AMETHYST CARE HOME OF FULLERTON

Official classification

Type A

Official code

87608(a)(5)(A)

Regulation authority

CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Based on observation, the licensee has a full bedrail on the bed of R1 who is not on hospice, which poses an immediate personal rights risk to persons in care. CIVIL PENALTY ASSESSED.

Official plan of correction

During the inspection, the licensee removed the full bedrail and LPA confirmed. Licensee stated they will conduct staff training on bedrails and submit proof to LPA by POC due date.

Deadline recorded: Dec 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87608(a)(5)(A)

Regulation authority

CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee has a full bedrail on the bed of R4 who is not on hospice, which poses an immediate personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/10/2025 Plan of Correction During the inspection, the licensee removed the full bedrail and LPA confirmed. Licensee stated they will conduct staff training on bedrails and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on Guardian records, the licensee did not ensure Administrator (AD) Charesa Reyes, who is background cleared, was successfully associated to the facility roster as their status has been " in process " for the last year, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 11/06/2025 Plan of Correction Licensee stated they will associated this staff and submit proof to LPA 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 documents, the licensee did not ensure R1, R2, R3, R5, and R6 were reappraised yearly, as their appraisals are all more than a year old, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 11/06/2025 Plan of Correction Licensee stated they will reappraise these residents, submit proof to LPA by POC due date, and ensure residents are reappraised at least yearly per regulations moving forward.

Official classification

Type A

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

... all residential care facilities for the elderly... shall maintain liability insurance ... This requirement is not met as evidenced by: Based on documents, admission, and confirmation from the licensee's insurance agent, the licensee's liability insurance expired on January 14, 2024, and has not been renewed, which poses an immediate personal rights risk to persons in care.

Official plan of correction

CIVIL PENALTY ASSESSED. Licensee stated they will obtain liability insurance immediately and submit proof to LPA by POC due date.

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

Official classification

Type B

Official code

87205(b)

Regulation authority

CCR

What the official deficiency says

(b) If the licensee is a corporation or an association, the governing body shall be active, and functioning in order to assure accountability. This requirement is not met as evidenced by: Based on California Secretary of State documents, the licensee corporation is suspended, which poses a potential safety risk to persons in care. CIVIL PENALTY ASSESSED.

Official plan of correction

Licensee stated they will begin the Rivivor process and submit proof to LPA by POC due date.

Deadline recorded: Jan 1, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

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 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) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, admission, and confirmation from the licensee's insurance agent, the licensee's liability insurance expired on January 14, 2024, and has not been renewed, which poses an immediate personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/29/2024 Plan of Correction Licensee stated they will obtain liability insurance immediately and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87205(b)

Regulation authority

CCR

What the official deficiency says

(b) If the licensee is a corporation or an association, the governing body shall be active, and functioning in order to assure accountability. This requirement is not met as evidenced by: Deficient Practice Statement Based on California Secretary of State documents, the licensee corporation is suspended, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 11/25/2024 Plan of Correction Licensee stated they will begin the Rivivor process and submit proof to LPA by POC due date.

Official classification

Type B

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the licensee did not ensure S1 and S2 completed the 10 hour medication training (6 hours hands-on, 4 hours other training/instruction) prior to assisting with medications, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 11/25/2024 Plan of Correction Licensee stated they will finish the medication training and submit proof to LPA by POC due date.