ELEONOR'S PLACE 3

Official classification

Type B

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

(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: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed during the facility visit, the licensee did not comply with the section cited above as one staff member present was observed to be cleared but not associated to the licensed location which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/25/2024 Plan of Correction Licensee will associate all staff members scheduled at the licensed location in Guardian and provide proof of association to LPA before the plan of correction's due date.

Official classification

Type B

Official code

87555(b)(23)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (23) All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation conducted during the facility, the licensee did not comply with the section cited above in as the refrigerator was observed and measured to be at a temperature of 54F, which is above than the mandated 40F allowable per Title 22 regulations. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/25/2024 Plan of Correction Licensee to conduct a repair or replacement of the refrigerator and demonstrate an adequate storage temperature to LPA before the plan of correction's due date.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care. (a) … (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on interview and documents, the licensee did not ensure R1 received assistance with self-administered medications due to a medication error which resulted in an adverse reaction, which posed an immediate health risk to persons in care.

Official plan of correction

Licensee stated they will provide medication training from a pharmacy for all care staff and will submit proof to LPA by POC due date.

Deadline recorded: Sep 27, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(g)(2)

Regulation authority

CCR

What the official deficiency says

(g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall; (2) request a transfer of a criminal record clearance as specified in Section 87355(c) or... This requirement is not met as evidenced by: LPA observed through record review and the use of the Guardian website that Staff 1 and Staff 2 are not associated to the facility. Deficient Practice Statement Based on observation in Guardian and record review the licensee did not comply with the section cited above in 2 out of 5 staff members which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/18/2022 Plan of Correction Licensee states the 2 staff members will be associated to the facility and all future staff will be associated to the facility prior to starting employment. LPA will review Guardian to verifiy the staff have been associated.