A LOVING ARM HOME LLC

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 2 out of 6 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/28/2026 Plan of Correction Administrator to update all needs and service plans for residents in care annually. Administrator to send LPA R1 and R2 updated needs and service by 8/28/26.

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 record review, the licensee did not comply with the section cited above by only completing 2 fire drills annually which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/28/2026 Plan of Correction Administrator to complete disaster drills quarterly and document results. Administrator to send into LPA the dates of the next disaster drills for 2026 by 8/28/26.

Official classification

Type B

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by placing video baby monitors in resident rooms which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/28/2026 Plan of Correction Administrator removed baby monitors during LPA's visit. In addition, administrator agrees to send into CCL a statement of understanding that a video monitor is prohibited in resident rooms.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, the licensee did not ensure that all disinfectants and cleaning solutions were inaccessible which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/28/2025 Plan of Correction Licensee will lock all disinfectants and cleaning solutions to make inaccesible to residents in care by POC due date. Licensee will send photo of locked disinfectants and cleaning solutions to LPA.

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 observations, the licensee did not ensure that medications were locked away and inaccessible which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/21/2025 Plan of Correction Licensee will conduct a training with staff to ensure understanding of why medications need to be locked and inaccessible to residents in care. Licensee will submit a plan of training to LPA by POC due date.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (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: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by: Based on interview and file review, the licensee did not comply with the section cited above as LPA observed C2 to be working without a criminal clearance which poses an immediate health, safety risk to persons in care.

Official plan of correction

Administrator agrees to get C2 fingerprint cleared and associated prior to working at the facility again. Administrator to send into CCL a receipt showing fingerprints process was started for C2.

Deadline recorded: Sep 20, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87405(d)(1)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (d) 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.(1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement is not met as evidenced by: Based on interviews, the licensee did not take actions to provide appropriate care for resident in care which poses an immediate health, safety risk to persons in care.

Official plan of correction

Administrator agrees to complete a training from an outside agency on administrator qualifications. Copy of training that administrator has signed up for to be sent into CCL by 9/20/24.

Deadline recorded: Sep 20, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services. (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. This requirement is not met as evidenced by: Based on interviews and observation, licensee had staff using a closet as a staff room and storage area in the garage as a staff room which poses a potential health and personal rights risk to residents in care.

Official plan of correction

Administrator agrees to get the facility staff areas cleared by the fire department. Administrator understands if the staff areas are not cleared by fire department, then the areas can not have staff living in closet or garage area. Administrator to write a statement of understanding and send into CCL by 10/04/2024.

Deadline recorded: Oct 4, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(a)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements (a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any. This requirement is not met as evidenced by: Based on observations licensee did not have an admission agreement for R1 which poses a potential personal rights risk to residents in care.

Official plan of correction

Administrator agrees to have an admission agreement completed for R1. Administrator to send into CCL a copy of the complete and signed admission agreement for R1 by 10/04/24.

Deadline recorded: Oct 4, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87466(b)

Regulation authority

CCR

What the official deficiency says

87466 Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any This requirement is not met as evidenced by: Based on interviews, licensee did not notify R1's physician of incident that occurred which poses an immediate health, safety risk to persons in care.

Official plan of correction

Administrator to contact R1's physician and notify them of incident that occurred and a doctor appointment to be made. Administrator to provide LPA with R1's appointment date by 9/20/24.

Deadline recorded: Sep 20, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not met as evidenced by: Based on interviews, the licensee did not protect resident rights which poses an immediate health and safety risk to residents in care.

Official plan of correction

Administrator has terminated employment of caregiver. Administrator to obtain training on resident personal rights from an outside agency. Copy of training that administrator has signed up for to be sent into CCL by 9/20/24.

Deadline recorded: Sep 20, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Based on interviews, the licensee did not protect resident rights which poses an immediate health and safety risk to residents in care.

Official plan of correction

Administrator has terminated employment of caregiver. Administrator to obtain training on resident personal rights from an outside agency. Copy of training that administrator has signed up for to be sent into CCL by 9/20/24.

Deadline recorded: Sep 20, 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 record review, the licensee did not comply with the section cited above in 1 out of 2 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/11/2023 Plan of Correction Administrator agrees to review training regulations and submit to LPA a letter of understanding of training requirements for all care staff. Letter of understanding to be submitted into LPA by 8/11/23.

Official classification

Type B

Official code

87465(d)

Regulation authority

CCR

What the official deficiency says

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to 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: 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 2 out of 2 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/11/2023 Plan of Correction Administrator agrees to obtain PRN authorization for residents in care. In addition, Administrator agrees to obtain all current physician orders for all prescription and nonprescription PRN medications for each resident in care. Administrator to submit updated medication lists for residents that match medications being provided. POC due by 8/11/23.