DULCE VILLA I

Official classification

Type B

Official code

87456(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in resident did not have a current Medical Assessment in file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/23/2025 Plan of Correction Licensee will obtain a current Medical Assessment and email LPA a copy of POC due date.

Official classification

Type B

Official code

87555(a)(b)(8)

Regulation authority

HSC

What the official deficiency says

This requirement is not met as evidenced by: Observation of multiple expired non perishable items in the pantry and the lack of 7 day required supply. Licensee informed LPAs that a staff member was currently grocery shopping and on their way back with groceries and non perishable items to meet the required 7 day supply of non perishables. Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in 5 items in the pantry which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/17/2024 Plan of Correction Licensee will check on expiration date of food items more often and keep in stock the required 7 day supply of non perishables.

Official classification

Type B

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

(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 requirment was not met as evidenced by: Based on observation, record review and interview it was found that there were no consent forms for (3) cameras placed in common areas. This poses a potential health, safety, or personal rights risk.

Deadline recorded: Oct 31, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

(b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirment was not met as evidenced by: Based on observation, the facility did not meet the required amounts of food items. This poses a potential personal rights, health or saftey risk to residents in care.

Deadline recorded: Oct 31, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/20/2022 Plan of Correction Although the cabinet was immediately locked by caregiver, Hilda Ramos, Nikul Mody stated a statment of understanding of the regulation sited above will be provided to LPA by the POC due date 10/20/2022.

Official classification

Type A

Official code

87468.2(a)(8)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) ...l care facilities for the elderly shall have all of the following personal rights: (8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation.... This requirement was not met as evidenced by: Based on interviews and records review, the Licensee did not ensure the personal rights of R1 to be free of neglect. The Licensee did not seek medical attention for pressure injury sustained by R1. This posed an immediate health and safety risk to residents in care.

Official plan of correction

An immediate civil penalty for $500 is being assessed for neglect resulting in the injury/illness of resident in care. In addition, the Licensee shall conduct training on the personal rights of all residents for all facility staff and send proof to the Department by POC date of 1/25/2022.

Deadline recorded: Jan 25, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87466

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... the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician.. This requirement was not met evidenced by: Based on interviews and records review, the Licensee did not ensure changes in resident's condition were documented and reported to R1’s physician in a timely manner. This posed an immediate Health and Safety risk to residents in care.

Official plan of correction

The Licensee shall conduct training on regulation 87466- Observation of the Resident for all facility staff and send proof to the Department by POC date of 1/25/2022.

Deadline recorded: Jan 25, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(5)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed.. The plan shall encourage routine medical care.. provide for assistance in obtaining such care, ... (5) The licensee shall assist residents with self administered medications as needed. This requirement was not evidenced by: Based on interviews and records review, the Licensee did not ensure that resident medications were dispensed appropriately and as prescribed. This posed a potential Health and Safety risk to residents in care.

Official plan of correction

The Licensee shall conduct medication training and documentation for all staff in accordance with regulation 87465. Proof of the training shall be sent to the Department no later than POC date of 1/31/2022.

Deadline recorded: Jan 31, 2022. A deadline is not proof that correction was completed.