ROCHELLE MANOR

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 LPA's review of records, one staff had incomplete health screening form and no TB results. This poses as a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 03/27/2026 Plan of Correction Facility will have staff complete health screening and update file with the TB results and send to LPA 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 LPA's review of personnel records, staff had incomplete annual training. This poses as a potential health and safety risk to residents in care

Official plan of correction

POC Due Date: 04/10/2026 Plan of Correction Facility will provide proof of completed annual training to LPA by POC due date.

Official classification

Type A

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation ... 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: Facility had bed bug infestation. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Before complaint investigation was conducted the facility had eradicated the bed bug infestation. They had pest control do initial inspection on 02/04/25 and treatment on 02/10/25. Moved resident to another room, wash and treated clothing and bedding and replaced mattresses.

Deadline recorded: Mar 13, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

Basic Services. Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidenced by: based on resident record review & interviews conducted the licensee failed to provide R1's sling and briefs as needed. This poses an immediate risk to the health and safety of residents in care.

Official plan of correction

Licensee to ensure all residents' needs are met at all times. Licensee to conduct an in-service staff training regarding this regulation by 3/4/2023. Licensee to provide the name of the instructor, their qualifications, and submit written proof of the staff training to LPA by POC due date. The licensee to provide LPA a written statement indicating they have read this section of Title 22 regulation and how exactly they intend to adhere to it by POC due date.

Deadline recorded: Mar 3, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(c)(3)(C)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General. All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training...Residents rights, as specified in Section 87468, Personal Rights. This requirement was not met as evidenced by: Based file review and interview, facilty miss to provide training facility staff regarding Personal Rights. Facility failed to document annual training for Staff 1 and Staff 2 regarding resident's personal rights. This poses potential personal rights violation against residents in care.

Official plan of correction

AD will ensure that the staff will receive the training on personal rights. Proof of correction will be provided to CCLD on or before May 31, 2022. Copy of the reguation cited was left in the facility for full reference.

Deadline recorded: May 31, 2022. A deadline is not proof that correction was completed.