TERRA LINDA CHRISTIAN HOMES, INC # 5

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care:(h)The following requirements shall apply to medications which are centrally stored:(5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement was not met as evidenced by: based on observations and interview conducted, Licensee did not comply with the section cited above. Four residents had medications pre-poured over 24 hours in advance. This is a potential health, safety, or personal rights risk to residents in care.

Official plan of correction

Licensee to submit proof of in-service training regarding regulation. Training to include: Training to include Date,Topic, Staff Names, Staff Role, and Signatures. Proof of training/supporting documents to be submitted by POC Due Date of 12/01/2025.

Deadline recorded: Dec 1, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement Based on observations made, Licensee did not comply with the section cited above. LPA observed 2 of 2 fire extinguishers to be last inspected November 2023. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/13/2025 Plan of Correction Licensee to submit proof of inspected/serviced fire extinguishers to CCL by POC due date of 10/13/2025.

Official classification

Type B

Official code

87555(a)

Regulation authority

CCR

What the official deficiency says

87555 General Food Service Requirements (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations made, Licensee did not comply with the section cited above. LPA observed unlabeled foods in facility’s fridge and freezer. LPA also identified freezer burned food, and expired canned goods in facility cabinet. LPA poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/13/2025 Plan of Correction Licensee to submit proof of staff training reviewing proper food labeling and storage to CCL by POC due date 10/13/2025.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by:87465(h)(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. Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 1 out of 1 unlocked drawers with medication located in the kitchen. which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/26/2022 Plan of Correction Licensee agrees to submit self certification that all medications are locked and inaccessable to residents in care, along with training for staff and to submit to CCL by POC due date of 10/26/2022.

Official classification

Type A

Official code

87705(h)(1)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by:87705(f)(1)Care of Persons w/Dementia - The following shall be stored inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s) Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 1out of 1 unlocked kitchen drawer containing knives and other sharps were accessible which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/26/2022 Plan of Correction Licensee to ensure that all sharp objects and toxins are stored in a locked storage inaccessible to residents at all times.Licensee to fix locks on drawer containing sharp objects in kitchen and submit proof of correction. Licensee to also provide training of regulation for caregivers and submit both to CCL by EOB 10/26/2022.