VINCENT, THE

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements: (a) Each licensee shall furnish to the licensing agency...(1) A written report shall be submitted...within seven days...(D)Any incident which threatens the welfare, safety or health of any resident...This requirement was not met as evidenced by: Licensee did not comply with the section cited above. Per record review, Licensee did not submit an incident report for R1 timely. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee to submit Inservice Training on the topic of Incident Reporting. Training to include the following: Date, Topic, Name/Job Role, and Signatures. Training to be submitted to CCL by POC due date of 06/02/2025.

Deadline recorded: Jun 2, 2025. A deadline is not proof that correction was completed.

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. Licensee did not ensure that 5 of 11 staff completed their annual 2023 training. This poses/posed a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 06/22/2024 Plan of Correction Licensee to submit a written plan outlining how they will ensure that annual training is completed timely for each employee. Licensee to submit documentation to support plan such as a training checklist. Plan and supporting documents to be submitted to CCL by POC due date of 06/22/2024 for review and approval.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (c)If resident...unable to determine... need for nonprescription PRN medication... facility...shall assist..with self-administration...(2)Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Based on document review, Licensee did not comply with the section cited above. R1, R2, and R3 were not given medications as prescribed and R3 was also given PRN medication. This poses an immediate health, safety or personal rights risk to residents in care.

Official plan of correction

Licensee conducted In-Service Training on Medication Management and Narcotics and Controlled substances for all medication technicians on 01/25/2024. Deficiency cleared during visit.

Deadline recorded: Feb 9, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements:(a)Each licensee shall furnish to the licensing agency...(1)A written report shall be submitted to the licensing agency...within seven days of the occurrence of...(D)Any incident which threatens the welfare, safety or health of any resident... This requirement is not met as evidenced by: Based on interviews conducted, the Licensee did not comply with the section cited above and did not submit reports to CCL as required. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee to provide training to all care staff reviewing the Regulation: 87211 Reporting Requirements and how to properly fill out the LIC 624 form. Inservice Training to include the following information: Date of Training, Training Topics, Job Role, Staff Names and Signatures by POC due date of 01/15/2024.

Deadline recorded: Jan 15, 2024. A deadline is not proof that correction was completed.