TALEGA TERRACE

Official classification

Type A

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

All individuals subject to a criminal record review.. shall prior to working, residing or volunteering in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 87355(c)..This req is not met as evidenced by: Based on interview conducted and record review, Licensee failed to ensure a transfer of criminal clearance was obtained before S1 started employment at the facility which poses an immediate health and safety risk to residents in care. CIVIL PENALTY ASSESSED.

Official plan of correction

Licensee to obtain a transfer of criminal clearance and forward proof to LPA by POC due date.

Deadline recorded: Apr 11, 2026. A deadline is not proof that correction was completed.

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, the licensee did not comply with the section cited above. LPA observed unsecured Tylenol in R2's room which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/25/2026 Plan of Correction Licensee to remove medication and forward proof to LPA by POC due date.

Official classification

Type A

Official code

87465(c)(3)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can 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) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. 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. Facility is not documenting PRN administration which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/25/2026 Plan of Correction Licensee to implement a record documenting PRN administration and forward proof to LPA by POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) 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. LPA observed a smoke detector has been removed from R5's room, exit doors are difficult to open in R1 and 2's rooms and there is a broken cabinet in the kitchen in which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/07/2026 Plan of Correction Licensee to repair/ replace noted items and forward proof to LPA by POC due date.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. 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 one out of three staff without a TB test in the file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/07/2026 Plan of Correction Licensee to obtain TB test for staff and forward proof to LPA by POC due date.

Official classification

Type B

Official code

87412(a)(11)

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: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 one out of three staff without a health screen in the file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/07/2026 Plan of Correction Licensee to obtain health screen for staff and forward proof to LPA 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 record review, the licensee did not comply with the section cited above in two out of three staff missing 4 hours of postural supports, restricted conditions and hospice training in the file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/07/2026 Plan of Correction Licensee to conduct training and forward proof to LPA by POC due date.

Official classification

Type B

Official code

87463(h)(1)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. (1) Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record. 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 out of five residents without an updated annual physician report which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/07/2026 Plan of Correction Licensee to obtain updated physician reports an forward proof to LPA by POC due date.

Official classification

Type A

Official code

87411(h)

Regulation authority

CCR

What the official deficiency says

All services requiring specialized skills shall be performed by personnel qualified by training or experience in accordance with recognized professional standards. 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. Non-licensed staff are taking blood pressure for parameter based medication for R1 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/25/2026 Plan of Correction Licensee to discontinue parameters and forward a statement attesting to discontinuing the process to LPA by POC due date.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

All facilities shall have a qualified and currently certified administrator..... This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited. LPA observed administrator certificate expired on 09/13/2025 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/07/2026 Plan of Correction Licensee to forward proof of submitting re-certification to LPA by POC due date.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464(f)(1)- Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This req is not met as evidenced by: Based on interviews conducted and record review, Licensee failed to ensure care and supervision was provided to R1 resulting in the development of multiple pressure injuries. This poses an immediate health and safety risk to residents in care. CIVIL PENALTY ASSESSED

Official plan of correction

Licensee to provide a written detailed plan on how to address resident's health needs and forward proof to LPA by POC due date.

Deadline recorded: Dec 24, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(6)

Regulation authority

CCR

What the official deficiency says

87464(f)(6) Basic services shall at a minimum include: Arrangements to meet health needs, including arranging transportation, as specified in Section 87465, Incidental Medical and Dental Care Services. This req is not met as evidenced by: Based on interviews conducted and record review, Licensee failed to ensure medical care was obtained for R1 following reports of worsening skin redness. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee to provide a written detailed plan on obtaining medical care for residents and forward proof to LPA by POC due date,

Deadline recorded: Dec 24, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(4)

Regulation authority

CCR

What the official deficiency says

87464(f)(4) Basic services shall at a minimum include: Personal assistance and care.. and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating... This req is not met as evidenced by: Based on interviews conducted, Licensee failed to ensure R1’s assistance and care needed by R1 with feeding was met due to R1 being force fed chunks of meat without dentures inserted. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee to provide an in-service to all staff regarding proper feeding techniques and forward proof to LPA by POC due date.

Deadline recorded: Dec 24, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(e)(1)(A)

Regulation authority

CCR

What the official deficiency says

.. Heating devices shall have protective mechanisms or other measures to prevent access to the device, or to make it inoperable when not in use, in order to reduce the risk of burns or fire. This req is not met as evidenced by: Based on observation, Licensee failed to ensure cook top knobs have protective mechanisms on. LPA observed two burners do not have protective mechanisms on them. This poses a potential health and safety risk to residents in care. CIVIL PENALTY ASSESSED.

