TERRA LAGO ASSISTED LIVING

Official classification

Type A

Official code

1522(b)(1)(D)

Regulation authority

CCR

What the official deficiency says

1522 Fingerprints and criminal records; exemptions; criminal record clearances (b) (1) In addition to the applicant, this section is applicable to criminal record clearances and exemptions for the following persons: (D) Any staff person, volunteer, or employee who has contact with the clients. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by allowing Caregiver, Jonathan Ontiveros to work in the facility for approximately two weeks without a current criminal record clearance or exemption, which posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Once the Adminstrator was informed, she associated Jonathan and stated that he no longer works at the facility.

Deadline recorded: Apr 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(f)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours... This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above with staff records and facility records that were not at the facility for review during the inspection. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2023 Plan of Correction The administrator agreed to send the LPA the staff updated CPR trainings, proof of appropriate staff coverage/ staff schedule, and Proof of updated administrator training for Administrator and S1. This is due by the POC due date.

Official classification

Type B

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 interview and record review, the licensee did not comply with the section cited above with fire drill that had been conducted April of 2023. Thefacility was due for drill in July of 2023 and October of 2023. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/31/2023 Plan of Correction The adminsitrator agreed to hold a fire drill by the end of the business day and send proof of this to the LPA by the POC due date.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (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: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. Based on observation and interviews this requirement is not met as evidenced by:

Official plan of correction

The licensee failed to ensure that 1 out of 1 times R1 was given the care and supervision based on their needs. This poses a potential health safety and personal rights risk to persons in care. The licensee agrees to an inservice incontinent care, when to peform checks and change the residents. Proof of the completed POC is due by 5pm on 08/01/2023.

Deadline recorded: Aug 1, 2023. A deadline is not proof that correction was completed.