LOS TIEMPOS SENIOR LIVING

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (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, licensee did not have health screening records for three out of five personnel staff. LPA observed Staff #1, Staff #2, and Staff #3 did not have health screening record.

Official plan of correction

POC Due Date: 06/30/2025 Plan of Correction Licensee stated she will have a doctor come to the facility to assess staff and compete Health Screening Record for those that do not have one by POC due date. Licensee will send proof to CCLD via email by POC due date.

Official classification

Type A

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

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 observation and record review, the licensee did not comply with the section cited above in five out of six resident beds, which poses an immediate health and safety risk to persons in care. LPA observed six resident beds and five with bed rails attached. Licensee stated they did not have all six orders. Only one order.

Official plan of correction

POC Due Date: 06/07/2025 Plan of Correction Licensee agrees to obtain an order from residents physician's for all bedrail by POC due date. Bedrail orders to be emailed to CCL to verify POC completion.

Official classification

Type A

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, hot water temperatures in four out of four restroom faucets measured between 101.3 degrees F and 102.5 degree F., which poses an immediate health and safety risk to residents in care. LPA Observed hot water temperatures in Bathroom #1, Bathroom #2, Bathroom #3, and Bathroom #4 measured below 105 degrees F.

Official plan of correction

POC Due Date: 06/07/2025 Plan of Correction Licensee stated they will submit water temperature logs for all four restrooms by end of POC due date. Licensee will send proof to CCLD via email. LPA observed Licensee adjust hot water during visit.

Official classification

Type A

Official code

87633(l)

Regulation authority

CCR

What the official deficiency says

(l) Residents receiving hospice care or prospective residents already receiving hospice care when accepted as residents who are bedridden, may reside in the facility provided the facility meets the requirements of Section 87606, Care of Bedridden Residents. 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 one out of six residents in care, which poses an immediate health and safety risk to persons in care. LPA observed Physician's report for resident Resident #1 stating resident is bedridden. Facility does not currently have a fire clearance for bedridden residents.

Official plan of correction

POC Due Date: 06/07/2025 Plan of Correction Licensee stated they will submit a written plan with LIC 200 application immediately requesting new fire clearance for Bedridden resident and submit proof to CCLD by POC due date.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. 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 five out of five resident bedrooms, which poses an immediate health and safety risk to persons in care. LPA observed non operational fire alarms in five resident bedrooms. Licensee contacted vendor and scheduled replacements during visit.

Official plan of correction

POC Due Date: 06/07/2025 Plan of Correction Licensee stated they will purchase new alarms and install in all rooms immediately. Licesee will submit proof to CCLD by POC due date.

Official classification

Type B

Official code

87506(b)(15)

Regulation authority

CCR

What the official deficiency says

(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. 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. LPA observed that two of six resident records did not have a pre-admission appraisal.

Official plan of correction

POC Due Date: 01/01/2025 Plan of Correction Licensee to complete a pre-admission appraisal for Resident 1 (R1) and R2 and email proof to LPA by POC due date.

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

1569.605-Liability insurance; coverage requirements: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 CONT...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)...This requirement was not met as evidenced by: The licensee failed to carry liability insurance while operating. CONTINUED...

Official plan of correction

Licensee agreed to read and understand HSC 1569.605 and submit proof to CCL by 2/5/2024.

Deadline recorded: Feb 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87205(a)(b)

Regulation authority

CCR

What the official deficiency says

87205(a)(b)- Accountability of Licensee Governing Body:(a)The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation...(b)If the licensee is a corporation or an CONTINUED... CONT...association, the governing body shall be active, and functioning in order to assure accountability. This requirement was not met as evidence by Licensee failed to submit documentation requested for audit review. This poses a potential risk to residents in care.

Official plan of correction

Licensee agreed to read and understand CCR 87205(a)(b) and submit proof to CCL by 2/5/2024.

Deadline recorded: Feb 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213-Finances: The licensee shall have a financial plan that conforms to the requirements of Section 87155...and shall submit such financial reports as may be required upon the written request...information or examination including interim financial statements. CONT This requirement is not met as evidenced by documentation and information provided, Licensee does not have an adequate financial plan required bt law and is not in a good financial position. This poses an immediate risk to residents in care.

Official plan of correction

Licensee is to prepare and submit quarterly profit and loss statement with supporting documents such as monthly utility bills, lease payments and loan agreements to department audit section. First quarterly documents are to be submitted by end of CONTINUE... first quarter 4/30/2024. The second quarterly documents are to be submitted by 7/31/2023. The third quarterly documents are to be submitted by 10/31/2024 and the fourth quarterly documents are to be submitted by 1/31/2025.

Deadline recorded: Feb 1, 2024. A deadline is not proof that correction was completed.