ESTANCIA DEL SOL

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

87465(c)Incidental Medical and Dental Care …facility staff designated by the licensee shall be permitted to assist the resident with self-administration… (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Based on interview and document review, the licensee did not comply with the section cited above evidenced by S2 providing R1 the wrong medication dosage which poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

Licensee/Administrator stated they re-train staff on medication management. Proof of training shall be submitted to the Licensing Agency by POC due date. POC due date 4/23/2025

Deadline recorded: Apr 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.2(a)(8)

Regulation authority

CCR

What the official deficiency says

87468.2(a) Additional Personal Rights of Residents in Privately Operated Facilities (a). the rights listed..Personal Rights.. residents in privately operated residential care facilities.. elderly..following personal rights:(8) To be free from neglect.. involuntary seclusion,.. This requirement is not met as evidenced based on interview and document review, the licensee did not comply with the section cited above evidenced by failing to observe a change in condition for R1 which poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

The licensee has agreed to conduct a resident change in condition training that includes resident check procedures with the staff and send LPA proof of attendance. POC due date 4/24/2025

Deadline recorded: Apr 24, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(23)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (23) All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and observation, the licensee did not comply with the section cited above evidenced by not covering individual Jello containers in the refrigerator which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/20/2023 Plan of Correction The licensee has agreed to read regulation 87555 entirely and send LPA a self-certified letter that the regulation was read and understood. The licensee has agreed to dispose of the uncovered Jello. The licensee has agreed to conduct training on the regulation with staff and send LPA documented proof of staff attendance. The POC is due by 11/20/2023.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. Based on observation and interviews this requirement is not met as evidenced by:

Official plan of correction

The licensee failed to ensure that 1 out of 1 times R1 was given the care and supervision based on their needs. This poses a potential health safety and personal rights risk to persons in care. The licensee agree to conduct an inservice on personal rights, reminder on training why we train, and notfication of issues and or concerns, encourage to speak up. POC is to be submitted to the department by 5pm on the due date indicated.

Deadline recorded: Jul 4, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(D)

Regulation authority

CCR

What the official deficiency says

87211Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence... (D) Any incident which threatens the welfare, safety or health of any resident... This requirement is not net as evidenced by: the licensee failed to report the incident in which staff did not

Official plan of correction

hook R1’s oxygen equipment up correctly. This poses a potential health, safety and personal rights risk to persons in care. The licensee agree to POC is to be submitted to the department by 5pm on the due date indicated.

Deadline recorded: Jul 4, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87633(4)(a)

Regulation authority

CCR

What the official deficiency says

87633 Hospice Care of Terminally Ill Residents (4) A description of the area of licensee’s responsibility for implementing the plan including, but not limited to, facility staff duties; record keeping; and communication with the hospice agency, resident’s physician, and the resident’s responsible person(s), if... (A) The plan shall specify all procedures to be implemented by the licensee handling of medication, This requirement is not met as evidenced by: 1 out of 1 times the licensee failed to follow the plan This poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

The Licensee agrees to conduct an inservice on the facility role vs hospice role when hopsice not at the facility. POC is to be submitted to the department by 5pm on the due date indicated.

Deadline recorded: Jul 4, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87618(b)(5)

Regulation authority

CCR

What the official deficiency says

87618 Oxygen Administration - Gas and Liquid (b).. the licensee shall be responsible for the following: (5) Ensuring that facility staff have knowledge of, and ability in the operation of the oxygen equipment.This requirement is not met as evidenced by: 1 out of 1 times, that licensee did not ensure that staff #1 (S1) knew how to properly operation R1’s oxygen equipment. This poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

The Licensee agrees to conduct an inservice on oxygen administration (O2 and nebulizer). POC is to be submitted to the department by 5pm on the due date indicated.

Deadline recorded: Jul 4, 2023. A deadline is not proof that correction was completed.