LIFESTREAM HOME CARE FOR ELDERLY

Official classification

Type B

Official code

87307(a)

Regulation authority

CCR

What the official deficiency says

PERSONAL ACCOMMODATION AND SERVICES 87307(a) The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above due to a staff bedrooom being placed behind a partial wall, which poses a potential personal rights risk to persons in care.

Official plan of correction

Administrator stated they will consult with the fire marshall to see if they will allow the facility to install a full wall in place of the partial wall. AD stated they will keep LPA updated on their communications with Fire Marshall and may need to request an extension in case the process takes longer than expected.

Deadline recorded: Dec 2, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above due to the fire extinguisher service tag being dated 9/12/2023 which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 10/15/2024 Plan of Correction Administrator stated they will get the fire extinguisher serviced by the assigned 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 due to debris in the backyard which poses a potential safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/21/2024 Plan of Correction Administrator stated they will remove unused grills, hardware, recreation items and other debris by the assigned POC due date.

Official classification

Type B

Official code

87308(a)

Regulation authority

CCR

What the official deficiency says

(a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on interivew and record review, the licensee did not comply with the section cited above due to the plan of operations not being maintained at the facility which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/21/2024 Plan of Correction Administrator stated they will have the plan of operations stored at the facility by the assigned POC due date.