DIAMOND MANOR

Official classification

Type A

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

(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 observation, the licensee did not comply with the section cited above, for 5 of 5 resident medications that were observed, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/29/2026 Plan of Correction Licensee/Administrator Corazon will email LPA Haley the medication list for all five residents by the POC due date.

Official classification

Type A

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 interview confirmation from licensee and record review, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/29/2026 Plan of Correction Licensee/Administrator Corazon will conduct an evacuation drill and email the LPA Haley the evacuation drill log with the following information: Date of drill, participants, type of drill, and time completed. Licensee was advised drills need to be conducted quarterly.

Official classification

Type B

Official code

87470(c)

Regulation authority

CCR

What the official deficiency says

(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, 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: 07/29/2026 Plan of Correction Licensee/Administrator Corazon will complete and submit the infection control plan to LPA Haley by the 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 in which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/29/2026 Plan of Correction Licensee/Administrator Corazon started cleaning some of the cobwebs observed during the inspection. Additional cleaning and removal of all the items on the side of the facility that need disposal including an old mattress, and pieces of wood. Licensee agrees to send LPA Haley photos of the areas that have been cleaned by the POC due date.

Official classification

Type B

Official code

1569.618(c)(4)

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: (4) Ensure that the facility is clean, safe, sanitary, and in good repair at all times. 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 nats/fruit flies were observed all over old fruit stored behind the dining table which posed a potential health and/or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/14/2026 Plan of Correction Licensee/Administrator Corazon discarded the old fruit and cleaned the area where the nats/fruit flies were observed. No additional action is required at this time.

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 2 of 3 staff did not have complete file for review.

Official plan of correction

POC Due Date: 07/29/2026 Plan of Correction Licensee/Administrator Corazon will complete a file for the two additionl staff that are employed and email LPA Haley the information for both employees.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review… shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by: Based on the review of the Department's Guardian rosters, S1 was not associated to the facility during their employment which poses an immediate Health, Safety, and/or Personal Rights risk to persons in care.

Official plan of correction

Admin confirmed that S1 resigned approximately 2022. Admin will review the regulation and submit a written Acknowlegement of Understanding of the said deficiency to LPA via by POC due date.

Deadline recorded: Jan 29, 2026. A deadline is not proof that correction was completed.

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 LPA's review of records there was no available staff records to review. LPA was only able to verify annual staff training. This poses as a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 07/29/2025 Plan of Correction Facility will organize and provide proof of complete staff records and provide proof to LPA 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 LPA's observation there are no records of quarterly disaster drills. This poses as a potential healthy and safety risk to residents in care.

Official plan of correction

POC Due Date: 07/29/2025 Plan of Correction Facility will provide proof of disaster drills and maintain a record fill for drills and provide the proof to LPA by POC due date.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

Resident Records ... The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's review of facility records, the facility's paperwork was disorganized and not prepared for licensing to look through. This poses as a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 07/29/2025 Plan of Correction Facility will organize resident records and provide proof to LPA by POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation ... 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 LPA's observation during the facility tour, LPA notice the light in the bathroom was not working. This poses as a potential safety risk to residents in care.

Official plan of correction

POC Due Date: 07/29/2025 Plan of Correction Facility will fix the broken light in the bathroom and provide proof to the LPA by POC due date.

Official classification

Type B

Official code

80061(b)(1)(D)

Regulation authority

CCR

What the official deficiency says

The California Code of Regulations Section 80061(b)(1)(D) on Reporting Requirements states: “Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, (…) a written report (…) shall be submitted to the licensing agency within seven days(...). (D) Any injury to any client which requires medical treatment.” This requirement was not met as evidenced by: Based on a review of records, no report was submitted on the fall R1 sustained. This constitutes a potential risk to the health, safety and personal rights of residents in care.

Official plan of correction

Licensee to review applicable regulations for reporting requirements and provide additional training to staff accordingly. The proof of staff training will be submitted to LPA by the plan of corrections' due date.

Deadline recorded: Apr 25, 2024. A deadline is not proof that correction was completed.