ELEONOR'S PLACE 4

Official classification

Type B

Official code

87217(b)

Regulation authority

CCR

What the official deficiency says

(b) Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff. The licensee shall give the residents receipts for all such articles or cash resources. (cont.) This requirement was not met as evidenced by: Resident's piece of clothing was mixed up and found in another resident's closet.

Official plan of correction

Licensee will train all staff to separate all articles of clothing accordingly during laundry services and provide proof of correction to LPA by POC due date.

Deadline recorded: Jul 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

Per CCR 87303(2): " 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 and not more than 120 degree F " . This requirement is not met as evidenced by: Based on observation conducted during the visit, water temperature was measured in three separate locations to be provided at a temperature in excess of 130F which constitutes an immediate risk to the health, safety and personal rights of individuals in care.

Official plan of correction

Licensee adjusted the water heater during the visit and LPA was able to verify water was dispensed at 112F. Deficiency cleared during the visit.

Deadline recorded: Jun 14, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Per CCR Section 87303(a) 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, two thermostatic faucets in one of the shared bathrooms were found to be loose and difficult to adjust. This constitutes an immediate risk to the health, safety and personal rights of individuals in care.

Official plan of correction

Licensee initiated measures to repair the defective faucets during the present visit. If the repair attempt is unsuccessful, a plumbing vendor will be contracted in coordination with the facility's landlord.

Deadline recorded: Jun 14, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

Per CCR 87608(a)(5)(B): " (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as one resident is observed to have been discharged from hospice on March 17, 2024 but their full rails were still in place during the visit. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/18/2024 Plan of Correction Licensee instructed staff present to remove the full bed rails as the resident discharged from hospice was no longer allowed to be provided the specific postural support. Deficiency cleared during the visit.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

Per Health and Safety Code Section1569.695(c): " A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. " This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed and interviews conducted, the licensee did not comply with the section cited above as there have been not scheduled drills. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/18/2024 Plan of Correction Licensee is meeting with a third-party provided for emergency and disaster training on March 21, 2024 and will elaborate a drill plan and schedule which will be provided to LPA before the Plan of Corrections due date.

Official classification

Type B

Official code

87633(a)(2)

Regulation authority

CCR

What the official deficiency says

Per CCR 87633(a)(2): " The licensee remains in substantial compliance with the requirements of this section, (...) and with all terms and conditions of the waiver. " This requirement is not met as evidenced by: Deficient Practice Statement Based on interviews conducted and records reviewed, the licensee did not comply with the section cited above as there were a total of 5 resident receiving hospice care until one resident was discharged on March 17, 2024. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/18/2024 Plan of Correction At the time of the visit, the licensee is no longer receiving hospice care in excess of the allowed waiver which states a capacity of four hospice residents. Deficiency cleared during the visit. In the event licensee plans to admit more residents requiring hospice care, additional waiver capacity should be requested and granted ahead of time.

Official classification

Type B

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

Per the California Code of Regulations Section 87705(f)(2): " f) The following shall be stored inaccessible to residents with dementia: cleaning supplies and disinfectants.: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as laundry detergent was observed to be stored unsecured on top of the washing machine in an unlocked laundry room. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/18/2024 Plan of Correction Facility staff placed the detergent in a locked cabinet during the visit and a lock was observed to be installed on the laundry room door. The deficiency was cleared during the visit.