Hazardous items and storageType B
- Official classification
- Type B
- Official code
- 87309(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. (2) Any items in subsection (a)(1) that are transferred from their original container to another container shall have a legible label that indicates: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in ensuring that cleaning solutions transferred from their original container to another container have the required labeling as staff were observed using to bottles not labeled per regulation which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/11/2026 Plan of Correction Administrator to submit proof of training with all staff reviewing the above regulation to CCL by POC due date 09/11/2026.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 ensuring that the required disaster drill is conducted on each shift no less than quarterly which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/11/2026 Plan of Correction Administrator to conduct a required disaster drill on all shifts and submit it along with a self certification that facility understands that drills shall be conducted on every shift no less than quarterly to CCL by POC due date 09/11/2026.