ASSISTED COMFORT HOME

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1(a)(2) Personal Rights of Residents in All Facilities ...To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on observations, the licensee did not comply with the section cited above, as staff were not wearing face masks in the facility, which poses an immediate personal rights risk to residents in care.

Official plan of correction

The Administrator agreed to do the following: 1. Administrator agreed to hold training with all staff about proper mask-wearing and COVID-19 prevention protocol, and provide training records to CCL by 6/9/2022.

Deadline recorded: Jun 9, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or 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 two (2) staff were not associated to the facility which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 03/19/2022 Plan of Correction The licensee agreed to do the following: 1. Associate staff and submit proof to CCL no later than 3/19/22.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia. The following items shall be made inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee failed to ensure that kitchen knives were inaccessible. During the physical plant tour, LPA observed an unsecured drawer in the kitchen containing knives. This poses an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 04/08/2022 Plan of Correction The Administrator has agreed to do the following: 1) Move over the kitchen knives into a secured drawer. Plan of correction met at time of visit. 2) Repair magnet lock and submit proof to CCL no later than 4/8/2022.

Official classification

Type B

Official code

87618(b)(3)(B)

Regulation authority

CCR

What the official deficiency says

(3) Ensuring that the use of oxygen equipment meets the following requirements: (B) “No Smoking-Oxygen in Use” signs shall be posted in the appropriate areas. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as in the facility did not have the required signange posted on the resident door which posed a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 03/18/2022 Plan of Correction The licensee agreed to the following: 1) Post Oxygen in Use signage on door. Plan of correction met at time of the visit.

Official classification

Type B

Official code

87203

Regulation authority

CCR

What the official deficiency says

Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, licensee failed to maintain appropriate fire extinguisher records as the fire extinguisher did not have dates of service or proof of purchase, which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/08/2022 Plan of Correction The Administrator has agreed to do the following: 1) Have the current fire extinguisher serviced or purchase a new one. Submit proof to CCL by 4/8/2022.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia. (f)The following items shall be made inaccessible to residents with dementia: (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 as the kitchen drawer containing over the counter medications was not locked. Magnet lock was not engaging leaving the medications accesible which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/08/2022 Plan of Correction The licensee agreed to do the following: 1) Move over the counter medications into a secured drawer. Plan of correction met at time of visit. 2) Repair magnet lock and submit proof to CCL no later than 4/8/2022.