HOUSE OF HOPE

Official classification

Type B

Official code

87555(b)(7)

Regulation authority

CCR

What the official deficiency says

87555 General Food Service Requirements (b) The following food service requirements shall apply:(7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement was not met as evidence by: Based on observation, photos and file review the facility was not providing R1 with a puree diet, which poses an potential health, safety or personal rights risk to persons in care.

Official plan of correction

The facility agrees to provide staff traing on regulation 87555 and a copy of the training records will be sent to LPA by POC due date.

Deadline recorded: May 21, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.682(i)(1)

Regulation authority

HSC

What the official deficiency says

(i) Nothing in Section 87224 precludes the licensee from initiating the urgent relocation to a licensed health facility of a terminally ill resident receiving hospice services when the resident's condition has changed and a joint determination has been made by the Department, the resident or resident's health care surrogate decision maker, the resident's hospice agency, a physician, and the licensee, that the resident's continued retention in the facility poses a health and safety risk to the resident or any other facility resident. (1) The licensee shall follow the procedures specified in Section 87637(b)(2) to reduce the risk of This requirement was not met as evidence by:

Official plan of correction

Based on interviews the facility did not take pick up R1 and followed the process of a resident needing a higher level of care, which poses an potential health, safety or personal rights risk to persons in care. The facility agreed to construct a plan of action outlining what they wil do when ever they are faced with this situation. The plan will be sent to the LPA by POC due date.

Deadline recorded: May 21, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87204(a)

Regulation authority

CCR

What the official deficiency says

(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, there are three residents on hospice and the facility license is only approved for two hospice, the licensee did not comply with the section cited above in 3 out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/22/2025 Plan of Correction Licensee agreed to submit hospice increase waiver by 12/22/25 via email.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement is not met as evidenced by: R5 did not have medical assessment in their file. Deficient Practice Statement Based on record review, R5 did not have medical assessment in their file, the licensee did not comply with the section cited above in 1 out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/22/2025 Plan of Correction Licensee agreed to submit R5's medical assessment to LPA Ramirez via email.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, emergency drill logs were not available for inspection, the licensee did not comply with the section cited above in 5out of 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/22/2025 Plan of Correction Licensee agreed to submit recent quarterly emergency drills via email to LPA Ramirez.

Official classification

Type A

Official code

80088(e)(1)

Regulation authority

CCR

What the official deficiency says

(e) Faucets used by clients for personal care such as shaving and grooming shall deliver hot water. (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, LPA, Daniel Konishi measured resident’s restroom #1 water temperature read at 132.5 degrees F and resident’s restroom #2 water temperature read at 135.6 degrees F, the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/06/2024 Plan of Correction Administrator shall immediately adjust water temperature. Administrator to check water temperature at various different times throughout the day and maintain and submit a water temperature log to the LPA for the next 3 days to ensure that hot water temperature falls within 105 degree F and 120 degrees F. Administrator will provide a copy of the log to the LPA once water temperature falls within Title 22 guidelines.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, LPA reviewed that Resident # 2 (R2) has bedrail beds but does not have any physician’s order in file, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/19/2024 Plan of Correction Administrator agrees to obtain and submit a physician’s order to the LPA for the R2’s bedrails. The order will specify the length of the bedrail approved for.

Official classification

Type B

Official code

87458(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious disease or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, LPA Konishi observed Resident #2 (R2) negative TB test results not in file.

Official plan of correction

POC Due Date: 12/19/2024 Plan of Correction Admninistrator will send R2's negative TB test results to the LPA by the POC due date.

Official classification

Type B

Official code

80075(f)

Regulation authority

CCR

What the official deficiency says

(f) Staff responsible for providing direct care and supervision shall receive training in first aid from persons qualified by agencies including but not limited to the American Red Cross This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the Administrator did not comply with the section cited above and Staff #1 (S1) to Staff #3 (S3) did not have valid first aid training in file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/19/2024 Plan of Correction Administrator will email S1 to S3's valid first aid training certificate to LPA by POC due date.

Official classification

Type B

Official code

1569.657(a)

Regulation authority

HSC

What the official deficiency says

a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative, if any, written notice of the rate increase within two business days after initially providing services at the new level of care. The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. This requirement is not being met as evidenced by: LPA Rea observed that the increase notice provided to resident #1's authorized representative did not include an itemization of charges.

Official plan of correction

Licensee shall ensure that the facility is in compliance with Title 22 regulations and Health and Safety code. Licensee shall review Health and Safety code 1569.657 and will send a written statement to LPA, stating that she has reviewed the section and will comply with it by 12/13/21.

Deadline recorded: Dec 13, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

(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 of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement wsa not being met as evidenced by: Licensee admitted that a Special incident report was not submitted to for incident which occurred on 10/27/21, in which fire department was called.

Official plan of correction

Licensee shall ensure that the facility is in compliance with Title 22 regulations. Licensee will submit special incident reports as required. Licensee will review Title 22 section 87211, and will send a written statement to LPA, stating that she has reviewed the section and will comply with it by 12/13/21.

Deadline recorded: Dec 13, 2021. A deadline is not proof that correction was completed.