MG HEIGHTS I

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

87405(a) Administrator Qualifications:(a) All facilities shall have a qualified and currently certified administrator...When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate for management and administration of the facility This requirement is not being met as evidence of Licensee has not had a designated Admin since 7/22/26 inside facility. This poses a potential health & safety risk to residents in care.

Official plan of correction

POC: Licensee to hire a designated Administrator to meet requirements of facility. Licensee to hire, associate and have fingerprinted to facility by POC Due date. Send proof to LPA by 8/28/26

Deadline recorded: Aug 28, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87311

Regulation authority

CCR

What the official deficiency says

All facilities shall have telephone service on the premises. This requirement is not being met as evidenced by, LPA attempted to call the facility phone number but the number is no longer in use. This poses a potential, health, safety and/or personal rights risk to residents in care.

Official plan of correction

Facility Administrator must ensure the facility has phone service at all times and have the phone service re-connected by the POC due date.

Deadline recorded: Aug 28, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

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 being met as evidenced by, The hot water measured 127.0 degrees Fahrenheit in bathroom #1. This poses a potential health and safety risk to residents in care.

Official plan of correction

Facility Administrator must adjust the hot water temperature to measure between 105.0 to 120.0 degrees Fahrenheit by the POC due date.

Deadline recorded: Aug 21, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. 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 1 out of 3 resident medications that were reviewed during the visit. One of R1's morning medications was not administered as prescribed which poses an immediate health, safety and/or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/17/2025 Plan of Correction Administrator Rico will conduct an in-service training on medication administration for all staff on the roster who are actively workin. Administrator Rico will email LPA Haley proof of completion for all staff in attendance. POC due Wednesday, September 17, 2025, at 4:00pm.

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, interview confirmation and record review, the licensee did not comply with the section cited above which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/22/2025 Plan of Correction Administrator Rico will conduct a evacuation drill for all staff associated on the roster and email LPA Haley the sign in sheet for everyone who completed the evacuation drill. Administrator Rico will email the POC to LPA Haley by the close of business, Monday, September 22, 2025.

Official classification

Type A

Official code

87468.2(a)(8)

Regulation authority

CCR

What the official deficiency says

(a)... residents in... residential care facilities... shall have all of the following personal rights: (8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation... This requirement is not met as evidenced by: Based on audit of R1’s financial records, Licensee did not comply with the section cited above as AD withdrew a total of $47,741 from July 28, 2024 to January 2, 2025 from R1’s bank account without authorization, which poses an immediate personal rights risk to persons in care.

Official plan of correction

AD stated they will restore remaining overcharge balance of $7,801 to R1 and provide the proof to the LPA by POC date.

Deadline recorded: Aug 26, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review... 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: Based on observation and AD interview, the licensee did not comply with the section cited above in two of three individuals presently working at the facility, which poses an immediate health, safety and personal rights risk to persons in care.

Official plan of correction

AD stated a criminal record clearance or criminal record exemption will be obtained for both individuals and proof provided to LPA via email by POC date.

Deadline recorded: Feb 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

HSC

What the official deficiency says

(1) A written report shall be submitted to the licensing agency... within seven days of the occurrence of any of the events specified in (A) through (D) below... This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above as reporting requirements are not being met, which poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

Staff Barlahan stated a written report will be submitted to CCL regarding incident and provide LPA with a written plan of action to ensure compliance with regulation via email by POC date.

Deadline recorded: Feb 11, 2025. A deadline is not proof that correction was completed.