REDWOODS, THE

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303(e)(2) Maintenance & Operation. Hot water provided for the use of resident shall be maintained between 105 and 120 degrees F. This requirement is not met as evidenced by: Based on observation the facility did not have hot water temperature between 105 & .. .. 120 degrees F in 6 of 12 resident's bathroom faucets ( 3 in memory care at 128 and up) which poses an immediate Health and Safety risk for residents in care. LPA & facility dir. at retesting observed hot water temperature between 99.5 (1) & 120.9 and up in 5 others. degrees F.

Official plan of correction

Facility to ensure hot water temperature is maintainted within regulation - 105 to 120 F. Facility to submit a LIC 9098 self certification that hot water has been adjusted within regulation by POC date 9/26/2025 along with plumbing receipt & begin monitoring for the next 10 days. Administrator/facility director to submit a 10 day log taken from the residnet's bathrooms to CCL by 10/6/2025. ***Faility adjusted hot water during the visit.

Deadline recorded: Sep 26, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(c)

Regulation authority

CCR

What the official deficiency says

87411(C)(1) Personell Requirements, General- All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. Based on LPA's staff record reviews, staff S1 lack required first aid certification, the licensee did not comply with the section cited above in [1] out of [3], which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee/Administrator to ensure staff S1 obtain required first aid certification. Submit proof of first aid certification no later than 10/3/25 to clear citation.

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

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

87411(f)Personnel Requirements – General All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. This requirement is not met as evidenced by: Based on review of records, Staff S3 & S4 did not have a health screening report, including TB test and results & S2 did not have TB results. the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee/administrator to schedueld staff S3 & S4 to obtain a health screening, and including S2 including a TB test, and results. Licensee to submit copies of the documents by POC due 10/3/25 to LPA. If there are complications Licensee to contact LPA.

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

Official classification

Type B

Official code

87415(a)(5)

Regulation authority

CCR

What the official deficiency says

87415 Night Supervision (a) The following persons providing night supervision from l0:00 p.m. to 6:00 a.m...shall be available as indicated below to assist in caring for residents in the event of an emergency...(5) In facilities required to have a signal system, at least one night staff person shall be located to enable immediate response to the signal system. This requirement was not met as evidence by: Based on interview and document review, Administrator did not ensure that R1 was assististed in a timely manner.

Official plan of correction

Adminstrator conducted an in-service training on response protocols and training on pendant response. Deficiency was cleared during visit.

Deadline recorded: Jan 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303(e)(2) Maintenance & Operation. Hot water provided for the use of resident sshall be maintained between 105 and 120 degrees F. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the facility failed to have hot water temperature between 105 & 120 degrees F in 5 of 7 resident's bathroom faucets which poses an immediate Health and Safety risk for residents in care. LPA observed hot water temperature between 113.7 & 135.5. degrees F.

Official plan of correction

POC Due Date: 08/08/2023 Plan of Correction Facility to ensure hot wate rtemperature is maintainted within regulation - 105 to 120 F. Facility to submit a LIC 9098 self certification that hot water has been adjusted to be within regulation by POC date 8/8/2023 & begin monitoring for the next 7 days. Administrator to submit a 7 day log taken from the residnet's bathrooms to CCL by 8/16/2023. ***Faility adjusted hot water during the visit.

Official classification

Type A

Official code

87465(a)(5)

Regulation authority

CCR

What the official deficiency says

87465(a)(5): Incidental Medical and Dental Care Services. The facility shall assist residents with self-administered medications when needed. This requirement is not met as evidenced by: Based off self-reported incident report and interview with Administrator and MSW, the Nurse provided R1, R2’s medication. The facility failed to ensure R1's medication was given as prescribed by doctor which poses an immediate health and safety risk to resident in care.

Official plan of correction

Facility has provided proof of Medication Inservice Training with staff names and signatures on it. Facility to also perform random audits on medication administration for 4 weeks to ensure compliance. Deficiency has been cleared during today’s visit.

Deadline recorded: Jul 13, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.312(d)

Regulation authority

HSC

What the official deficiency says

1569.312(d) Being aware of the resident's general whereabouts, although the resident may travel independently in the community. Based on review of incident report and interview with Administrator, this requirement has not been met as evidence by: Facility reported that R1 left facility unassisted. LPA gathered statements and documents from Administrator and Social Worker. R1's Physician Report states that R1 cannot leave facility unattended. This is a potential risk to the health and safety of residents in care.

Official plan of correction

Facility to conduct elopement staff training and provide documentation of completion with staff signatures & dated, due by POC date 6/30/23. Facility & family have implemented 24 hr private caregiver for R1. Facilty having 602 updated today and will provide with Care PLan on POC due date.

Deadline recorded: Jun 30, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87628

Regulation authority

CCR

What the official deficiency says

87628Diabetes This equirement is not met as evidenced by: Based on observation,interview, & record review licensee didn't comply w/section cited above in 1outof1 resident w/diabetes which poses an immediate health & safety risk to persons in care.Resident R1 has LIC 602 stating that R1 is not able to administer insulinshots or glucose testing.Per interviews & file review R1 has self administer injections & glucose testing.

Official plan of correction

Facility to ensure that to accept & retain resident with diabetes if not able to perform his/her own glucose testing and/or able to administer injections that a skilled professional will be available to perform these tasks as needed. Administrator to submit self certification that there is a skilled professional conducting testing & plan for glucose testing by POC due date of 9/13/22 in order to clear this citation and avoid civil penalties.

Deadline recorded: Sep 13, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements - This requirement is not met as evidenced by:Based on interview & file review facility didn't comply w/this section for 4 of 4 residents which posses potential health, safety, personal rights risk to residents in care.Depart.learned that there were multiple incident reports for R1,R2,R3, & R4 that were not submitted to CCL such as refusal of meds, missing meds, 911calls w/ & /out residents being transported to ER(copies)

Official plan of correction

Facility to ensure that all Incident & Death Reports are submitted to CCLD according to Title 22 Regulations. Licensee to submit a self certification that facility understands this regulation and plan on how facility will ensure that this requirement will be followed by facility to CCL by POC date of 9/26/2022 in order to clear this citation.

Deadline recorded: Sep 26, 2022. A deadline is not proof that correction was completed.