SANTA MARIANA CARE

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, the licensee did not comply with the section cited above in two out of three bathroom faucets, which poses an immediate healthy and safety risk to persons in care. LPA observed water temperatures between 129.0 and 130.4 degrees F in bathrooms used by residents in care.

Official plan of correction

POC Due Date: 03/28/2026 Plan of Correction Licensee will test water temparures in two bathrooms, every two hours, over the next 24 hours and submit water temperature logs to CCLD by POC due date via eboni.bentley@dss.ca.gov.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) 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 in four out of four stove burners, which poses a potential health and safety risk to residents in care. During this visit, LPA observed all burners on the stovetop were not operational and a lighter was being used to start the burners.

Official plan of correction

POC Due Date: 02/13/2025 Plan of Correction Licensee agrees to discontinue use of lighter to ignite inoperable burners immediately. Licensee will repair or replace the burners on the stovetop and 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

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, demntia, and hospice care.

Official plan of correction

POC Due Date: 02/13/2025 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 and interview, 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 Initial and Annual Appraisals/Needs and Services plans.

Official plan of correction

POC Due Date: 02/13/2025 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 via CCLD email to eboni.bentley@dss.ca.gov by POC due date.

Official classification

Type B

Official code

875559(b)(8)

Regulation authority

CCR

What the official deficiency says

GENERAL FOOD SERVICE REQUIREMENTS(b)(8): All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation conducted during facility inspection of kitchen area and interviews conducted with (CG1), (CG2) and (HM), the licensee did not comply with the section cited above. While inspecting kitchen area, LPA observed expired food items which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/12/2024 Plan of Correction During today's visit, (CG2) discarded expired food items. (AD) will provide inservice training on CCR 87555 to staff identified on LIC 500 by POC due date of 2/12/2024.

Official classification

Type B

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

CARE OF PERSONS WITH DEMENTIA 87705(f)(2): The following shall be stored inaccessible to residents with dementia(2)over the counter medication, nutritional supplements or vitamins... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and tecord review of Resident 6's bedroom area, the licensee did not comply with the section cited above. LPA Quiroz observed medication but not limited to peptobismol, antiacid tablets, Nyquil and fluticasone prescribed spray, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/12/2024 Plan of Correction (AD) Will provide inservice training to facility staff identified on LIC 500 and submit proof to CCL by 2/12/2024.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment(a)Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year...This requirement was not met as evidenced by: R1 does not have a physian report CONTINUED on filed. This was verified with Administrator Assistant Karmian Galang who indicated " Have been having trouble getting it from VA Hospital. " This poses a potential risk for residents in care.

Official plan of correction

Administator Galang will read and understant CCR 87458, submit proof of understanding CCR 87458 and submit Resident 1's physician report to CCL by POC due date of 12/22/2022.

Deadline recorded: Dec 22, 2022. A deadline is not proof that correction was completed.