EQUINOX CARE FACILITY LLC

Official classification

Type B

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. 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 in 3 of 6 staff files reviewed. Licensee did not ensure there was at least one person on duty with current CPR certification, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2025 Plan of Correction Licensee agrees to submit self certification that there will be at least one staff person on duty at all times with current CPR certification. Self certification shall be submitted to CCL by 11/05/2025.

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 in 4 of 6 staff files reviewed. Licensee did not have documentation of completed staff training, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2025 Plan of Correction Licensee agrees to send self certification that all staff will complete their required 20 hours of annual training. Self Certification shall be submitted to CCL by 11/05/2025.

Official classification

Type B

Official code

87705(k)(3)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia: (k)(3)Fire and earthquake drills shall be conducted at least once every three months on each shift and shall include, at a minimum, all direct care staff. This requirement is not met as evidenced by: Based on interviews conducted, Licensee is not conducting drills as required. This poses a potential Safety risk to residents in care.

Official plan of correction

Licensee will draft an updated disaster plan, which shall provide detail for each item listed in Regulation 87212. In addition, Licensee will train all staff on updated plan and conduct as drill. Written plan and evidence of completed staff training and evidence of completed drill will be submitted to CCL by POC date of 01/31/2024.

Deadline recorded: Jan 31, 2024. A deadline is not proof that correction was completed.