Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can 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: (1) There is written direction from a physician, on a prescription blank, specifying the name of the resident, the name of the medication, all of the information specified in Section 87465(e), instructions regarding a time or circumstance (if any) when it should be discontinued, and an indication of when the physician should be contacted for a medication reevaluation. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above by having overflow of discontinued medication without physican directions which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/04/2025 Plan of Correction Licensee stated they will request for an updated medication list, along with a written dicontinued form by resident's physican. A copy will be provided to LPA Rico.
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87208(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited aboved by not having a copy of their Plan of Operation in file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/22/2025 Plan of Correction Licensee stated they will send a copy of Plan of Operation and will send proof a copy has been kept inside their facility's file.
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87311
- Regulation authority
- CCR
What the official deficiency says
All facilities shall have telephone service on the premises. Facilities with a capacity of sixteen (16) or more persons shall be listed in the telephone directory under the name of 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 by not having facillity phone working which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/22/2025 Plan of Correction Licensee stated they will contact their phone server to replace facility's phone line.
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(5)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care Services (h) The following requirements shall apply to medications which are centrally stored :(5) Each resident's medication shall be stored in it's originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on medication review, the licensee did not comply with the section cited above by not having meidcation stored in it's original container which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/04/2025 Plan of Correction Licensee stated they will remove the clear container and send proof to LPA Rico.
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(3)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care Services A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken and the resident's response. 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 having R1 and R2 PRN medication not documented with date, dosage taken and resident's response which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/04/2025 Plan of Correction Licensee stated they create a MAR for resident's PRN medication.