KAYLA'S BOARD & CARE

Official classification

Type A

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, which poses an immediate safety risk to persons in care. LPA observed records of last fire, emergency, and disaster drill conducted on July 15, 2019. No drills have been conducted since that date.

Official plan of correction

POC Due Date: 06/12/2025 Plan of Correction Licensee stated they will conduct an emergency disaster drill immediately and submit proof to LPA by POC due date. Licensee will conduct emergency disaster drills quarterly moving forward.

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, which poses a potential health and safety risk to persons in care. LPA observed three out of four personnel files missing annual staff training on postural supports, restricted health conditions, dementia, and hospice care.

Official plan of correction

POC Due Date: 06/19/2025 Plan of Correction Licensee agrees to conduct training with all staff and will submit proof of correction to LPA/CCLD email at eboni.bentley@dss.ca.gov 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 record review and interview, the licensee did not comply with the section cited above, which poses a potential health, safety and personal rights risk to persons in care. Based on record review, LPA observed that Resident #1, Resident #2, and Resident #3 do not have Pre-Appraisals and annual Needs and Services plans.

Official plan of correction

POC Due Date: 06/19/2025 Plan of Correction Licensee agrees to complete updated Appraisal/Needs and Service Plans for Resident #1, Resident #2, and Resident #3, and will submit proof of correction to LPA/CCLD email at eboni.bentley@dss.ca.gov by POC due date.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing... in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 87355(c). This req is not being met as evidenced by: Based on record review, Licensee failed to ensure a transfer of criminal record clearance was processed for S1. This poses an immediate health and safety risk to residents in care. CIVIL PENALTY ASSESSED.

Official plan of correction

Licensee to process criminal record clearance for S1 and forward proof to LPA by POC due date.

Deadline recorded: Oct 3, 2023. 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

All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing.. in a licensed facility: Obtain a California clearance... as required by the Department. This req is not being met as evidenced by: Based on record review, Licensee failed to ensure S1 has a criminal background clearance. This poses an immediate health and safety risk to residents in care. CIVIL PENALTY ASSESSED.

Official plan of correction

Licensee to obtain a criminal record clearance for S1 and forward proof to LPA by POC due date.

Deadline recorded: Sep 26, 2023. A deadline is not proof that correction was completed.