WONDER'S YEARS

Official classification

Type B

Official code

87507(5)(c)

Regulation authority

CCR

What the official deficiency says

Admission Agreements (5)Refund conditions.(c)A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued... This requirement is not met as evidence by: After discharged Licensee needed to refund $2,100 to R1; however on 12/15/26 Licensee only refunded $1000. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee to refund the remaining $1,100 to R1 by close of business on 4/29/26. Licensee to email LPA POC/proof of the received certified check by R1.

Deadline recorded: Apr 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

87355(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.This requirement is not met as evidence by: Based on LPA's, interviews and record reviews, Licensee failed to obtain criminal background clearance for caregiver. This posed an immediate health and safety risk to residents in care.

Official plan of correction

Licensee will review, and read title 22 section 87355(e) to refresh self on obtaining background clearance. Also LPA educated AD on the secion .

Deadline recorded: Feb 13, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464(f)(1)Basic services shall at a minimum include:Care and supervision. This requirement is not met as evidence by: Based on LPA's, interviews and record reviews, Licensee did not provide care and left resident without supervision which prompted R1 to call 911. This posed an immediate health and safety risk to residents in care.

Official plan of correction

Licensee will conduct a review of this section and provide a written statement showing his understanding and provide proof via E mail to LPA by POC due date

Deadline recorded: Feb 13, 2026. A deadline is not proof that correction was completed.

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 staff records reviewed , the licensee did not comply with the section cited above as one staff member had documented training which did not meet the mandatory 20 hours of annual training in 2024. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/20/2024 Plan of Correction Licensee will provide annual training to relevant staff and provide proof of completion to LPA before the plan of corrections due date.

Official classification

Type B

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and records reviewed, the licensee did not comply with the section cited above as the centrally stored medication in place did not match prescription lists on file for two out of four residents.This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/04/2024 Plan of Correction Licensee will updated the Medication Administration Records to reflect the current prescriptions and provide proof thereof to LPA before the Plan of Corrections due date.

Official classification

Type B

Official code

87507(a)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements (a) The licensee shall complete an individual written admission agreement...with each resident or the resident's representative, if any. This requirement is not met as evidence by: Based on LPA's observations, interviews and record reviews, facility failed to complete an indiviudal written admission agreement.... This poses a potential health and safety risk to residents in care.

Official plan of correction

As plan of correction (POC), facility will review the regulation cited, and will provide proof of understanding to the assigned LPA on or by 6/16/23.

Deadline recorded: Jun 16, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(5)(c)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements (5) Refund conditions (c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued... This requirement is not met as evidence by: Based on LPA's observations, interviews and record reveiws, facility failed to issue a refund of any fees paid in advance covering the time after the resident's personal properly has been removed... This poses a potential health and safety risk to residents in care.

Official plan of correction

As plan of correction, (POC) facility will issue the resident a refund for the amount reflected of when resident was no longer residing at the facility. Facility will provide proof of refund and the regulation cited to the assigned LPA on or by 6/16/23.

Deadline recorded: Jun 16, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) Residents... shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff... This requirement is not met as evidence by: Based on observation, and interviews, facility did not ensure that resident was accorded dignity in their personal relationships with staff. This poses an immediate threat on safety of clients in care.

Official plan of correction

As plan of correction, facility will provide training to staff regarding regulation cited and will provide proof to Community Care Licensing and assigned LPA on or by 12/19/22.

Deadline recorded: Dec 5, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (3) To be free from...interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not met as evidence by: Based on interviews conducted, file reviews and observations, facility did not adhere to the regulation specified due to interfering with residents living functions such as sleeping. This poses an immediate threat on the safety of residents in care.

Official plan of correction

As a plan of correction (POC), administrator will provide training to staff with the regulation specified, and will submit proof of training to CCL and assigned LPA on or by 10/25/2022.

Deadline recorded: Oct 25, 2022. A deadline is not proof that correction was completed.