STERLING SENIOR COMMUNITY II

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times... This requirement is not met as evidenced by: Based on observation, the Licensee did not comply with the section cited above as R1's bathroom toilet and wall have been stained with the same brown substance since July 29, 2026.

Official plan of correction

AD stated toilet and wall will be cleaned immedately and a written plan of action to ensure clean and sanitary condications are maintained at all times will be submitted to LPA via email.

Deadline recorded: Aug 20, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)(1)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care Services Section 87465(c)(1) (1) There is written direction from a physician, on a prescription blank, specifying the name of the resident, the name of the medication, all of the information specified in Section 87465(e), instructions regarding a time or circumstance (if any) when it should be discontinued, and an indication of when the physician should be contacted for a medication reevaluation. 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 2 of 10 medications not having a prescription for R1 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/20/2025 Plan of Correction Licensee stated they will obtain a prescription for the 2 medications or discontinue with doctors orders and send proof to LPA by POC due date.

Official classification

Type B

Official code

87458(c)(1)(A)

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: (A) Communicable tuberculosis. 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 2 out of 6 residents not having a TB test on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/09/2025 Plan of Correction Licensee stated they will obtain tb tests for the 2 residents 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 observation, interview, and record review, the licensee did not comply with the section cited above. LPA observed the personnel records for S1, S2, S3, and S4 did not have any training hours for 2024.This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/13/2024 Plan of Correction Licensee states they will provide the necessary training for S1, S2, S3, and S4, and make sure to keep a current record of completed training. They will send proof of completed training to CCLD via email to edward.kim@dss.ca.gov by POC due date September 13, 2024.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

87705 (f)(2) Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication... vitamins....This requirement is not met as evidenced by: Based on observation, the license did not comply with the section cited above as the LPA observed medications in the facility accessible to residents which poses an immediate health and safety risk to residents in care.

Official plan of correction

Upon observation staff removed all medications, and locked both staff room and garage. POC has been met.

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

Official classification

Type A

Official code

87705(g)(1)

Regulation authority

CCR

What the official deficiency says

87705(g)(1) Care of Persons with Dementia. … Residents with dementia shall be allowed to keep personal grooming and hygiene items … unless there is evidence to substantiate that the resident cannot safely manage the items. This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply in the section cited above for two residents (R1,R4), which poses an immediate health and safety risk to resident in care.

Official plan of correction

The Administrator agreed to the following: 1. Secure the items by the end of the day. Inform CCL when this has taken place 2. Conduct an in-service training with care staff, regarding items that shall be inaccessible to residents with dementia. Submit sign-in sheet no later than 12/22/2023. Submit POC to CCLASCPWoodlandHillRO@dss.ca.gov,

Deadline recorded: Dec 22, 2023. 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) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by; Based on observation, the licensee did not comply with the section cited above as the three resident rooms and the living room were missing window blinds, restrooms were not clean and sanitary and facility had expired food which poses a potential health and safety risk to residents in care.

Official plan of correction

Upon observation staff cleaned residents restrooms. The administrator has agreed to replace all missing blinds and complete a food audit and submit photos or self certification to LPA by 12/22/23..

Deadline recorded: Dec 22, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

Type B 87465 Incidental Medical and Dental Care (h) (6)The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes:…… This requirement is not met as evidenced by; Based on observations and record review, the licensee did not comply with the section cited above as the licensee failed properly document R1 and R3’s medications on the CSMDR which poses a potential health and safety risk to residents in care.

Official plan of correction

Administrator will update the centrally stored to reflect medcaiton not recored. Administrator will conduct staff training on medications and submit proof to LPA by 12/22/23.

Deadline recorded: Dec 22, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

Type A 87465 Incidental Medical and Dental Care(a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by; Based on observation, the licensee did not comply with the section cited above as based on a medication audit and record review R1 did not receive there medication as prescribed which poses an immediate health and safety risk to R1 in care.

Official plan of correction

Adminastrator agree to provide medication training with all staff who assisting residents with medications. Administrator will send the LPA a notice of when training is schedule by 12/13/23 and proof that training has been completed no later than 12/22/23.

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