LORRAINE GUEST HOME

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

Storage space & access. Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions...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 one out of five residents (R1) while eating lunch, had a sharp knife placed on plate next to food. R1 is diagnosed with Dementia which poses an immediate, health & safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/18/2026 Plan of Correction As plan of correction, Licensee plans to do in service training with staff acknowledging regulation. Licensee to send POC by POC due date on 6/18/2026 to LPA Tirre.

Official classification

Type A

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 an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/17/2024 Plan of Correction Licensee to email LPA updated staff trainings by POC due date.

Official classification

Type B

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. 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, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/21/2024 Plan of Correction Licensee to provide proof of valid CPR training by POC due date.

Official classification

Type B

Official code

1569.626(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) All residential care facilities for the elderly shall meet the following training requirements, as described in Section 1569.625, for all direct care staff: (2) Eight hours of in-service training per year on the subject of serving residents with dementia. This training shall be developed in consultation with individuals or organizations with specific expertise in dementia care or by an outside source with expertise in dementia care. In formulating and providing this training, reference may be made to written materials and literature on dementia and the care and treatment of persons with dementia. This training requirement may be satisfied in one day or over a period of time. This training requirement may be provided at the facility or offsite and may include a combination of observation and practical application. 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, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/21/2024 Plan of Correction Licensee to email dementia in-service trainings to LPA by POC due date.

Official classification

Type B

Official code

87468(c)(2)(A)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (2) Information on the appropriate reporting agency in case of a complaint or emergency, including procedures for filing confidential complaints, shall be posted as follows: (A) Licensees may use the Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) or may develop their own poster as provided in this section. A poster developed by the licensee shall contain the same content as the PUB 475. The poster that is posted shall be 20” x 26” in size and be posted in the main entryway of the facility. PUB 475 may be accessed, downloaded, and printed from the www.ccld.ca.gov website. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/21/2024 Plan of Correction Licensee to email LPA proof of the 20” x 26” Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) by POC due date.

Official classification

Type A

Official code

87457(c)(1)

Regulation authority

CCR

What the official deficiency says

Pre-Admission Appraisal - General (c)Prior to admission a determination of the prospective resident's suitability for admission shall be completed...(1)The appraisal shall include, at a minimum, an evaluation of the prospective resident's functional capabilities, mental condition and an evaluation of social factors...This requirement was not met as evidence by: The facility did not complete a Pre-Admission Agreement prior to R1 being admitted to the facility. Therefore, the facility failed to properly assess R1 prior to admission. This poses an immediate risk to the Health and Safety of residents in care.

Official plan of correction

Licensee/Administrator agrees to read regulation and sign a statement of understanding and forward proof to LPA by POC due date.

Deadline recorded: Feb 19, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care: The following requirements shall apply to medications which are centrally stored: Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidence by: Per interviews conducted and LPA's observations, the Administrator prepares the residents' medication a day in advance and places it in small labeled plastic pill organizers. This poses an immediate risk to resident’s health and safety.

Official plan of correction

Per Licensee/Administrator an in-house training on how to properly manage centrally stored medications will be conducted. Licensee to email POC to LPA by POC due date.

Deadline recorded: Nov 22, 2023. A deadline is not proof that correction was completed.