ST. FRANCIS' HOME CARE

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not have a valid liability insurance, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/30/2026 Plan of Correction Licensee will obtain valid liability insurance and submit proof of valid liability certificate via email by POC due date.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, Resident #1 and Resident #4 had physician's reports dated 01/03/2025 and 01/27/2025, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/28/2026 Plan of Correction Licensee will ensure physical exams are scheduled and updated physician's reports are obtained for Resident #1 and Resident #4. Licensee will submit proof by POC due date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, Resident #1 and Resident #4 had appraisals dated 01/05/2025 and 02/14/2025, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/28/2026 Plan of Correction Licensee will obtain updated appraisals for Resident #1 and Resident #4 and submit to CCLD by POC due date.

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 observation and interview, the last emergency drill was conducted in 2025, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2026 Plan of Correction Licensee will ensure that staff completes emergency drills on a quarterly basis, taking into consideration fire, earthquake, active shooter, flooding, etc. Licensee will submit proof of emergency drill including the date, type, and the names of staff participating in the drill and submit to CCLD by POC due date.

Official classification

Type A

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs review of resident records, 3 out of 5 does not have doctor's order for bedrails. This could be an immediate health and safety risk for residents in care.

Official plan of correction

POC Due Date: 06/07/2024 Plan of Correction Licensee will either remove or obtain doctor's order for bedrails for three residents and to submit proof of correction to LPA Tea and Cho via email by POC due date.

Official classification

Type B

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs review of two staff records, 2 out of 2 staff CPR and 1st Aid certification were expired. This poses a potential health and safety risk for residents in care.

Official plan of correction

POC Due Date: 06/21/2024 Plan of Correction Adminstrator will provide proof of certifications for two out two staff to LPAs via email by POC due date.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs review of staff records there is no documentation of annual staff training, which poses a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 07/08/2024 Plan of Correction Adminstrator will provide proof of training for staff to LPAs 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 review of resident records, 3 out of 5 residents records does not have current physical exam reports, which poses as a potential health and safety risk to residents in care. **This is an amended report**

Official plan of correction

POC Due Date: 07/12/2024 Plan of Correction Licensee will email copies of current Physician report to submit for proof of correction to LPA Tea on POC due date.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

87705(f)(2) Care of Persons with Dementia. The following items shall be made inaccessible to residents with dementia....cleaning supplies and disinfectants. This requirement not met as evidenced During the visit, LPA observed cleaning agents and toxins, which was accessable and posed a health and safety risk to residents with demetia.

Official plan of correction

The administrator immediately corrected the deficiency by replacing the lock on the garage door and locking the door. Rubbing alcohol was stored away.Training will be provided to staff to ensure items are made and kept inassessable.

Deadline recorded: Sep 23, 2021. A deadline is not proof that correction was completed.