Staffing, personnel, and trainingType B
- 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 documents, S2's file did not contain documentation of 20 hours of continuing annual education, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 04/01/2026 Plan of Correction Licensee stated they will complete and document S2's training and submit proof to LPA by POC due date.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(b)
- Regulation authority
- HSC
What the official deficiency says
(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, S2's file did not contain documentation of 8 hours of continuing in-service training on medications, which poses a potential health risk to persons in care.
Official plan of correction
POC Due Date: 04/01/2026 Plan of Correction Licensee stated they will complete and document S2's training and submit proof to LPA by POC due date.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(7)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (7) A description of any known behavioral expression as defined in Section 87101, Definitions. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the physician's reports for R1, R2, and R3 are on the old form and do not include required information such as behavioral expressions, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 04/01/2026 Plan of Correction Licensee stated they will obtain new physician's reports for these residents containing all required information and submit proof to LPA by POC due date.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(h)(1)
- Regulation authority
- CCR
What the official deficiency says
(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. (1) Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the physician's reports for R1, R2, and R3 are from 2024 and their files do not contain documentation of annual routine visits, which poses a potential health risk to persons in care.
Official plan of correction
POC Due Date: 04/01/2026 Plan of Correction Licensee stated they will obtain new physician's reports for these residents and submit proof to LPA by POC due date.