ROSELLE CARE LLC

Official classification

Type B

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as two of two staff files did not contain a Personnel Record or Health Screening which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2025 Plan of Correction AD stated a Personnel Record and Health Screening for staff will be completed and a copy provided to LPA via email by POC 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 record review, the licensee did not comply with the section cited above as two of two staff files did not contain any documentation of staff training conducted in the past year which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2025 Plan of Correction AD stated staff training will be conducted a copy provided to LPA via email by POC 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 record review, the licensee did not comply with the section cited above as four of four resident files had an incomplete or missing appraisal dated or signed in the last twelve monthswhich poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2025 Plan of Correction

Official classification

Type A

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. 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 fire extinguisher was not serviced in the past 3 yrs . Multiple food items were observed to be expired in the refrigerator and a matress with dead insects observed in backyard, which poses an immediate health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/19/2024 Plan of Correction Staff immediately removed expired items from fridge. AD stated they will service fire extinguisher and discard of matress immediatly and will provide LPA proof via email by POC date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. 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 clearning solutions were observed to be accessible to residents, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 10/19/2024 Plan of Correction Staff immediately removed and locked items in the garage. AD stated they will conduct an in-service regarding proper storage of cleaning solutions and provide LPA proof via email by POC date.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (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: Deficient Practice Statement Based on observation and staff interview], the licensee did not comply with the section cited above as medication closet was observed to be unlocked and accessible, which poses an immediate health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/19/2024 Plan of Correction Staff immediately locked medication closet and AD stated they will provide staff training regarding proper medication storage and provide LPA a copy via email by POC 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 (record review, the licensee did not comply with the section cited above in three of three staff files, which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/18/2024 Plan of Correction AD stated staff training will be conducted and proof provided to LPA via email by POC date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to: This requirement is not met as evidenced by: Deficient Practice Statement Based on AD interview and record review, the licensee did not comply with the section cited above in three of three resident files which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/18/2024 Plan of Correction AD stated reappraisals will be completed and a copy provided to LPA via email by POC 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, AD interview, and record review, the licensee did not comply with the section cited above as disaster drills are not being conducted at least quarterly, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 11/18/2024 Plan of Correction AD stated emergency disaster drills will be conducted quarterly and proof provided to LPA via email by POC date.

Official classification

Type A

Official code

1569.191(a)(1)

Regulation authority

HSC

What the official deficiency says

§1569.191 Sale of licensed facility… (a) … (1) The licensee shall provide written notice to the department and to each resident or his or her legal representative of the licensee's intent to sell the facility at least 30 days prior... This requirement was not met as evidenced by: Based on interviews, the licensee admitted that he is in the process of selling the facility, but did not follow proper procedures, notify the Department, or notify residents or their responsible parties, which poses an immediate safety and personal rights and safety risk to residents in care.

Official plan of correction

Licensee stated the deal to transfer ownership and/or control of the facility has been rescinded and moving forward they will follow the proper procedures for a change of ownership. POC CLEARED

Deadline recorded: Mar 3, 2023. A deadline is not proof that correction was completed.