RESSA RESIDENTIAL CARE

Official classification

Type A

Official code

1569.625(b)(1)

Regulation authority

HSC

What the official deficiency says

(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited by not ensuring Staff #1 (S1) and Staff #2 (S2) have appropriate training, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/16/2026 Plan of Correction Licensee stated to submit staff training to LPA by Plan of Correction (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, the licensee did not comply with the section cited above by not ensuring Resident #2 (R2) medication was kept in original container, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/23/2026 Plan of Correction Licensee stated to speak with facility staff to ensure no removal of medication from original container occurs. Plan of Correction (POC) will be cleared.

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 facility staff documented administration of PRN medications properly for R2 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/23/2026 Plan of Correction Licensee stated to speak with facility staff on how to properly document administration of PRN medication. POC will be cleared.

Official classification

Type A

Official code

87216(a)

Regulation authority

CCR

What the official deficiency says

87216(a) Bonding Each licensee, other than a county, who is entrusted to safeguard resident cash resources, shall file or have on file with the licensing agency a copy of a bond issued by a surety company to the State of California as principal. This requirement wasn't met as evidenced by: Based on record review the Licensee did not have a surety bond which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

The Administrator stated they will read the regulation cited 87216(a) and will send a self-verification letter they have read and understood the regulation. POC due date 7/23/2025.

Deadline recorded: Jul 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87217(g)(1)

Regulation authority

CCR

What the official deficiency says

87217(g)(1)Safeguards for Resident Cash, Personal Property, and Valuables Records of residents' cash resources maintained as a drawing account shall include a ledger accounting... for each resident, and supporting receipts filed in chronological order. Each accounting shall be kept current This requirement wasn't met as evidenced by: Based on record review the Licensee did not have a copy of R1 ledger account which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

The Administrator stated they will read the regulation cited 87217(g)(1) and will send a self-verification letter they have read and understood the regulation. The Administrator stated they will submit an in-service training for all staff members. POC due date 7/23/2025

Deadline recorded: Jul 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(3)

Regulation authority

CCR

What the official deficiency says

87468.1(3) Personal Rights of Residents in All Facilities To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement wasn't met as evidenced by: Based on record review the Licensee withdraw one thousands dollar from R1 bank account which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

The Administrator stated they will read the regulation cited 87217(g)(1) and will send a self-verification letter they have read and understood the regulation. The Administrator stated they will submit an in-service training for all staff members. POC due date 7/23/2025

Deadline recorded: Jul 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468(a)(20)

Regulation authority

CCR

What the official deficiency says

87468(a)(20)To be protected from involuntary transfers, discharges, and evictions.. state.. and relocation protections for residents. For purposes of this paragraph.. means a transfer, discharge, or eviction that is initiated by the licensee, not by the resident This requirement wasn't met as evidenced by: Based on interviews, the Administrator did not accept R1 back to the facility which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

The Administrator stated they will read the regulation cited 87468(A)(20) and will send a self-verification letter they have read and understood the regulation. POC due date 7/23/2025

Deadline recorded: Jul 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87224(a)(2)

Regulation authority

CCR

What the official deficiency says

87224(a)(2) Eviction Procedures... (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5).... This standard wasn't met as evidenced by:Based on interviews, observation and record review, the licensee did not provide R1 and 30-Day Eviction Notice which poses an immediate Health, Safety or Personal Rights risk to persons in care.

Official plan of correction

Administrator has agreed to review the entire Eviction Procedures regulation and complete a statement of understanding and provide a signed and dated copy to LPA Rico POC due date 7/23/2025

Deadline recorded: Jul 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. 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 locking cleaning solutions, chemicals. which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/25/2025 Plan of Correction Licensee immediately locked the cabinet under the sink duering the visit Licensee stated to submit staff training to LPA Singh by the POC due date.

Official classification

Type A

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 by not maintaining Staff#2 and Staff#3 did not have health screening in the file, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/25/2025 Plan of Correction Licensee stated to submit S2 and S3s medical appointment to complette the required health screening report to LPA Singh by the POC due date.

Official classification

Type A

Official code

87412(a)(12)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Hazardous health conditions documents as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review and interview, the licensee did not comply with the section cited,LPAs observed Staff#2 and Staff#3 do not have the required Tuberculosis(TB) test with TB test result maintained in their facility file which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/25/2025 Plan of Correction Licensee stated to submit Staff#2 and staff#3 medical appointment to complete the required TB test with the tb test result to LPA Singh by the Plan of Correction(POC) due date.

Official classification

Type A

Official code

87411(d)

Regulation authority

CCR

What the official deficiency says

(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: 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 by not ensuring that Staff#2 and staff#3 were provided the required on the job training, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/25/2025 Plan of Correction Licensee stated to submit a schedule of on the job training of St#2 and S3 to LPA Singh by the POC due date.

