PRIMROSE RESIDENTAL CARE

Official classification

Type B

Official code

87468.2(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) " In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. " This requirement was not met as evidenced by: Based on observation, residents are not afforded privacy as the 3 cameras in the living room, back/front patios are equipped with audio recording features which poses a potential Personal Rights risk to persons in care.

Official plan of correction

The living room camera was removed today. The back patio and front patio cameras will be removed by POC due date. Should the administrator choose to purchase a camera that is not equipped with audio features, please submit photographs of the camera brand/model number as well as a facility sketch showing the areas the cameras are installed by POC due date.

Deadline recorded: Aug 7, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights … (a) … (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature… This requirement was not met as evidenced by: Based on interviews, the licensee did not ensure staff did not yell at residents which residents described as a minor issue, which poses a potential personal rights risk to persons in care.

Official plan of correction

Licensee stated they will conduct staff training on personal rights and interacting with residents and submit proof to LPA by POC due date.

Deadline recorded: Jun 1, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming... Hot water shall be maintained to automatically regulate... to attain a temperature of no less than 105 degree F (41 gedree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: On May 1, 2024 during the inspection of the physical plan, the hot water was measured at 145.5 degree F in bathroom 1 and 134.4 degree F in bathroom #2. Photos were taken and S2 observed the hot water temperatures. Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 2 out of 2 resident bathrooms which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/04/2024 Plan of Correction Licensee Faddoul has adjusted the hot water temperature and will make sure the hot water temperature meets regulation requirements. During the visit on May 3, 2024, the hot water temperature was measured at 105.4 degrees in bathroom and 100.00 degrees F in bathroom #2. POC due date is May 4, 2024 at 1:00PM .

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review... shall prior to working, residing or volunterring in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) This requirement is not met as evidenced by: Staff 1 (S1) was not associated to the facility roster during the May 1, 2024 annual inspection. Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 1 out of 3 staff present in the facility during the annual inspection that started May 1, 2024 and completed May 3, 2024, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 05/04/2024 Plan of Correction Administrator Faddoul associated S1 to the facility after the May 1, 2024 visit. LPA Haley verified S1's association during the May 3, 2024 visit. No further action needed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care. (a) … (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Deficient Practice Statement Based on observation and documents, the licensee did not ensure 1 out of 5 clients received assistance with self-administered medications when 1 medication was missed for 6 days, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/18/2023 Plan of Correction Licensee stated they will notify the client’s doctor immediately, retrain staff, and submit proof of training to LPA by POC due date.