MESSINGER CARE HOME

Official classification

Type B

Official code

87458(c)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: 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 Resident 1 does not have a completel medical assesment avaialble for review, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/08/2025 Plan of Correction Licensee will submit full Physicians report for resident 1 to LPA by POC date of 04/08/2025.

Official classification

Type B

Official code

1569.695(a)

Regulation authority

HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: 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 the facilities Emergency Disaster plan is not complete or on current updated form, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/08/2025 Plan of Correction Licensee will submit correct current updated LIC610E to LPA by POC date of 04/08/2025.

Official classification

Type A

Official code

87465(h)(4)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above due to not properly maintaining centrally stored log for residents medication. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/26/2024 Plan of Correction Training will be conducted. Facility will provide a statement regarding when training will be completed, Verification of training will be provided to LPA by 4/5/24

Official classification

Type A

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 observation, interview, & record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA observed obstruction blocking both exits from the backyard.

Official plan of correction

POC Due Date: 03/31/2023 Plan of Correction Obstructions will be removed fire clearance exits. Pictures will be provided to LPA.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

Title 22, Division 6, Chapter 8, 87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c)... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation & interview, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA observed caregiver in the facility who was not associated with the facility.

Official plan of correction

POC Due Date: 03/31/2023 Plan of Correction Caregiver will not return to the facility until they have been associated with the facility.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidenced by: Based LPA observation LPA observed the fire extingushier not serviced and no record of a fire drill. This poses an immediate health and safety risk to resident in care.

Official plan of correction

The Licensee/Administrator will send a plan of how and when the fire drill when be conducted as well as and having the fire extingushier serviced by the POC date

Deadline recorded: Jun 5, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

80088(e)(1)

Regulation authority

CCR

What the official deficiency says

Furniture, Fixtures, Equipment, and Supplies 1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).... LPA tested hot water at 123.5 degrees F. Licensee failed to assure hot water meeting Title 22 regulation of 105-120 degree F. This poses a potential health and safety risk to resident in care.

Official plan of correction

Administrator shal lowered the thermostat and test the hot water for 3 days. Test hot water in the bathroom to meet Title 22 regulations. Send 3 day hot water temperature to LPA.

Deadline recorded: Jun 5, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

87355(e)(1)Criminal Record Clearance. Prior to working, residing or volunteering in a licensed facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. This requirement is not met as evidenced by: interviews and records reviewed, S1 is not associated to this facility. This poses and immediate health and safety risk to residents.

Official plan of correction

Licensee will immediately ensure (S1) is finger print cleared and associated to facility prior to reporting to work. Proof of clearance and association shall be submitted to CCL prior to resuming duties. Administrator shall submit a Statement of Understanding regarding the requirements by POC date via email to CCL.IMMEDIATE CIVIL PENALTY ASSESSED

Deadline recorded: Jun 5, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

87465(c)(2) Incidental Medical and Dental Care Services. Once ordered by the physician, nonprescription PRN medications shall be given in accordance with the physician’s directions. LPA observed that Resident 1 (see LIC 811) was out of Hydroxyzine and R2 was out of Citracal (needs daily). This is a potential risk to resident in care.

Official plan of correction

Admin. will provide in-service training to staff in regards to 87465 Incidental Medical and Dental Care/medication recordkeeping and send copy via email to LPA Johnson by POC date 6/17/2022

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