GRATEFUL HEART HOME CARE INC

Official classification

Type A

Official code

87209(a)(2)

Regulation authority

CCR

What the official deficiency says

(a) The use of alternate concepts, programs, services, procedures, techniques, equipment, space....(2) A written request for a waiver or exception and substantiating evidence supporting the request shall be submitted in advance to the licensing agency... Based on observation, the licensee did not comply with the section cited above by not ensuring a waiver request for video survelliance in private resident rooms was submitted to licensing department, which poses an immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

Licensee stated to remove cameras and does not wish to submit a waiver request. Licensee stated if in the future she chooses to use cameras a written request will be submitted.

Deadline recorded: Apr 6, 2026. 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

(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 residents medication are stored in original container and not transferred to different containers, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/17/2025 Plan of Correction Licensee stated to not store medication in different container other than orignial and submit staff training documentation on administrating medications to LPA Hernandez by Plan of Correction (POC) due date.

Official classification

Type A

Official code

87465(c)(2)

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: (2) Once ordered by the physician the medication is given according to the physician's directions. 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 residents Medication Administration Record (MAR) are dated and signed, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/17/2025 Plan of Correction Licensee stated to submit photo documentation of staff training on documenting medicaton administration to LPA Hernandez by POC due date.

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 and record review, the licensee did not comply with the section cited above in 5 out of the 5 residents medications were transferred between containers which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/18/2024 Plan of Correction Licensee has agreed to train all staff on CCR 87465(h)(5) and submit proof of Staff Training Log to LPA Rico by POC due date. Licensee will submit Signed Statement of Understanding on CCR 87465(h)(5) to LPA Rico by POC due date.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below... The facility failed to meet the reporting requirement regarding R1's fall on 10/14/2021 and subsequent death within the regulatory time frame.

Official plan of correction

Licensee to conduct training with all employees in reporting requirements and submit a statement of understanding of regulation section cited along with staff inservice sign in sheet.

Deadline recorded: Dec 16, 2023. 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

To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. The facility did not meet this requirement as evidenced by facility staff failing to seek immediate medical treatment by calling 911 for R1’s head injury from an unwitnessed fall on 10/21/2021. This poses a risk to the health and safety of residents in care.

Official plan of correction

Licensee to conduct staff training on facility policy, personal rights, and when to call for medical assessment. Statement of understanding from administrator and Licensee on regulation section cited.

Deadline recorded: Dec 16, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

873550

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to HEalth and Safety Code 1569.17(b) shall prior to working, residing, or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearanceas specified in 87335 (c). This requirement is not met as evidenced by: Review of criminal record clearance shows that S1 and S2 clearances are not associated with this facility. Deficient Practice Statement Based on review of associated criminal record clearancese licensee did not comply with the section cited above in 2 out of 2 staff working on this day do not have a criminal record clearance associated to this facility number. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/24/2022 Plan of Correction Licensee to transfer criminal record clearance for S1 and S2 to this facility number by POC due date and submit a statement of understanding of the regulation section cited.

Official classification

Type A

Official code

87755

Regulation authority

CCR

What the official deficiency says

(a) Any duly authorized officer, employee, agent of the licensing agency may , upon proper identification and upon stating purpose of his/her visit, enter and inspect the entire premis of any place providing services at any time, with or without advanced notice. This requirement is not met as evidenced by: LPA is unable to acces a locked space in the facility during this visit to verify content. Deficient Practice Statement Based on LPA tour of the facility, the licensee did not comply with the section cited above. LPA Is unable to access a portioned off locked space of the garage which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/24/2022 Plan of Correction Licensee to provide access to the locked space in the facility by POC due date along with submission of a statement of understanding of section cited by POC due date.