STERLING SENIOR COMMUNITY I

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. This requirement was not met as evidenced by: One uncleared and unassociated individual was present in the facility upon LPA's arrival August 15, 2024 which poses a threat to the health and safety of the residents in care.

Official plan of correction

The individual was fingerprinted and has been associated to the personnel roster since September 22, 2024. No further corrections needed.

Deadline recorded: Oct 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

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: During a visit to the facility on July 19, 2024, LPA observed the stove, dishwasher, and a table in the backyard in disrepair.

Official plan of correction

On August 15, 2024 the Administrative representative emailed LPA Haley a video of a repaired stove, and a new table in the backyard. Further, upon arrival during today's visit, LPA Haley observed a new dishwasher was purchased and installed. No further corrections needed.

Deadline recorded: Oct 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.17(c)(1)(A)

Regulation authority

HSC

What the official deficiency says

(c)(1)(A) Subsequent to initial licensure, a person specified in subdivision (b) who is not exempted from fingerprinting shall obtain either a criminal record clearance or an exemption, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in a facility. 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 1 of 3 staff not obtaining a criminal record clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/04/2025 Plan of Correction LPA observed staff leaving the premises. Licensee will obtain fingerprint clearance and send form to LPA before staff returns to the facility.

Official classification

Type A

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 5 of 6 residents not having bed rail orders which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/04/2025 Plan of Correction Licensee stated they will obtain bed rail orders 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 record review, the licensee did not comply with the section cited above in 1 of 2 staff not having 20 hours annual training completed which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2025 Plan of Correction Licensee stated they will train staff and send proof of trainings to LPA by POC due date.

Official classification

Type B

Official code

87458(c)(1)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: 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 1 of 6 residents not having a medical assessment on file for review which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2025 Plan of Correction Licensee stated they will obtain a physicians report for R1 and send to LPA by POC due date.

Official classification

Type A

Official code

87355(d)

Regulation authority

CCR

What the official deficiency says

(d) All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement (LIC 508 [Rev. 1/03]) under penalty of perjury. This requirement is not met as evidenced by: An unidentified woman was answered the door upon LPA's arrival and refused to provide her name and identification when asked. This poses a health and safety risk to residents in care.

Official plan of correction

Administrator agrees to read and review regulation section 87355 Criminal Record Clearance and send a signed statement of acknowledgement and understanding. Administrator Pascual and Licensee Pimenentel agree the unidentified woman is not allowed to come back inside the facility until she is fingerprint cleared and associated to the facility.

Deadline recorded: Aug 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation (87303)(a)(1): (a) The facility shall be clean, safe, sanitary and in good repair at all times... for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: LPA Haley observed a pile of debris on the side of the facility that needs to be removed. The dishwasher in the kitchen needs to be replaced or repaired and the top left burner on the gas stove needs to be repaired or replaced. Photos were taken of the dishwasher, and the pile of debris on the side of the facility. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee Pimenentel and Administrator Pascual agree to have the stove repaired or replaced, the dishwasher will be replaced, and the pile of debris will be removed from the side of the home by the poc due date. Photos of the side of the facility will be emailed by the POC Due date. A receipt was provided for a new dishwasher and a photo will be emailed to LPA once it arrives. A video of the stove lighting unassisted or a receipt will be provided if a new stove is purchased.

Deadline recorded: Aug 21, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(c)(4)(A)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia...(4)There is an adequate number of direct care...safety and health care needs… (A) In addition to... specified in Section 87415, Night Supervision, a facility with fewer than 16...at least one night staff person...This requirement is not met as evidenced by: Based on the observation, interviews and record reviews, the licensee did not ensure one out of five staff at the facility to be on duty at night and supervise the care of the residents of dementia have which poses immediate Health, Safety or Personal Rights risks to person in care.

Official plan of correction

The licensee/admnistrator will send the LPA an updated personnel report showing the caregivers schedule showing there is a night person on duty seven (7) days out of the week to care for residents with dementia. POC 12/14/23

Deadline recorded: Dec 13, 2023. A deadline is not proof that correction was completed.