LEGACY OF HEMET 2, THE

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations and interview, the licensee did not comply with the section cited above in several rooms, kitchen and bathrooms, where the cabinets were in need of repair which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/12/2026 Plan of Correction Licensee will provide photos via email by COB 8/12/2026 to verify all cabinets have been repaired and are fully functional.

Official classification

Type B

Official code

87412(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: 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 3 out of 4 files audited which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/25/2026 Plan of Correction Licensee will email LPA when all paper work is current and up to date, LPA will come back out to verify to clear deficiencies.

Official classification

Type B

Official code

87468(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) At the time the admission agreement is signed, a resident and the resident's representative shall be personally advised of and given a copy of: (1) The personal rights of residents specified in Sections 87468.1, Personal Rights of Residents in All Facilities and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities, as applicable to the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in 3 out of 4 files audited, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/25/2026 Plan of Correction Licensee will email LPA when all paper work is current and up to date, LPA will come back out to verify to clear deficiencies.

Official classification

Type B

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,interview, and record review, the licensee did not comply with the section cited above in 4 out of 4 files audited which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/25/2026 Plan of Correction Licensee will email LPA a copy of required training for all necessary staff by the date of POC.

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. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation,interviews and record review, the licensee did not comply with the section cited above in 3 out of 4 files audited which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/25/2026 Plan of Correction Licensee will email LPA when all paper work is current and up to date, LPA will come back out to verify to clear deficiencies.

Official classification

Type B

Official code

87456(a)(2)

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: (2) Perform a pre-admission appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation interviews, and record review, the licensee did not comply with the section cited above in 4 out of 4 files audited which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/25/2026 Plan of Correction Licensee will email LPA when all paper work is current and up to date, LPA will come back out to verify to clear deficiencies.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in 4 out of 4 files audited which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/25/2026 Plan of Correction Licensee will email LPA when all paper work is current and up to date, LPA will come back out to verify to clear deficiencies.

Official classification

Type A

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

87555(b)(26) General Food Service Requirements.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. Cont. Evidenced based on the following; Licensing Program Analyst Lankford's observtion of the refrigerator and kitchen cabintes not having the 2 day supply of perishables and the 7 day non perishishables.

Official plan of correction

Administrator will provide grocery receipts by the end of 3/25/26

Deadline recorded: Apr 2, 2026. A deadline is not proof that correction was completed.