CARE JORDAN SENIOR HOMES

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, which poses a potential health and safety risk to persons in care. LPA observed three out of four personnel files missing annual staff training on postural supports, restricted health conditions, dementia, and hospice care.

Official plan of correction

POC Due Date: 08/18/2025 Plan of Correction Licensee agrees to conduct training with all three out of four staff and will submit proof of correction to LPA via CCLD email to eboni.bentley@dss.ca.gov by POC due date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 and personal rights risk to persons in care. Based on record review, LPA observed that Resident #1, Resident #2, Resident #3 and Resident #4 do not have current Appraisals/Needs and Services plans.

Official plan of correction

POC Due Date: 08/18/2025 Plan of Correction Licensee agrees to complete updated Appraisal/Needs and Service Plans for Resident #1, Resident #2, Resident #3, and Resident #4 and will submit proof of correction to LPA CCLD email at eboni.bentley@dss.ca.gov by POC due date.

Official classification

Type A

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 due to none of the staff present at the time of the inspection having a current CPR certification which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 09/18/2024 Plan of Correction Administrator stated at least one staff member will complete their CPR certification. Administrator will send CPR card to LPA via email by the assigned POC due date.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and observation, the licensee did not comply with the section cited above in one two out of six residents which poses a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2024 Plan of Correction Facility staff stated they will obtain a physician's order for the resident's bed rails or remove the bed rails from their bed by the assigned POC due date. Facility staff will email LPA the physician's order if that is obtained or facility staff will email LPA photos of the bed with the bed rails removed if that is done. These emails will be sent to the LPA by the assigned POC due date.

Official classification

Type B

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. 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 two out of six residents which poses potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2024 Plan of Correction Administrator stated they will send to LPA via email their Exception Request for bed rails by the assigned POC due date.

Official classification

Type B

Official code

80088(a)(1)

Regulation authority

CCR

What the official deficiency says

80088:Furniture, Fixtures, Equipment, and Supplies .(a)A comfortable temperature for clients shall be maintained at all areas.(1) The licensee shall maintain the temperature in rooms that clients occupy between a minimum of 68 degrees F... and a maximum of 85 degrees F...CONTINUED BELOW At 2:12pm, LPA Quiroz alond with HM Sara Delacruz toured the facility. LPA Quiroz observed four of five residents in their bedrooms laying down, appeared to be sweating. 4 of 5 residents indicated " Too hot. Way too hot. " Facility indoor temperature throughout the facility was recorded to be between 88-89 degrees. CONTINUED...

Official plan of correction

AD Gideon Limpiado will read and understand CCR 80088: Furniture, Fixtures, Equipment, and Supplies and train all staff working in facility on CCR 80888. AD Limpiado indicated he would be purchasing 3 portable air conditioners and submit proof by 8/10/2022. Resident 4 and Resident 5 indicated " We have been asking for air conditioner, too hot. " This was verified with house Manager Sarah Delacruz.

Deadline recorded: Aug 12, 2022. A deadline is not proof that correction was completed.