SILVER LINING RESIDENTIAL CARE

Official classification

Type B

Official code

87705(e)(5)

Regulation authority

CCR

What the official deficiency says

(e) Licensees that use... perimeter fence gates shall meet the following...(5) Facility... shall ensure...safety of residents...without violating...Personal Rights of Residents... Additional Personal Rights of Residents in Privately Operated Facilities.This is not met as evidence by: Based on observation and interview, all four facility doors/gates are locked making residents unable to leave the facility without the assistance of staff which poses a potential Personal Rights risk to persons in care.

Official plan of correction

Licensee has agreed to follow Title 22 regulations regarding locked/unlocked doors. Licensee will contact CCL to submit a request to have the gates locked for the safety of the clients. The gate and the door will remain unlocked until proper approvals have been granted.

Deadline recorded: Sep 4, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87224(c)

Regulation authority

CCR

What the official deficiency says

87224 Eviction Procedures (c) The licensee shall, in addition to either serving the required thirty (30) days notice, sixty (60) days notice or... three (3) days notice on the resident, notify or mail a copy of the notice to quit to the resident's responsible person. This requirement was not met as evidenced by: not accepting R1 back to the facility, which poses an immediate personal rights risk to persons in care.

Official plan of correction

The licensee agrees to read and review regulation section 87224 on Eviction Procedures. The licensee will send a signed statement of acknowledgement and understanding to LPA by the close of business on the POC due date

Deadline recorded: Mar 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87224(c)

Regulation authority

CCR

What the official deficiency says

87224 Eviction Procedures (c) The licensee shall, in addition to either serving the required thirty (30) days notice, sixty (60) days notice or... three (3) days notice on the resident, notify or mail a copy of the notice to quit to the resident's responsible person. This requirement was not met as evidenced by: Based on interview confirmation and record review the licensee did not ensure the eviction process was followed according to regulation guidelines which poses an immediate personal rights risk to persons in care.

Official plan of correction

The licensee agrees to read and review regulation section 87224 on Eviction Procedures. The licensee will send a signed statement of acknowledgement and understanding to LPA by the close of business on the POC due date.

Deadline recorded: Sep 17, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(16)

Regulation authority

CCR

What the official deficiency says

Personal rights of residents in all facilities. To receive or reject medical care or other services. This requirement was not met as evidenced by. A review of records shows R1 did not receive all medication as prescribed which poses an immediate health and safety risk.

Official plan of correction

The licensee agrees to read and review regulation section 87468.1 on personal rights of residents in all facilities. The licensee will send a signed statement of acknowledgement and understanding to LPA by the close of business on the POC due date.

Deadline recorded: Sep 17, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(16)

Regulation authority

CCR

What the official deficiency says

To receive or reject medical care or other services. 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 1 out of 12 resident medications. Resident 2 did not have their chest congestion relief DM SYR medication at the facility which poses an immediate health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/11/2024 Plan of Correction Licensee agrees to have the medication shipped to the facility by the POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above as the LPAs observed the door knob on the back exit gate was broken and did not operate properly which poses a potential health, and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/24/2024 Plan of Correction

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 in 4out of 5 staff members did not have the required 20 hours of annual training which poses/posed a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/24/2024 Plan of Correction Licensee agrees to have all staff receive the proper training as outlined in 1569.625(b)(2). Licensee to forward proof to LPA by POC due date.

Official classification

Type B

Official code

87463(c)

Regulation authority

CCR

What the official deficiency says

(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. 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 2 out of 12 residents, who did not have a current reappraisal which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/24/2024 Plan of Correction Licensee agrees to have a reappraisal completed for the 2 residents who do not have a current appraisal. LIcensee to forward proof to LPA by POC due date.

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

(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: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and documents, 1 out of 5 staff checked is not background cleared, which poses an immediate health and safety risk to persons in care. CIVIL PENALTY ASSESSED.

Official plan of correction

POC Due Date: 04/20/2023 Plan of Correction During the inspection, AD had S2 removed from the facility and LPA confirmed. AD stated that S2 will not be allowed back to the facility until they are background cleared. POC Cleared.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degrees F (41 degree C) and not more than 120 degree F (49 degree C). Deficient Practice Statement This requirement is not being met as evidenced by: LPAs measured the hot water in 3 out of 4 bathrooms (the 4th bathroom is upstairs in staff quarters). The hot water measured in B1 is 124 degrees Fahrenheit, B2 is 126 degrees Fahrenheit, B3 is 129 degrees Fahrenheit. This poses a potential health and safety risk to the residents in care.

Official plan of correction

POC Due Date: 04/01/2022 Plan of Correction Licensee states the hot water temperature will be adjusted to meet the regulatory requirements by the POC due date. Licensee states the hot water will continue to be monitored on a weekly basis. Proof of the water temperature checks to be provided to the LPAs via email.