BRIGITTE'S VILLA REGINA HOME

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). 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 hot water temperature in Resident #1's (R1) bathroom measured at 133.7 degrees F and the shared residents bathroom measured at 136.5 degrees F. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/23/2025 Plan of Correction POC cleared during the visit. Licensee adjusted the water temperature where R1's bathroom measured at 105.2 degrees F and the shared residents bathroom measured at 105.8 degrees F.

Official classification

Type B

Official code

87463(h)

Regulation authority

CCR

What the official deficiency says

87463 Reappraisals (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. This requirement was not met as evidenced by: Based on LPAs' observations and record review conducted during the annual inspection on 9/11/24, administrator did not obtain a recent medical for one out of the six residents in care which poses a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Administrators stated that the proof of R6's physician's report and the Acknowledgement of Understanding of regulation 87463 Reappraisals will be submitted to LPA via email by POC due date.

Deadline recorded: Apr 9, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs' observations, three bottles of disinfectants were left unsecured in a pail underneath the dresser in the hallway which poses a potential Health, Safety, or Personal Rights risk to persons in care. Disinfectants were removed immediately.

Official plan of correction

POC Due Date: 09/18/2024 Plan of Correction Administrators stated that an Acknowledgement of Understanding of the said regulation will be submitted to LPA via email by POC due date.

Official classification

Type B

Official code

87456(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs' observations and record review, administrator did not obtain a recent medical for one out of the six residents in care which poses a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

POC Due Date: 09/25/2024 Plan of Correction Administrators stated that the physician's report will be updated for R5 and will provide proof to LPA via email by POC due date.

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: Deficient Practice Statement Based on observation and interviews, the garage was filled with clutter without a clear passageway which poses a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

POC Due Date: 09/30/2024 Plan of Correction Administrator stated that the clutter will be cleared and organized and will provide proof to LPA via email by POC due date.