Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87208(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: 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 as per request, Plan of Operation was not available for review which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/26/2025 Plan of Correction The Licensee will ensure that a written copy of the Plan of Operation is maintained and available in the facility for review. The LIcensee will submit evidence or self certify that a copy of the Plan of Operation is maintained at the facility and available for review.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(h)
- Regulation authority
- CCR
What the official deficiency says
(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. 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 5 out of 6 counts of Resident files reviewed, 5 residents-Resident #1 through Resident #5, did not have an annual routine visit with a licensed medical professional in the last 12 months which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/02/2026 Plan of Correction The Licensee will ensure that Residents #1 through Resident #5 conduct an annual routine visit with a licensed medical professional to comply with the once every 12 month visit and provide the Department evidence that the visits were conducted and completed by 1/2/26. If due to difficulty in getting an appointment to see the medical professional, Licensee will provide the Department with the scheduled appointment date and evidence of the visit by 1/2/26 and provide evidence once the visit has been completed.