JJ ASSISTANCE HOME CARE

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(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. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 no emergecy or fire drills have been conducted since 2020 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/19/2024 Plan of Correction Licensee will resume conducting quarterly drills and submit documentatio of one completed drill to LPA before the plan of corrections due date.

Official classification

Type B

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

The California Code of Regulations Section 87465(h)(2) indicates that (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: LPA observed pre-poured medication on the dining room table as both members of staff had left the room to tend to an emergency. This constitutes a potential risk to the health and safety of individuals in care.

Official plan of correction

Licensee will ensure that pre-poured medication is only taken out of central storage when it is ready to be administred or self-administred by the resident to whom it has been prescribed.

Deadline recorded: Sep 16, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(2)

Regulation authority

CCR

What the official deficiency says

Section 87211(a)(2) of the California Code of Regulations indicates that: Occurrences, such as epidemic outbreaks, (...) which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours (...) to the licensing agency (...). This requirement is not met as evidenced by: Facility failed to report a COVID-19 outbreak involving both members of staff as well as four (4) residents that occured on or around 08/20/2022. This poses a potential risk to the health and safety of individuals in care.

Official plan of correction

Licensee provided local Public Health with information on the outbreak on 09/02/2022. Licensing Program Analyst Kevin Saborit-Guasch provided a consultation on the reporting requirements applicable to the facility and provided licensee with the script used by the Department as well as form LIC624. Licensee will provide LPA with the requested information within 24 hours.

Deadline recorded: Sep 3, 2022. A deadline is not proof that correction was completed.