LIEBELOVE CARE INC

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above as Resident #1 (R1)'s razor was not stored locked and inaccessible despite R1's physician's report documenting R1 at risk if allowed access, which posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/19/2025 Plan of Correction Administrator stored R1's razor locked and inaccessible. POC cleared during visit.

Official classification

Type B

Official code

87465(h)(4)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. Based on medication review, 1 (one) medication for a resident was not stored in its original packaging with the label, which poses a potential health and safety risk to residents in care.

Official plan of correction

Administrator will submit a statement of understanding of the section cited above and submit to CCL by 08/13/2024. Administrator has a refill of the medication with the label and will follow the instructions on the label.

Deadline recorded: Aug 13, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. Based on observation, 7 (seven) food items were expired which poses a potential health and safety risk to residents in care.

Official plan of correction

Administrator discarded all food items immediately. POC is cleared.

Deadline recorded: Aug 7, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

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 observation, the licensee did not comply with the section cited above, as medications were accessible throughout the facility, which poses an immediate health and safety rights risk to persons in care.

Official plan of correction

POC Due Date: 12/07/2021 Plan of Correction The Administrator agreed to do the following: 1. Walk through the facility, secure all medications. Inform CCL when this is completed; no later than 12/7/2021.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored 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 cleaning supplies were accessible throughout the facility, which poses an immediate health and safety rights risk to persons in care.

Official plan of correction

POC Due Date: 12/07/2021 Plan of Correction The Administrator agreed to do the following: 1. Walk through the facility, secure all cleaning supplies. Inform CCL when this is completed; no later than 12/7/2021.

Official classification

Type B

Official code

87303(d)

Regulation authority

CCR

What the official deficiency says

(d) There shall be lamps or light appropriate for the use of each room and sufficient to ensure the comfort and safety of all persons in the facility. 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 lighting was inadequate in common restrooms, which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 12/10/2021 Plan of Correction The Administrator agreed to do the following: 1. Change out the light bulbs in the common restrooms no later than 12/10/2021

Official classification

Type B

Official code

87355(d)

Regulation authority

CCR

What the official deficiency says

(d) All individuals subject to a criminal record review shall be fingerprinted and sign a Criminal Record Statement (LIC 508 [Rev. 1/03]) under penalty of perjury. 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 two of three staff records (S1, S2), which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 12/10/2021 Plan of Correction The Administrator agreed to do the following: 1. Complete the LIC508 for the two staff. Submit proof of completion by 12/10/2021

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 two of three staff training records (S2, S3) which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 12/17/2021 Plan of Correction The Administrator agreed to do the following: 1. Audit training records and identify additional training needs. Submit Plan of Action to ensure that training hours are completed in the next 8 weeks.

Official classification

Type B

Official code

87506(b)(15)

Regulation authority

CCR

What the official deficiency says

(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. 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 one of three residents (R2), which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 12/17/2021 Plan of Correction The Administrator agreed to do the following: 1. Audit R2's file, as it needs a signed Admission's Agreement and Appraisal. Complete and obtain signatures by 12/17/2021 2. Audit remaining resident files. Update resident files and inform CCL when this took place, no later than 12/17/2021

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. 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 expired perishable and non-perishable food was observed in the cabinet and refridgerator, which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 12/10/2021 Plan of Correction The Administrator has agreed to do the following: 1. Audit all food; identify food of poor quality and dispose of properly. Inform CCL when this has taken place, yet no later than 12/10/2021

Official classification

Type B

Official code

87705(j)

Regulation authority

CCR

What the official deficiency says

(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, as alarms were disengaged at the time of the visit, which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 12/07/2021 Plan of Correction The Administrator agreed to engage all auditory alarms at all times. Plan of Correction met.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465(h)(2) Incidental Medical and Dental Care. Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 cabinet for centrally stored medications was unlocked, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 12/07/2021 Plan of Correction The Administrator has agreed to do the following: 1. Go through the facility and collect all centrally stored medications. Lock it up. Inform CCL as to when this is completed; no later than 12/07/2021.

Official classification

Type A

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

87465(h)(5) Incidental Medical and Dental Care. The following requirements shall apply to medications which are centrally stored: Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. 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 medications were prepared for up to four days in advance, which poses an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 12/08/2021 Plan of Correction The Administrator agreed to do the following: 1. Administrator agreed to prepare medication only 24 hours in advance, effectively immediately. Administrator agreed to review the regulation and submit a Statement of Understanding to CCL by 12/08/2021. 2. Medications training to be facilitated by outside vendor; training will happen within the next 14 days. Submit documents.

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465(h)(6) Incidental Medical and Dental Care. The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: 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 the records were not updated, which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 12/17/2021 Plan of Correction The Administrator agreed to do the following: 1. Update the Centrally Stored Medications and Destruction Record for all residents. Submit updated copies by 12/17/2021.

Official classification

Type B

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 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, the licensee did not comply with the section cited above, as the fire extinguishers were last purchased 11/2019, which poses a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 12/17/2021 Plan of Correction The Administrator agreed to do the following: 1. Have the extinguishers serviced; submit proof to CCL by 12/17/2021.