LAMBERT HOME CARE

Official classification

Type A

Official code

87465

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (c)...facility staff...shall... (3) ...record...each dose... in the resident's record. This requirement is not met and evidence by: Based on LPAs interviews, review of documents obtained and observations, facility had incomplete documentation of medications given to each resident. Facility administrator was unable to provide confirmation whether or not medications were given. This poses an immediate health and safety risk to residents in care.

Official plan of correction

As a plan of correction (POC), facility administrator will provide an in-service training to all staff on how to document medications, will ensure all medications logs for current residents are up to date, and provide proof of POC to assigned LPA on or by 9/1/25.

Deadline recorded: Aug 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical...care shall be... in... compliance with the following: (6) When requested by the... Department, a record...shall be maintained by the facility. This requirement is not met as evidence by: Based on LPAs interviews, review of documents obtained and observations, facility had incomplete documentaion of medications given to each resident. Facility adminsitrator was unable to provide confirmation whther or not medications were given. This poses an immediate health and safety risk to residents in care.

Official plan of correction

As a plan of correction (POC), facility administrator will provide an in-service training to all staff on how to document medications, and provide proof of POC to assigned LPA on or by 9/1/25.

Deadline recorded: Aug 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(4)

Regulation authority

CCR

What the official deficiency says

87465Incidental Medical and Dental Care (h) The following requirements shall apply... (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. This requirement is not met as evidence by: Based on LPAs interviews, review of documents obtained and observations, facility had multiple oral and topical medications that were expired. It was also observed that on two shelves in the medication pantry, the facility mixed both the current and past residents medications. Facility administrator provided confirmation that the expired ointment, is stilll being used on resident. This poses an immediate health and safety risk to residnets in care.

Official plan of correction

As a plan of correction (POC), facility administrator will organize medication cabinet, and discard all expired medications, Facility is to ensure that all the medications present at the facility, are only for the current residents. Facility is to provide proof of POA to assigned LPA by 5pm on 8/29/2025.

Deadline recorded: Aug 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(1)(C)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (1) Medications shall be centrally stored under the following circumstances: (C) Because of potential dangers related to the medication itself, or due to physical arrangements in the facility and the condition or the habits of other persons in the facility, the medications are determined by either a physician, the administrator, or Department to be a safety hazard to others. 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 one out of three medical records, which poses an immediate health and safety risk to persons in care. Senna 8.6mg was given to R2 without a doctor's order, that was prescribed to a different resident who is no longer at the facility.

Official plan of correction

POC Due Date: 03/12/2025 Plan of Correction Licensee to provide doctor's order for R2 for Senna 8.6mg to LPA via email by POC 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 record review, the licensee did not comply with the section cited above which pose a potential health, safety and personal rights risk to persons in care.Per staff interview and record review, disaster drills are not being conducted.

Official plan of correction

POC Due Date: 03/18/2025 Plan of Correction Licensee to conduct a disaster drill by POC date and send log to LPA via email. Licensee to conduct disaster drill quarterly.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) 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 two out of three resident records, which poses a potential safety rights risk to persons in care. Resident 1 and 2 have hospice beds with 1/2 rails with no doctor orders.

Official plan of correction

POC Due Date: 03/18/2025 Plan of Correction Licensee to proovide doctor's orders for R1 and R2 to LPA via email by POC date.

Official classification

Type B

Official code

87224(d)(1)

Regulation authority

CCR

What the official deficiency says

87224(d)(1) Eviction Procedures. The notice to quit shall include the following information…effective date of the eviction.. resources available to assist in identifying alternative housing a statement informing residents of their right to file a complaint… The exact statement as specified in H & SC 1569.683(a)(4). This regulation was not met as evidence by: Written eviction notice to R1 did not have required language. This poses an immediate risk to resident in care.

Official plan of correction

Licensee to review the regulatory requirements for eviction procedures and provide a Eviction Notice Template requiring proper language required prior to conducting a client's eviction. Licensee to provide copy of template by due date

Deadline recorded: Jun 21, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

The following should be stored inaccessible to residents with Dementia: Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). 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 failed to ensure scissors and Lysol cleaning spray were inaccesibile to residents with Dementia. R1 has a diagnosis of Dementia which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2022 Plan of Correction Licensee secured items during visit. Licensee to conduct staff training on securing harmful items. Licensee to provide Employee statement of understanding by COB 11/7/22

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

Incidental medical and dental services. Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervison of the centrally stored medication. 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 Licensee failed to ensure medications are inaccessible to persons other than employees which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2022 Plan of Correction Licensee to ensure residents medications to be centrally stored and not accessible to persons other than employees. Administrator agrees to keep medications in secure location. Administrator to conduct staff training and have employees sign statement of understanding and submit to department by COB by 11/07/22

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental services. Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not being met as evidenced by: Based off information provided Licensee failed to ensure medications are inaccessible to persons other than employees. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee to ensure residents medications to be centrally stored and not accessible to persons other than employees. Administrator agrees to secure all medications at all times. Administrator to read section cited, conduct inservice training with staff and submit written understanding and training to CCL by 8/17/22

Deadline recorded: Aug 17, 2022. A deadline is not proof that correction was completed.

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 has criminal record clearance before working in the facility. LPAs observed S1 in the facility with a syringe in hand. S1 exited the facility before LPAs could speak with S1. 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 forward proof to LPA by POC due date.

Deadline recorded: Aug 2, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not being met as evidenced by: Based on observation, Licensee failed to ensure medications are kept in the original container. During medication review, LPAs observed R1 and R2's medications are pre-poured for seven days. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee to discontinue pre-pouring medications and forward proof to LPA by POC due date.

Deadline recorded: Aug 2, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

The following shall be stored inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not being met as evidenced by: Based on observation, Licensee failed to ensure Knives, scissors and Windex were inaccesible to residents with Dementia. R3 has a diagnosis of Dementia.This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee secured items during the visit. CLEARED DURING VISIT.

Deadline recorded: Aug 2, 2022. A deadline is not proof that correction was completed.