HUNTINGTON ELDER-CARE I

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 observation, interview and record review the licensee did not comply with the section cited above in one out of two files which poses a potential health risk to persons in care. LPA observed Staff 1's (S1) file to not contain a health screening.

Official plan of correction

POC Due Date: 05/06/2026 Plan of Correction Licensee to send LPA health screening for S1 by POC due date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review the licensee did not comply with the section cited above which poses a potential safety risk to persons in care. Per interview, disaster drills have not been conducted for the last quarter. Disaster drills were not present at the facility to be reviewed.

Official plan of correction

POC Due Date: 05/06/2026 Plan of Correction Licensee to conduct disaster drill and send log to LPA by POC due date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above . LPA observed unsecured sharps in two different locations which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 03/07/2025 Plan of Correction Licensee to secure sharps and forward proof to LPA by POC due date.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. 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 two out of two staff did not have proof of TB test in file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/20/2025 Plan of Correction Licensee to obtain TB tests for staff and forward proof to LPA by POC due date.

Official classification

Type B

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

Licensees shall maintain in the personnel records verification of required staff training and orientation. 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 two out of two staff did not have proof of training in the file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/20/2025 Plan of Correction Licensee to conduct training and forward proof to LPA by POC due date.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (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: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above by allowing Staff 1 to work in the facility without obtaining a criminal record clearance/exemption, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/15/2024 Plan of Correction During LPA's visit, LPA observed Administrator, Carmen Achim escort Staff 1 out of the facility. Administrator Achim reported they will request for Staff 1 to submit to a fingerprint clearance, should they wish to return to work in the facility. Administrator Achim reported they will wait for the Guardian clearance letter or contact the Orange County Regional Office to ensure Staff 1 has a criminal record clearance/exemption prior to allowing them to return to work in the facility.

Official classification

Type B

Official code

87412(a)

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: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not have personnel records for Staff 1 and Staff 2 present during LPA's visit, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/30/2024 Plan of Correction Licensee reported they will create personnel records for Staff 1 and Staff 2 and scan copies of the files to LPA via email by close of business on 8/30/2024.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department..This requirement is not being met as evidenced by: Based on observation and interview, Licensee failed to ensure S1 and S2 has criminal record clearance before working in the facility. This poses an immediate health and safety risk to residents in care. CIVIL PENALTY ASSESSED.

Official plan of correction

Licensee to obtain criminal record clearance for S1 and S2 and forward proof to LPA by POC due date.

Deadline recorded: Aug 26, 2022. A deadline is not proof that correction was completed.