SWEETWATER SENIOR CARE

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

87355(e)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above. LPA Observed S1 did not have background clearance prior to working in the facility. which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/30/2025 Plan of Correction Licensee states they will send a signed statement of acknowledgment that they have read and understood California Code of Regulations 87355(e) to CCLD via email to edward.kim@dss.ca.gov by POC due date August 30, 2025.

Official classification

Type A

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

87608(a)(5)(B)Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above. LPA observed R1 and R2 had full bed rails and were not under hospice. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/30/2025 Plan of Correction Licensee removed the full bed rails from R1 and R2, and stated they will send a signed statement of acknowledgment that they have read and understand California Code of Regulations 87608(a)(5)(B) to CCLD via email to edward.kim@dss.ca.gov by POC due date August 30, 2025.

Official classification

Type B

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

87412(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 observation, interview, and record review, the licensee did not comply with the section cited above. LPA observed S2 and S3 does not have LIC503, and first aid certIficate. This posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Licensee stated they will send S2's and S3's LIC503 Health Screening and first aid training to CCLD via email to edward.kim@dss.ca.gov by POC due date September 12, 2025.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

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 observation, interview, and record review, the licensee did not comply with the section cited above. LPA observed S4 and S5 did not complete their 20 hours of annual training for 2025. This posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Licensee states they will have S4 and S5 complete their 20 hours for 2025 and send proof to CCLD via email to edward.kim@dss.ca.gov by POC due date September 12, 2025.

Official classification

Type A

Official code

87355(c)

Regulation authority

CCR

What the official deficiency says

87355(c) A licensee or applicant ... may request a transfer of a criminal record clearance from one state licensed facility to another... by providing the following documents to the Department. This requirement was not met as evidence by: Based on observation, interview, and record review, S1 worked at the facility from May 1, 2025, to May 7, 2025, and was not associated to the facility. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee states they will send proof of S1 being associated prior to returning to work and acknowledgement of understanding to CCLD via email to Edward.kim@dss.ca.gov by POC due date May 8, 2025.

Deadline recorded: May 8, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87202(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (1) Nonambulatory persons. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above. LPA observed reviewing resident files that physician's report indicated 4 residents were non-ambulatory and the facility is to operate with 2 non-ambulatory. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/22/2024 Plan of Correction Licensee states they will submit a LIC200, a check for $25 made payable to California Department of Social Services, an old facility sketch, a new facility sketch, and a letter indicating the change for fire clearance to CCLD via email to edward.kim@dss.ca.gov by POC due date August 22, 2024.

Official classification

Type B

Official code

87412(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above. LPA observed the facility did not have the personnel files available to inspect and audit at the time of the visit for S1 and S2. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/04/2024 Plan of Correction Licensee states they will send a LIC501, LIC 503, LIC9052, and all training documents for S1 and S2 to CCLD via email to edward.kim@dss.ca.gov by POC due date September 4,2024.

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, and record review, the licensee did not comply with the section cited above. LPA observed facility does not have a fire/safety drill log at the moment. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/04/2024 Plan of Correction Licensee states they will conduct quarterly fire/safety drills and create a log. Licensee will send an email of the fire/safety drill log and a completion of a fire/safety drill to CCLD via email to edward.kim@dss.ca.gov by POC due date September 4, 2024.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above. LPA observed R3 is missing several pages of the current Physician's report and the most current Appraisal and Needs service plan is from October 14,2022, and R4 last Appraisal and Needs service plan from April 26, 2023. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/04/2024 Plan of Correction Licensee states they will send an email with the updated Physician's Report and Appraisal and Needs service plan for R3 and Appraisal and Needs service plan for R4 to CCLD via email to edward.kim@dss.ca.gov by POC due date September 4, 2024.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) 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 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above. LPA observed water temperature in bathroom 1 to measure at 136.5 degrees Fahrenheit and bathroom 2 measure at 142.8 degrees Fahrenheit.This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/16/2024 Plan of Correction Licensee states they will fix the water temperature to be in regulation. Licensee will send photos of water temperature in regulation range of 105 degrees F and 120 degrees F and a water temperature log from August 15, 2024 5:00pm to August 16, 2024 to CCLD via email edward.kim@dss.ca.gov by POC due Date August 16, 2024.

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 and interview, the licensee did not comply with the section cited above LPA observed bed frame, displaced fence in the right side of the house, panel of glass, wood plank, chair, and water heater. The entrance doorbell was not working properly.This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/30/2024 Plan of Correction Licensee states they will fix the doorbell and the displaced fence and setup appointment with Waste Management to pickup panel of glass, the wood plank, chair, and water heater to pickup before August 30, 2024. Licensee will send photo of fixed fence, a video of working doorbell, and photo of cleared items to CCLD via email edward.kim@dss.ca.gov by POC due Date August 30, 2024.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: The following requirements shall apply to medications which are centrally stored: 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. Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in two out of two medications which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/23/2022 Plan of Correction Manager immediately removed medication making inaccessible to residents in care. Manager will also install a lock for medication.