JOY'S CARE HOME-ELM

Official classification

Type A

Official code

1569.191(b)

Regulation authority

HSC

What the official deficiency says

Transferability of License-(b)..., the property and business shall not be transferred until the buyer qualifies for a license or provisional license... This requiremnt was not met based on interviews and records. This poses an immediate risk to the residents.

Official plan of correction

Licensee will inform the department of their legal council's plan to re-establish a lease agreement for the licensee. The tentative plan is to be submitted by 5 PM on 2/2/24. Additionally a Non-comliance Conference is to be scheduled with the licensee.

Deadline recorded: Feb 2, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(16)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights of Residents in Privately Operated Facilities- (16) To written notice of any room changes at least 30 days in advance unless a room change is agreed to by the resident, required to fill a vacant bed, or necessary due to an emergency. This requiremtn was not met based on records and statements that R1 was not served notice and the reason for the move did not meet regulation criterea. This posed a potential risk to the resident.

Official plan of correction

Licensee and administrator will submit a statement that they have reviewed this regulation, understand and will comply with it's content. This POC is due by 2/8/24

Deadline recorded: Feb 8, 2024. A deadline is not proof that correction was completed.

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 records review, the licensee did not comply with the section cited above in 3 of 3 staff files which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/29/2023 Plan of Correction Licensee will submit proof of required training to CCL by the POC date of 11/29/23

Official classification

Type B

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review the licensee did not comply with the section cited above in 3 of 3 staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/28/2023 Plan of Correction Licensee will submit proof of required training as well as a LIC 500 to CCL by the POC date of 11/29/23. In oder to establish a trained staff is on site at all times.

Official classification

Type B

Official code

87463(c)

Regulation authority

CCR

What the official deficiency says

(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review the licensee did not comply with the section cited above in out of 1 of 3 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/12/2023 Plan of Correction Licensee will submit copies of physican report and Needs and Services blan by the POC date of 12/12/23.