Official plan of correction

Licensee to obtain and utilize protective mechanisms for the cook top and forward proof to LPA by POC due date.

Deadline recorded: Sep 19, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(e)(1)(A)

Regulation authority

CCR

What the official deficiency says

.. Heating devices shall have protective mechanisms or other measures to prevent access to the device, or to make it inoperable when not in use, in order to reduce the risk of burns or fire. This req is not met as evidenced by: LPA observed two burners do not have protective mechanisms on them and a Dementia resident is wandering in kitchen unsupervised. This poses a potential health and safety risk to residents in care. CIVIL PENALTY ASSESSED.

Official plan of correction

Licensee to utilize protective mechanisms and forward proof to LPA by POC due date.

Deadline recorded: Aug 20, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(e)(1)(A)

Regulation authority

CCR

What the official deficiency says

.. Heating devices shall have protective mechanisms or other measures to prevent access to the device, or to make it inoperable when not in use, in order to reduce the risk of burns or fire. This req is not met as evidenced by: Based on observation, Licensee failed to ensure cook top has a protective mechanism to prevent access to knobs. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee to obtain protective mechanism and forward proof to LPA by POC due date.

Deadline recorded: Apr 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

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 record review, the licensee did not comply with the section cited above in two out of two staff which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/05/2025 Plan of Correction Licensee to obtain CPR/ First aid training for staff and forward proof to LPA by POC due date.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. 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 (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Facility water temperature measured 134.7 which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 03/05/2025 Plan of Correction Licensee to adjust water temperature and forward proof to LPA by POC due date.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. LPA observed multiple soiled/ out of date food items.

Official plan of correction

POC Due Date: 03/18/2025 Plan of Correction Licensee to forward a statement of understanding to LPA by POC due date.

Official classification

Type B

Official code

87608

Regulation authority

CCR

What the official deficiency says

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 record review, the licensee did not comply with the section cited above. Resident 5 does not have physician orders for bed rails which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/18/2025 Plan of Correction Licensee to obtain physician order for bed rails and forward to LPA by POC due date.

Official classification

Type B

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

Licensees shall maintain in the personnel records verification of required staff training and orientation. 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. Staff 1 does not have proof of training maintained in personnel reocrd which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/18/2025 Plan of Correction Licensee to maintain proof of training in staff file and forward proof to LPA by POC due date.

Official classification

Type B

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 in [noted items on LIC 809 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/18/2025 Plan of Correction Licensee to repair/ replace noted items on LIC 809 and forward proof to LPA by POC due date.

Official classification

Type B

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 req is not met as evidenced by: Based on observation, Licensee failed to ensure facility is safe and sanitary. LPA observed a broken bookshelf and miscellaneous debris outside the facility. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee to remove noted items and forward proof to LPA by POC due date.

Deadline recorded: Dec 24, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87156

Regulation authority

CCR

What the official deficiency says

An applicant or licensee shall be charged fees as specified in Health and Safety Code section 1569.185. This requirement is not being met as evidenced by: Based on record review, Licensee failed to ensure billed licensing fees have been paid. Licensee owes $1484. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee to pay fees and forward proof to LPA by POC due date.

Deadline recorded: Oct 18, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

Request a transfer of a criminal record clearance as specified in Section 87355(c) or Deficient Practice Statement This requirement is not met as evidenced by: one out of two staff members are not associated to the facility. This poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/14/2022 Plan of Correction Licensee will associate the staff member to the facility.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

Centrally stored medicines shall be kept in a safe and locked palce that is not accessible to persons other than employees responsibe for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement This requirement is not met as evidenced by: LPAs observed that medication for Resident 4 (R4) was stored in the bathroom cabinet. This poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/14/2022 Plan of Correction Licensee will remove and store away all medications where they are inaccessible to persons in care. This was corrected during the visit.

Official classification

Type B

Official code

87405(d)

Regulation authority

CCR

What the official deficiency says

The administrator shall have the qualifications specified in Sections 87405(d)(1) through(7). If the licensee is also the administrator, all requirements for an administrator shall apply. Deficient Practice Statement This requirement is not met as evidenced by: based on interview and review of documents, licensee did not have the qualifications for operation of facility. Adminstrator does not have a current certificate.

Official plan of correction

POC Due Date: 04/27/2022 Plan of Correction The administrator will complete all requirements for Administrator's Certification renewal and forward a copy of the Administrator's Certificate when complete.