SOLEIL SENIOR LIVING

Official classification

Type B

Official code

87465(d)(3)

Regulation authority

CCR

What the official deficiency says

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, PRN medications are not documented with the date and time, the dosage, and the resident's response, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/13/2026 Plan of Correction Licensee will train all staff to document PRN medications accordingly and maintain the documentation in the resident's facility record by POC due date.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance. (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: (1) Obtain a California clearance or a criminal record exemption as required by the Department This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA interview and record review the licensee did not comply with the section cited above in one of one staff (S1) which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/18/2025 Plan of Correction Staff #1 (S1) was asked to leave the facility. Administrator (AD) re-submitted fingerprints since S1's fingerprints were incomplete and were due by March 2, 2025. AD will notify LPA when S1 is cleared and can return to work at that time.

Official classification

Type B

Official code

87564(a)(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (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 LPA observation and medication review the licensee did not comply with the section cited above in three of three resident medicatons which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/31/2025 Plan of Correction Administrator (AD) will inventory all medications into their digital system Adivantus and provide training for all staff in dispensing medication. AD will submit training plan with staff signatures and reports showing resident medications are properly inventoried and updated. AD will submit POC by March 31, 2025.

Official classification

Type B

Official code

87407(e)

Regulation authority

CCR

What the official deficiency says

87407 Administrator Recertification Requirements (e) To apply for recertification... certificate holder shall submit to the Department’s Administrator Certification Section... This requirement is not met as evidence by: Based on LPA's observations, record reviews and interviews conducted, facility did not ensure that recertification was processed. This poses a potential health and safety risk to residents in care.

Official plan of correction

As a plan of correction (POC) administrator will begin the renewal process of recertification and will provide proof to assigned LPA on or by 8/18/23.

Deadline recorded: Aug 18, 2023. A deadline is not proof that correction was completed.