EASTVALE SENIOR HOME CARE

Official classification

Type A

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(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 not ensuring medications were kept in it's originally received container, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/19/2026 Plan of Correction Administrator stated to speak with facility staff and go over proper medication storage. Plan of Correction (POC) will be cleared.

Official classification

Type A

Official code

87465(d)(3)

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: (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. 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 ensuring PRN administration was documented properly, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/19/2026 Plan of Correction Administrator stated to go over with facility staff proper PRN documentation. POC will be cleared.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. Based on observation and record review, licensee did not not comply with the section cited above by not ensuring former Client #1 (C1) had a completed record prior to moving into the facility, which poses a poential health, saftey, or personal rights risk to persons in care.

Official plan of correction

Licensee and staff will read Title 22 regulation 87506 regarding Resident Records and send photo documentation confirming regulation was read by Plan of Correction (POC) due date. Additionally, licensee stated to not accept future residents with incomplete record.

Deadline recorded: Jan 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) Solid waste shall be stored and disposed of as follows: (2) Syringes and needles are disposed of in accordance with the California Code of Regulations, Title 8, Section 5193 concerning bloodborne pathogens. 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 having syringes and needles located underneath kitchen cabinet and not disposed in accordance with California Code of Regulations, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/15/2024 Plan of Correction Licensee stated to submit staff training on how to properly dispose of syringes and needles to LPA Hernandez by Plan of Correction (POC) due date.

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 by not enusring all cleaning solutions and disinfectants are kept locked inacessible to clients in care, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/15/2024 Plan of Correction Licensee stated to submit staff training on how to properly store chemicals and cleaning solutions to LPA Hernandez by POC due date.

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 observation the licensee did not comply with the section cited above by not ensuring Client #1 (C1) medication is locked and stored properly, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/15/2024 Plan of Correction Licensee stated to submit photo documentation of all medication locked and stored properly by Plan of Correction (POC) due date.

Official classification

Type A

Official code

87465(c)(3)

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: (3) 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 observation and record review the licensee did not comply with the section cited above by not ensuring Client #1 (C1), Client #2 (C2), Client #3 (C3) and Client #4 (C4) PRN medication is documented properly within regulation, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/15/2024 Plan of Correction Licensee stated to submit staff training on how to properly document PRN medications to LPA Hernandez by POC due date.

Official classification

Type A

Official code

87633(a)(2)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility, when all of the following conditions are met: (2) The licensee remains in substantial compliance with the requirements of this section, with the provisions of the Residential Care Facilities for the Elderly Act (Health and Safety Code Section 1569 et seq.), all other requirements of Chapter 8 of Title 22 of the California Code of Regulations governing Residential Care Facilities for the Elderly, and with all terms and conditions of the waiver. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review the licensee did not comply with the section cited above by not ensuring the facility is in substantial compliance with requirements regarding hospice care residents as there are three (3) hospice care residents, facility is only granted two (2), which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/15/2024 Plan of Correction Licensee stated to submit hospice waiver increase form to LPA Hernandez by Plan of Correction (POC) due date.

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: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above by converting the garage into a staff room/staff sleeping area that includes office table, a couch, end table, lamp, daybed and chairs. The facility sketch floor plan has the garage labeled as a garage not a staff room. Converting the garage into a staff room poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/17/2023 Plan of Correction The licensee has agreed to read regulation 87307 entirely and send LPA self certify letter that the regulation was read and understood. The licensee has agreed to remove the staff room items from the garage. The licensee has agreed to convert the staff area in the garage back to a garage per the facility sketch. The licensee has agreed to send LPA pictures as proof that the garage has been converted back to a garage. The POC is due