CASA DEL SOL

Official classification

Type A

Official code

87465(g)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement was not met as evidenced by: Based on interviews and record review, S1 observed swelling of the leg 2 days after the fall delaying the need for medical attention which poses an immediate Health, Safety, and/or Personal Rights risk to persons in care.

Official plan of correction

Admin Mendoza stated and agreed to forward proof of an in-service training reviewing PIN 25-06-AC and placing 911 calls in the event of an incident/emergency for hospice residents and an Acknowledgement of Understanding of the said deficiency will be submitted to LPA by POC due date.

Deadline recorded: Mar 26, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(c)(7)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (7) A description of any known behavioral expression as defined in Section 87101, Definitions. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the physician's reports for R1, R2, and R3 are on the old form and do not contain required information, including behavioral expressions, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 04/13/2026 Plan of Correction Licensee stated they will have new physician's reports based on the new form completed for these residents and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the appraisals for R2 and R3 are from 2024 and have not been updated, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 04/13/2026 Plan of Correction Licensee stated they will reappraise these residents and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87463(h)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the physician's reports for R2 and R3 are more than a year old and there is no documentation of an annual visit within the last year, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 04/13/2026 Plan of Correction Licensee stated they will submit new physician's reports or documentation of annual visits for these residents to LPA by POC due date.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation conducted during a tour of the physical, the licensee did not comply with the section cited above. Clorox and bleach were observed to be stored in two unlocked bathroom cabinets. The staff room contains medication and supplement and is unlocked. The laundry room sliding door is not equipped with a lock from the outside. These pose an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/15/2024 Plan of Correction Cleaning supplies were removed and placed in the locked kitchen cabinet. Staff room was locked during the visit and licensee will provide LPA with a plan to secure the laundry area. Citation cleared during the initial visit.

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 a review of staff files mantained at the facility, the licensee did not comply with the section cited above as one recent hire had not undergone initial training after over a month of association to the facility.This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/14/2024 Plan of Correction The licensee will ensure new hires receive initial training timely and provide proof of completion to LPA before the plan of corrections due date.

Official classification

Type B

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation conducted during the tour of the physical plant, the licensee did not comply with the section cited above. One resident was observed to be in a bed with full-length rails even though they had not been admitted to hospice.This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/14/2024 Plan of Correction Due to the identified fall risk, licensee will request a physician order for half rails for the resident in question. Full rails removed during the visit. Deficiency cleared.