DRAKE TERRACE

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities: (a)In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4)To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, Licensee did not comply with the section cited above. Licensee did not ensure that R8 was supervised as required resulting in R8 eloping from the facility. Review of R8's physician report states that they are unable to leave the facility unassisted. This is an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 01/07/2025 Plan of Correction Licensee to schedule training for all care staff reviewing elopement procedures. Licensee to provide scheduled training date to CCL by POC due date of 01/07/2025. Training to include: Trainer, Date of Training, Topic, Job Title, Staff Names and Signatures. Training to be submitted to CCL by POC due date of 01/16/2025.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, Licensee did not comply with the section cited above and did not ensure that Resident 4's medication was administered correctly as required. Incident Report stated that R4 was given an incorrect " as needed " medication for pain. This is an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 01/07/2025 Plan of Correction Licensee conducted training for S1 and all medication technicians on 05/01/2024. Training documentation provided to LPAs during visit on 01/06/2025. Deficiency cleared during visit.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall... provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by : Deficient Practice Statement Based on document review, the Licensee did not comply with the section cited above. Resident 1 (R1) was administered a medication that they did not have a prescription for. This poses an immediate health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 01/18/2024 Plan of Correction Deficiency cleared during visit. LPA was provided with medication training documentation that was conducted on 11/27/2023.

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. LPA observed 4 of 5 staff files did not have the annual trainings completed as required by the Health and Safety Code. This poses a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 12/30/2023 Plan of Correction Licensee to submit proof of completed required trainings for S2, S3, S4, and S5 by POC due date of 12/30/2023. Licensee to submit a step by step plan to ensure that all staff on site obtain their annual 20 hour training as required by Health and Safety Code by POC due date of 12/30/2023.

Official classification

Type A

Official code

87465(a)(5)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) (a) A plan for incidental medical and dental care shall be developed...encourage routine medical and dental care... by compliance with the following: (5)Facility staff...may assist persons with self-administration as needed. This requirement was not met as evidenced by: Based on the incident report received, the Licensee did not comply with the section cited above, and did not administer medication to Resident as prescribed by their physician. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Facility submitted Medication Inservice Training with Staff names and signatures as well as Training Documents on 12/6/2022. Deficiency has been cleared during visit.

Deadline recorded: Feb 4, 2023. A deadline is not proof that correction was completed.

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 licensee shall assist residents with self-administered medications when needed. This requirement is not met as evidenced by: Based on record review and interview with Administrator 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

Administrator agrees to submit proof of additional training for medication passes with ALL staff and to ensure future compliance. Administrator shall provide a plan to train all staff by March 3, 2022. In addition, Administrator shall provide a sign-in sheet with proof of training by March 10, 2022.

Deadline recorded: Mar 3, 2022. A deadline is not proof that correction was completed.