INSPIRATIONS HOME CARE III

Official classification

Type A

Official code

87465(d)(3)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (d)(3)The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. Based on record review , the licensee did not comply with the section cited above having medication errors on R1 and R1 PRN medications which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

The Licensee stated they will conduct an in-service training for medication and will send a copy to LPA Rico. POC 3/4/2026.

Deadline recorded: Mar 4, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Faciities To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on medication audit , the licensee did not comply with the section cited above in 3 out of the 6 resident's medications were not given , and documentation did not match medication's start date which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/04/2025 Plan of Correction House Manager stated they will conduct an in-service training for medications and will also submit an Incident Report for Community Care Licesning.

Official classification

Type B

Official code

1569.695(e)(2)

Regulation authority

HSC

What the official deficiency says

(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. This requirement is not met as evidenced by: Deficient Practice Statement 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 not completing a needs and services plan for Resident’s R1, R2, R3, R4, R5, and R6 which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/10/2024 Plan of Correction The licensee has agreed to read HSC code 1569.695 entirely and send LPA a statement of understanding that the regulation was read and understood. The licensee has agreed to complete needs and services plans for the residents by the POC due date. POC is due by 4/10/2024.

Official classification

Type B

Official code

87705(c)(4)(A)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident's physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. This requirement is not met as evidenced by: Deficient Practice Statement This requirement is not met as evidenced based on interview, the licensee did not comply with the section cited above evidenced by Staff S1 admitting the facility does not have a staff awake at night. The staff only has a staff on call to help the residents which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/08/2024 Plan of Correction The licensee has agreed to read regulation 87705 entirely and send LPA a statement of understanding that the regulation was read and understood. The licensee has agreed to have a staff awake at night. The licensee has agreed to send LPA a staff schedule that includes an awake night staff. POC is due by 4/8/2024.

Official classification

Type B

Official code

87506(c)(1)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records (c) All information and records obtained from or regarding residents shall be confidential. (1) The licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents. The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative. Based on interview, the licensee did not comply with the section cited above evidenced by R1’s records not being maintained confidential, records were revealed to an outside party, and R1 was charged for medical services without the resident’s consent which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

The licensee has agreed to read regulation 87506 entirely and send LPA a self-certified letter that the regulation was read and understood. The licensee has agreed to conduct a resident confidential record training with staff and send LPA documentation of staff attendance to the training that includes the date and signatures of each staff. The POC is due by 2/21/2023.

Deadline recorded: Feb 21, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(c)(1)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records (c) All information and records obtained from or regarding residents shall be confidential. (1) The licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents. The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative. Based on interview, the licensee did not comply with the section cited above evidenced by R1’s resident records being on kitchen table instead of being stored in a centrally stored record location which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

The licensee has agreed to read regulation 87506 entirely and send LPA a self-certified letter that the regulation was read and understood. The licensee has agreed to conduct a resident records storage training with staff and send LPA documentation of staff attendance to the training that includes the date and signatures of each staff. The POC is due by 2/21/2023.

Deadline recorded: Feb 21, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

87465. Incidental Medical and Dental Care.(h)The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. 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 storing and labeling a resident's medication in a plastic cup that is not the original prescription bottle from the pharmacy which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/10/2022 Plan of Correction The licensee has agreed to read regulation 87465 entirely and send LPA self-certify letter that the regulation was read and understood. The license has agreed to train all staff on medication safety. The licensee has agreed to send LPA documentation that a medication safety class has been scheduled. The licensee has agreed to send LPA documentation that each staff member has attended the medication training, this includes staff dates and signatures as evidence of attendance.