Official classification

Type A

Official code

1569.625(b)(1)

Regulation authority

HSC

What the official deficiency says

(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview,record review, the licensee did not comply with the section cited above by not ensuring that staff#2 and staff#3 were provided the required 40 hours training, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/25/2025 Plan of Correction Licensee stated to submit st#2 and St#3 40 hours training schdule by the Plan of Correction (POC) due date.

Official classification

Type A

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview,record review, the licensee did not comply with the section cited above by not ensuring that staff#2 and staff#3 were provided the required 10 hours of initial medication training.which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/25/2025 Plan of Correction Licensee stated to submit proof of St#2 and St#3 medication training or proof of medication training registration to LPA Singh by the Plan of Correction (POC) by the due date.

Official classification

Type A

Official code

87465(a)(8)(A)

Regulation authority

CCR

What the official deficiency says

(8) If a facility has no medical unit on the grounds, a complete first aid kit shall be maintained and be readily available in a specific location in the facility. The kit shall be a general type approved by the American Red Cross, or shall contain at least the following: (A) A current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency. 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 maintaining First aid book/manual in the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/25/2025 Plan of Correction Licensee stated to obtain/ purchase first aid book or manual and submit proof to LPA Singh by the 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,interview,record review, the licensee did not comply with the section cited above by not ensuring that Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons in care, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/25/2025 Plan of Correction Licensee immediately locked the centrally stored medicines during the visit. Licensee stated to train all the staff on CCR 87465(h)(2) and submit proof to LPA Singh by the Plan of Correction(POC) due date.

Official classification

Type B

Official code

87307(d)(5)

Regulation authority

CCR

What the official deficiency says

(5) Night lights shall be maintained in hallways and passages to nonprivate bathrooms. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation,interview,record review,the licensee did not comply with the section cited above by not ensuring that night lights were maintained in hallways and passages to non-private bathrooms, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/03/2025 Plan of Correction Licensee stated to obtain or purchase night lights and submit proof to LPA Singh by the Plan of Correction( POC) due date.

Official classification

Type B

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview,record review the licensee did not comply with the section cited above by not transferring staff#2 (S2) criminal background clearance to the facilty prior to employment, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/03/2025 Plan of Correction Licensee submitted form LIC 9182 Criminal background clearance transfer request for S2 to LPA Singh during the visit. POC cleared.

Official classification

Type B

Official code

87457(c)

Regulation authority

CCR

What the official deficiency says

(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above by not ensuring that resident #1(R1) has the required pre-placement appraisal maintained in R1 file, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/03/2025 Plan of Correction Licensee stated to submit a copy of R1s pre-placement appraisal to LPA singh by the Plan of correction(POC) due date.

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 observation,interview, the licensee did not comply with the section cited above by no ensuring that the facility have the required emergency supplies, food and water, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/03/2025 Plan of Correction Licensee stated to obtain/purschase emergency supplies food and water and submit proof to LPA Singh by the POC due date.

Official classification

Type B

Official code

1569.695(e)(2)

Regulation authority

HSC

What the official deficiency says

(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation,interview,record review, the licensee did not comply with the section cited above by not ensuring that resident#4 (R4) has the required pre-placement needs and services plan maintained, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/03/2025 Plan of Correction Licensee stated to submit a copy of R#4s pre-placement needs and services plan to LPA Singh by the Plan of Correction (POC) due date.

Official classification

Type B

Official code

87608(a)(5)(A)

Regulation authority

CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation,interview,record review the licensee did not comply with the section cited above by not ensuring that Resident#2(R2) Resident#3, Resident #4 have a written order from their physician indicating the need for half bed-rails for mobility, 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 Licensee stated to obtain a written order from R2,R3,R4 physician indicating the need for half bed rail for mobility or remove the half bed rail and submit proof to LPA Singh by the POC due date.

Official classification

Type B

Official code

87705(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) Licensees shall be responsible for the following: (1) Ensuring staff receive the following training as part of the training requirements specified in Section 87208 Plan of Operation: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation,interview, record review, the licensee did not comply with the section cited above by not ensuring that Staff#2 (S2) and Staff#3(S3) completed the required dementia training, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/03/2025 Plan of Correction Licensee stated to submit proof of S2 and S3 dementia traing to LPA Singh by the Plan of Correction(POC) due date.

Official classification

Type B

Official code

87305(a)

Regulation authority

CCR

What the official deficiency says

87305(a) Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation,interview,record review, the licensee did not comply with the section cited above by not obtaining a buliding permit for the alteration made at the facility prior to construction, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/25/2025 Plan of Correction Licensee stated to obtain a building permit from the city and submit the copy to LPA Singh by the Plan of Correction(POC) by the due date.