VALLEY VIEW ASSISTED LIVING

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, the licensee did not comply with the section cited above as knives and sharps were stored accessible to residents due to dysfunctional lock which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/03/2025 Plan of Correction Administrator installed a new lock during the visit. POC is cleared.

Official classification

Type B

Official code

87628(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above as Resident #1 (R1) has diabetes and R1's medical assessment determined R1 is unable to perform own glucose testing andr self-administer medication which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/16/2025 Plan of Correction Administrator stated that R1's medical assessment is inaccurate and R1 will get re-evaluated by their primary care physician. Administrator scheduled an appointmentfor R1 during today's visit. Administrator will submit R1's updated medical assessment documenting R1 as able to perform own glucose testing and self-administer medications to CCL by 07/16/2025.

Official classification

Type B

Official code

87411(d)

Regulation authority

CCR

What the official deficiency says

(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: 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 1 (one) out of 5 (five) staff records which lacked appropriate trainings conducted within the last year. Which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/26/2024 Plan of Correction Licensee will submit proof of enrollment in appropriate courses for the indicated staff member to CCL no later than the POC due date.

Official classification

Type B

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above as a non-med trained staff reported that they handle medications if no other staff member is present which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/26/2024 Plan of Correction Licensee will submit a statement of understanding that they have reviewed HSC 1569.69 (a), additionally licensee will ensure non-med trained staff do not handle medications. Licensee may submit proof that staff is enrolled in appropriate medication trainings. All documentation will be submitted to CCL no later than POC due date.

Official classification

Type B

Official code

87506(b)(9)

Regulation authority

CCR

What the official deficiency says

(b) Each resident's record shall contain at least the following information: (9) Name, address and telephone number of physician and dentist to be called in an emergency. 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 (five) out of 6 (six) resident files which were observed to lack appropriate physician and dentist contact information which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/26/2024 Plan of Correction Licensee will submit completed identification and emergency contact information forms for the 5 (five) residents to CCL no later than the POC due date

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 primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases 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, the licensee did not comply with the section cited above in 2 (two) out of 6 (six) resident files which were observed to lack TB tests which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 07/26/2024 Plan of Correction Licensee will contact resident's physicians to schedule TB testing for 2 (two) residents. Licensee will submit proof of TB test scheduling to CCL no later than POC due date

Official classification

Type B

Official code

87455(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) No resident shall be accepted or retained if any of the following apply: (2) The resident requires 24-hour, skilled nursing or intermediate care as specified in Health and Safety Code Sections 1569.72(a) and (a)(1). 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 1 (one) out of 6 (six) residents who's files indicated that they require special nursing care which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 07/26/2024 Plan of Correction Licensee will take one of the following courses of action: Licensee may contact resident's physician for a reappraisal, licensee may reach out to CCL to obtain a waiver to retain the resident, or licensee may work with the appropriate parties to move resident into an appropriate care facility and submit proof to CCL no later than POC due date.

Official classification

Type B

Official code

87705(h)

Regulation authority

CCR

What the official deficiency says

(h) Outdoor facility space used for resident recreation and leisure shall be completely enclosed by a fence with self-closing latches and gates, or walls, to protect the safety of residents. 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 outdoor emergency exit gate was observed to not self latch which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 07/26/2024 Plan of Correction Licensee will contact an appropriate professional to perform repair work to make the gate properly self latch. Licensee will submit either proof of work completed or a quote and date when the work will be performed to CCL no later than POC due date.

Official classification

Type B

Official code

87303(e)(4)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (4) Grab bars shall be maintained for each toilet, bathtub and shower used by residents. 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 a toilet gram bar in restroom #1 was loose which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/26/2024 Plan of Correction Licensee will submit proof of repairs to CCL no later than POC due date.

Official classification

Type B

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. 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 Tylenol 500mg was not centrally stored, Eliquis Rx number did not match what was written, 1 Hydrocodone 325mg was not added to the Centrally Stored, 1 Pradexa 150 mg was not centrally stored which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/21/2023 Plan of Correction Administrator will updated the Centrally Stored Medication Records to be accurate. Administrator will submit updated Centrally Stored Medication to LPA by 07/21/23.

Official classification

Type B

Official code

87465(d)

Regulation authority

CCR

What the official deficiency says

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: 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 6 out of 6 residents did not have the PRN Authorization Letter, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/21/2023 Plan of Correction Administrator will submit the PRN Authorization letter to residents physicians. Administrator will send PRN letters to LPA by 07/21/23.

Official classification

Type B

Official code

87608(a)(5)(A)

Regulation authority

CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. 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 4 out of 6 resident did not have the bed rail orders which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/21/2023 Plan of Correction Administrator will obtain bed rail orders for residents who need bed rails. Administrator will submit to LPA by 07/21/23.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). 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 hot water registered above 120 degrees farenheit, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/15/2022 Plan of Correction The adminsitrator agreed to do the following: 1. Adjust the water heater no later than today 7/6/22 and advise CCL. 2. Complete a 5 day log of hot water temperature. Submit to CCL no later than 7/15/22.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) 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 accessible medications were observed in the refrigerator, which poses an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 07/11/2022 Plan of Correction The Administrator agreed to do the following: 1. Secure the medications. Inform the LPA when this has happened, but no later than 7/7/2022. Plan of correction met at time of the visit. 2. Inform the LPA when all staff have been retrained on medication storage guidlines.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411(a) Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on interviews and information gathered, the licensee did not comply with the section cited above as they failed to have staff at the facility supervising and caring for residents at all times, which poses an immediate health and safety risk to residents in care.

Official plan of correction

The administrator will submit a detailed plan on how they will ensure the facility will always have staff at the facility and submit staff schedule for the previous month and submit to CCL by 5/18/2022.

Deadline recorded: May 18, 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

87355(e)(1) Criminal Record Clearance. 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. Requirement not met as evidenced by: Based on interviews and information gathered, the licensee did not comply with the section cited above as they failed to have staff at the facility fingerprint cleared and/or associated to the facility before caring and supervising residents, which poses an immediate health and safety risk to residents in care.

Official plan of correction

The administrator will submit a Statement of Understanding detailing how they will obtain fingerprint clearance for future staff and submit to CCL by 5/18/2022.

Deadline recorded: May 18, 2022. A deadline is not proof that correction was completed.