CASCADES OF GRASS VALLEY

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 records reviewed, the facility did not ensure that staff were receiving annual training in accordance with the Health and Safety Code, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/31/2025 Plan of Correction Facility will create a plan on how they will ensure staff are completing annual training in accordance with the Health and Safety Code. Facility will submit plan to LPA by POC due date of 7/31/2025.

Official classification

Type A

Official code

87705(c)(4)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. This requirement is not met as evidenced by: Based on records reviewed, the facility did not ensure that residents R1 was properly supervised, resulting in an AWOL, which poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility will install a secondary alarm to the egress gate in the Memory Care Unit courtyard area. Facility will also conduct a training with staff regarding supervision. Facility will submit training materials and date of training to LPA by POC due date.

Deadline recorded: Nov 22, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (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. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having over the counter medication (sudafed, Tylenol, Excedrin) in an unlocked cabinet in the first floor hallway, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/23/2023 Plan of Correction Administrator agrees to send LPA flyer with date/time of staff training regarding locking all medication. Administrator agrees to send LPA staff sign in sheet once training is completed.