JMP CARE HOME

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 LPA Vasquez's observation and interview, the licensee did not comply with the section cited above in which two (2) exterior window screens were missing and one (1) torn, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction Licensee will replace window screens and send pictures with reciept by POC due daye.

Official classification

Type B

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

(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 requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Vasquez's observation and interview, the licensee did not comply with the section cited above in not providing one week of perishables which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction LPA will purchase supplies of nonperishable foods for a minimum of one week.

Official classification

Type B

Official code

87555(b)(27)

Regulation authority

CCR

What the official deficiency says

(27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Vasquez's observation and interview, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction The Licensee agrees to treat the home for the pests. Proof of POC is to be submitted to the department by 5pm on the due date indicated.

Official classification

Type B

Official code

87506(b)(17)(E)

Regulation authority

CCR

What the official deficiency says

(b) Each resident's record shall contain at least the following information: (17) Documents and information required by the following: (E) Section 87463, Reappraisals; and This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Vasquez's observation, interview and record review, the licensee did not comply with the section cited above in resident's reappraisal was not in file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction The Licensee will complete a reappraisal with resident and will send a copy to LPA by the due date indicated.

Official classification

Type B

Official code

1569.695(a)(2)

Regulation authority

HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Vasquez observation and interview, the licensee did not comply with the section cited above in not storing emergency food and water which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction Licensee will send pictures and reciepts by the POC date indicated.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

PERSONNEL REQUIREMENTS - GENERAL: All RCFE Staff who assist residents with personnel activities of daily living shall recieve initail and annual training as specified in health and safety codes sections 1569.625 and 1569.69 (1) Staff providing care shall recieve appropriate training and first aid from persons qualified by such agencies such as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Vasquez's observation, interview and record review, the licensee did not comply with the section cited above in no Fiist Aid training documents were not in staff files which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction Licensee will emial First Aid documents to LPA by the POC due date.

Official classification

Type A

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 1 out of 1 times which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/22/2025 Plan of Correction The licensee agrees to conduct a drill, document it. Proof of POC is to be submitted to the department by 5pm on the due date indicated.

Official classification

Type B

Official code

87303(a)(1)

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. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 1 out 1 times which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/07/2025 Plan of Correction The licensee agrees to conduct an inservice on the importance of maintinaing clean, safe and sanitary conditions. Proof of POC is to be submitted to the department by 5pm on the due date indicated.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/07/2025 Plan of Correction The licensee agrees to go through the cabinets and discard the expired food items, in addition to going shopping and providing a copy of the receipt for the food purchased. Proof of POC is to be submitted to the department by 5pm on the due date indicated.

Official classification

Type B

Official code

87555(b)(27)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interviews, the licensee did not comply with the section cited above in 2 out of 2 times which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/07/2025 Plan of Correction The licensee agrees to treat the home for the pests. Proof of POC (purchase of products) is to be submitted to the department by 5pm on the due date indicated.

Official classification

Type A

Official code

87705(5)(A)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia Licensees... ensuring the following: (5) shall include a reassessment of the resident’s dementia care... (A).. dementia care needs have changed, corresponding changes shall be made in the care and supervision provided to that resident. This requirement has not been met as evidenced by: Based on records review and interviews, the licensee did not ensure that corresponding changes were made to the care and supervision of R1. This is an immediate health and safety risk to residents in care.

Official plan of correction

The Licensee agreed to conduct training for all staff members on CCR 87705 and also ensure that all residents have an updated care plan on file which reflects their current needs. Proof to the department should be obtained by POC date.

Deadline recorded: Apr 15, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (D) Any incident which threatens the welfare, safety or health of any resident, ...this requirement has not been met as evidenced by: Based on records review and interviews, the licensee did not ensure that reports regarding R1's fall, which resulted in serious injuries, were sent to the Department appropriately. This is a potential health and safety risk to residents in care.

Official plan of correction

The Licensee agreed to conduct training for all staff members on CCR 87211 and send proof to the Department by POC date.

Deadline recorded: Apr 21, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

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, mental, emotional and social ... When changes such as unusual weight gains or losses or deterioration of mental ability or a physical . This requirement has not been met as evidenced by: Based on records review and interviews, the licensee did not ensure that R1 was regularly observed for changes in physical condition. This is a potential health and safety risk to residents in care.

Official plan of correction

The Licensee agreed to conduct training for all staff members on CCR 87466 and send proof to the department by POC date.

Deadline recorded: Apr 21, 2022. 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

87468.2 Additional Personal Rights of ... (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (8) To be free from neglect, .... This requirement has not been met as evidenced by: Based on records review and interview, the licensee did not ensure that R1's personal right to be free of neglect. This is an immediate health and safety risk to residents in care.

Official plan of correction

The licensee agreed to conduct training for all staff members on CCR 87468.2 and send proof to the department by POC date. Additionally, an immediate civil penalty is being assessed for not ensuring a care plan was in place for R1's fall prevention, which resulted in R1 sustaining a serious injury.

Deadline recorded: Apr 15, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(g)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement has not been met as evidenced by: Based on records review and interview, the licensee did not ensure that R1 received timely medical attention. This is an immediate health and safety risk to residents in care.

Official plan of correction

The licensee agreed to conduct training for all staff members on CCR 87465 and implement a protocol for staff members to identify imminent health threats to the residents. Proof to the department should be obtained by POC date.

Deadline recorded: Apr 15, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.This requirement was not met evidence by. While touring facility LPA identified an obstructed passageway leading into an emergency exit doorway within the garage. Per facility staff this is done to prevent pet dog from going to other areas of the home. This possess an immediate risk to the health, safety, and personal rights of residents in care.

Official plan of correction

Licensee removed the door placed sideways from passageway during the visit. Additonally, a statement of understanding will be submtted as it relates to regulation being cited.

Deadline recorded: Mar 22, 2022. A deadline is not proof that correction was completed.