AMETHYST HOME

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

Basic services shall at a minimum include: Care and supervision defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidence by Licensee did not ensure resident was supervised while drinking hot coffee. This poses an immediate health and safety risk to persons in care.

Official plan of correction

Licensee purchased lids for all mugs and cups to ensure that are spill proof. Licensee to also conduct in service regarding hot beverage items. Immediate Civil Penalty assessed

Deadline recorded: Jul 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(g)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care. 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… This requirement is not met as evidence by Licensee did not seek timely medical when Resident 1 (R1) stated they did not feel well after hot coffee burns to the left arm, left thigh and stomach area. This poses an immediate health and safety risk to persons in care.

Official plan of correction

Licensee to conduct inservice regarding when to seek medical care.

Deadline recorded: Jul 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

Personnel Records 87412(a)(11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 2 employee records not having a health screening which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/10/2025 Plan of Correction Licensee stated that they will have staff get a health screening and send proof to LPA by POC due date.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental 87465(h)(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 where the medication in the medication cart was not locked which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/21/2025 Plan of Correction Licensee stated they will move the medication to a locked location and get proof of a work order sent to LPA by POC due date and send LPA proof of fixed medication cart by May 27, 2025.

Official classification

Type A

Official code

87309(a)

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. 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 knives and toxins being accessible to clients in care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/21/2025 Plan of Correction LPA observed the Licensee locked the cabinet in which the knives and toxins are stored and stated that they will do an in service training with staff and send proof to LPA by POC due date.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) 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 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above with the water in the resident bathroom by the staff bedroom testing 127.9 degrees Farenheit which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/10/2025 Plan of Correction Licensee stated that they will adjust the water temperature and send proof of water tested to LPA for 5 consecutive days by POC due date.

Official classification

Type B

Official code

87458(c)(1)(A)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. 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 of 4 residents not having a physicians report which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/10/2025 Plan of Correction Licensee stated that they will obtain a physicians report and send to LPA by POC due date.

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 due to the last drill being conducted on December 20, 2024 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/10/2025 Plan of Correction Licensee stated they will conduct an emergency drill and send proof to LPA by POC due date.

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and AD interview, the licensee did not comply with the section cited above, as liability insurance for the facility is not being currently maintained, which poses a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/17/2024 Plan of Correction AD stated liability insurance will be obtained and maintained for the facility and LPA provided with proof via email by POC date.

Official classification

Type B

Official code

87307(d)(5)

Regulation authority

CCR

What the official deficiency says

(5) Night lights shall be maintained in hallways and passages to nonprivate bathrooms. 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 night lights are not being maintained in hallways and passageways to nonprivate bathrooms, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 07/17/2024 Plan of Correction AD stated night lights will be obtained and maintained in hallways and passageways to nonprivate bathrooms, and LPA provided with proof via email by POC date.

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 AD interview and staff record review, the licensee did not comply with the section cited above as staff training does not include 20 hours annually, eight hours of which shall be dementia care training, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/17/2024 Plan of Correction AD stated staff training would begin to be conducted immeidately to meet regulations requirement and LPA will be provided with proof via email by POC date.

Official classification

Type B

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on AD interview and staff record review, the licensee did not comply with the section cited above, as staff did not complete 10 hours of initial training, consisting of 6 hours of hands-on shadowing training, and 4 hours of other training or instruction, which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/17/2024 Plan of Correction AD stated staff training will be conducted immediately to meet regulations requirement and LPA will be provided with proof via email by POC date.

Official classification

Type B

Official code

87456(a)(2)

Regulation authority

CCR

What the official deficiency says

(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (2) Perform a pre-admission appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and resident record review, the licensee did not comply with the section cited above in two of six resident files, which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/17/2024 Plan of Correction AD stated resident pre-admission appraisals will be conducted for all future residents to meet regulation requirement and LPA provided with proof via email by POC date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in six of six resident files, which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/17/2024 Plan of Correction AD stated reappraisals will be conducted for all residents to meet regulation requirement and LPA provided with proof via email by POC date.