WILD FLOWERS RCFE

Official classification

Type A

Official code

87606(c)

Regulation authority

CCR

What the official deficiency says

(c) To accept or retain a person who is bedridden, other than for a temporary illness or recovery from surgery, a licensee shall obtain and maintain an appropriate fire clearance as specified in Section 87202, Fire Clearance. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation, interview with Designee and record review of 602A, the licensee did not comply with the section cited above in retaining a bedridden resident without an approved bedridden fire clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/03/2025 Plan of Correction Facility agrees to submit an updated LIC200 and Faciilty sketch as described in the LIC809 by POC due date, 9/3/2025.

Official classification

Type B

Official code

87309(a)(1)

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. (1) Disinfectants, cleaning solutions, and poisonous substances shall be stored in areas separate from food supplies as specified in Section 87555, General Food Service Requirements. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA & designee's observation during tour of facilty the licensee did not comply with the section cited above in finding a spray bottle of bleach under residents bathroom sink which poses/posed a potential health, safety or personal rights risk to persons in care..

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Licensee / Administrator will provide an LIC 9098 Proof of Corrections self certifying that Regulation 87309(a) was reviewed with all staff by POC due date of 9/12/2025.

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465 (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible a record of centrally stored prescription medications for each resident...: This requirement was not met as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on ovesrvations by LPA & designee during record review of CMSR, the licensee did not comply with the section cited above in 2 out of 2 residents did not ensure that there was a completed LIC622 or similar document with all of the regulatory information required. which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Licensee agreed to conduct all staff training in medication administration to submit CCL with centrally store medication log for all residents in care by plan of correction date (POC) 09/12/2025.

Official classification

Type A

Official code

87606(c)

Regulation authority

CCR

What the official deficiency says

87606 Care of Bedridden Residents To accept or retain a bedridden person, other than for a temporary illness or recovery from surgery, a facility shall obtain and maintain an appropriate fire clearance as specified in Section 87202(a). Requirement has not been met as evidenced by: Based on document review, Licensee did not comply with the above regulation by retaining a bedridden resident without an approved bedridden fire clearance. This is an immediate risk to the health and safety of residents in care.

Official plan of correction

Facility agrees to submit an updated LIC200 and Faciilty sketch as described in the LIC809 by POC due date, 12/17/2022.

Deadline recorded: Dec 17, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87632

Regulation authority

CCR

What the official deficiency says

87632 Hospice Care Waiver (a) In order accept or retain terminally ill residents and permit them to receive care from a hospice agency, the licensee shall have obtained a facility hospice care waiver from the Department. To obtain this waiver the licensee shall submit a written request for a waiver to the Department on behalf of any residents who may request retention, and any future residents who may request acceptance, along with the provision of hospice services in the facility. Requirement has not been met as evidenced by: Based on document review facility has 2 hospice residents but are only approved for one. This is an immediate risk to the health and safety of residents in care.

Official plan of correction

Facility agrees to submit a request for a hospice waiver increase to CCL by POC due date, 12/17/2022.

Deadline recorded: Dec 17, 2022. A deadline is not proof that correction was completed.