ANNA'S HOME & PARADISE

Official classification

Type B

Official code

87457(c)

Regulation authority

CCR

What the official deficiency says

87457 Pre-Admission Appraisal (a) Prior to admission, the prospective resident... shall be interviewed by the licensee... (c)... a determination of the prospective resident's suitability for admission shall be completed. This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through not documenting a preplacement for Resident #1 (R1) which posed a potential risk to the Health, Safety, or Personal Rights of persons in care.

Official plan of correction

Licensee to submit a written statement that all resident records, including but not limited to, medical assessments, appraisals, care plans, consent forms, and admission agreements, will be reviewed and completed.

Deadline recorded: Jul 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87505

Regulation authority

CCR

What the official deficiency says

87505 Documentation and Support - Each facility shall document in writing the findings of the pre-admission appraisal and any reappraisal or assessment which was necessary. This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through not updating the reappraisal for Resident #3 (R3) within twelve months which posed a potential risk to the Health, Safety, or Personal Rights of persons in care.

Official plan of correction

Licensee to submit a written statement that all resident records, including but not limited to, medical assessments, appraisals, care plans, consent forms, and admission agreements, will be reviewed and completed.

Deadline recorded: Jul 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements (a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any. This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through not comlpeting an admission agreement for Resident #1 (R1) which posed a potential risk to the Health, Safety, or Personal Rights of persons in care.

Official plan of correction

Licensee to submit a written statement that all resident records, including but not limited to, medical assessments, appraisals, care plans, consent forms, and admission agreements, will be reviewed and completed.

Deadline recorded: Jul 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87467(a)

Regulation authority

CCR

What the official deficiency says

87467 Resident Participation in Decisionmaking (a) Prior to, or within two weeks of the resident’s admission, the licensee shall arrange a meeting... to prepare a written record of the care the resident will receive in the facility. This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through not comlpeting a care plan for Resident #1 (R1) which posed a potential risk to the Health, Safety, or Personal Rights of persons in care.

Official plan of correction

Licensee to submit a written statement that all resident records, including but not limited to, medical assessments, appraisals, care plans, consent forms, and admission agreements, will be reviewed and completed.

Deadline recorded: Jul 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87458(a)(1)(A)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain... (1) A physical examination... and results of an examination for...: (A) Communicable tuberculosis. This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through not documenting a preplacement for Resident #1 (R2

Official plan of correction

Licensee to take R2 to get tested for tuberculosis and submit a copy of the results.

Deadline recorded: Jun 20, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87633(b)

Regulation authority

CCR

What the official deficiency says

87633 Hospice Care of Terminally Ill Residents (b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident. This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through not maintaining a hospice care plan for Resident #1 (R1) which posed a potential risk to the Health, Safety, or Personal Rights of persons in care.

Official plan of correction

Licensee to obtain hospice paperwork for R1 and submit all documents to LPA by POC due date.

Deadline recorded: Jun 20, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications… for… (1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above through providing insufficient care and supervision which posed a potential risk to the Health, Safety, or Personal Rights of persons in care.

Official plan of correction

Licensee to find an accredited vendor for administrator training and to show proof of an appointment by the POC due date.

Deadline recorded: Jul 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87615(a)(1)

Regulation authority

CCR

What the official deficiency says

87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition... shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above by retaining Resident #1 (R1) with a Stage 3 pressure injury which posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

The Licensee has agreed to conduct an in-service training with all staff regarding the cited section and submit proof of correction by tomorrow, 04/10/2025.

Deadline recorded: Apr 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(d)(1)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties - (d) The administrator shall have the qualifications... (1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement is not met as evidenced by: Based on interviews and observation, the licensee did not comply with the section cited above which poses a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Licensee has agreed to enter into a Compliance Plan and accept a Technical Support Program referral for further education by the POC due date.

Deadline recorded: Aug 9, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

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 and interviews, the licensee did not comply with the section cited above in five (05) out of five (05) bedrooms which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/29/2024 Plan of Correction Licensee has removed all auditory alarms on bedroom doors during the visit. Deficiency cleared.

Official classification

Type B

Official code

87208(a)(7)(1)

Regulation authority

CCR

What the official deficiency says

87208 Plan of Operation (a) Each facility shall have and maintain a current, written definitive plan of operation. 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... (7) Sketches, showing dimensions, of the following: (A) Building(s) to be occupied, including a floor plan that describes the capacities of the buildings for the uses intended and a designation of the rooms to be used\ This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in one (01) out of (01) facility sketch which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/29/2024 Plan of Correction Licensee has agreed to remove the wall in Bedroom #5 so that the facility sketch does not need to be updated.

Official classification

Type A

Official code

87705(j)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in two (02) out of three (03) auditory alarns which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/25/2024 Plan of Correction Licensee has agreed to submit a written statement regarding the deficient practice by the POC due date.

Official classification

Type B

Official code

87305(a)

Regulation authority

CCR

What the official deficiency says

87305 Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by: Deficient Practice Statement Based oninterview, the licensee did not comply with the section cited above in the wall in Bedroom #5 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/29/2024 Plan of Correction Licensee has agreed to remove the wall in Bedroom #5 and submit photographic proof by POC due date