adhere to CCR Title 22 87705(f)(1); The written letter must be sent to the LPA by the POC due date. Also, Licensee shall have broken lock for sharps and knives repaired and send LPA a picture.

Official classification

Type A

Official code

87705(7)(f)(1)(2)

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). (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. 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 the sharp knives, chemicals and medication to be accessible to residents in care. This is an immediate health and safety risk to residents care.

Official plan of correction

POC Due Date: 05/27/2022 Plan of Correction The administrator has agreed to lock all the sharps, chemicals and medication. Knives were immediately removed and locked. The Administrator agreed to purchase a lock for a garage door. Also a new cabinet will be purchased for the staff room to keep the medications locked and a training will be provided to all staff on the importance of maintaining medications chemicals and knives and sharp items inaccessible. The administrator shall submit staff sign in sheet with the topic and the training material along with pictures and or receipts.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1 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: (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) , the licensee did not comply with the section cited above. The licensee failed to follow the infection control protocol on screening procedures. Staff were not familiar with screening procedures, none of the thermometers were operating properly and no symptom screening questions have been asked, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/27/2022 Plan of Correction Licensee agreed to train all staff on Mitigation Plan and Infection Control which includes screening. Staff sign-in sheet and training materials shall be e-mailed to LPA (Angela.Panushkina@dss.ca.gov)

Official classification

Type B

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

87468.1 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: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation) the licensee did not comply with the section cited above by keeping the food locked and inaccessible to residents in which poses/posed a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/02/2022 Plan of Correction Licensee agreed to remove all the locks from the cabinets and provide staff training on Personal Rights. Appropricate Care and Supervision needs to be provided. Staff sign-in sheet and copy of training materials will be emailed to the LPA

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) 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) the licensee did not comply with the section cited above. Autditorial device in an entry door, rooms #1, #3 and #4 were in poor repair and non operational, which poses a potential health, safety risk to persons in care.

Official plan of correction

POC Due Date: 06/02/2022 Plan of Correction Licensee agreed to buy new alarm system for the doors and the copy of the receipt and proof of photos or receipt will be emialed to LPA

Official classification

Type A

Official code

887303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303(e)(2) Maintenance and Operation 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 and not more than 120 degree F. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation hot water was measured at 131.4°F. Licensee did not comply with the section cited above in ensuring that the hot water tepmerature was within range which poses an immediate health and safety risk to the residents in care.

Official plan of correction

POC Due Date: 05/27/2022 Plan of Correction Administrator agreed to adjust the hot water temp and will submit a daily water temp log for 1 week (AM/PM) to ensure compliance and will submit a copy of the log to CCL on or before 06/03/22.

Official classification

Type A

Official code

87202(a)(2)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs observation and staff interviews, the licensee did not comply with the section cited above by retaining 1 bedridden residents without a berdidden fire clearence, which poses an immediate health, safety or personal rights risk to persons in care..

Official plan of correction

POC Due Date: 05/27/2022 Plan of Correction icensee / Administrator will submit LIC200 and Facility Sketch. Facility sketch will need to specify rooms for bedridden residents. This is a zero tollarance violation, therfore, a civil penalty in the amount of $500.00 has been issued. Civil penatlty in the amounto $100.00 per day will occure until POC is received.