COOL MEADOW CARE

Official classification

Type A

Official code

87608(a)(1-5)

Regulation authority

CCR

What the official deficiency says

Postural Supports(a) Based on the individual's preadmission appraisal, and subsequent changes…the facility shall provide assistance and care for the resident in those activities… resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. This requirement is not met as evidence by: R1 was observed to be restrained on two different occasions (9/12/22 & 9/13/22) using a handmade restraint limiting the use of R1’s ability to move. S1 admitted during the interview conducted on 9/16/25 that she had used a homemade belt made from a bed fitted sheet on R1’s wheelchair.

Official plan of correction

Residents will not be restrained unless all requirements of Section 87608 are met.

Deadline recorded: Oct 1, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

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. The water temperature was measured at 148.4 degrees, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/21/2025 Plan of Correction Licensee agreed to adjust the water heater for the water temperature to fall within regulations and provide proof by POC due date

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

FIRE SAFETY: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshall for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Deficient Practice Statement Based observation and interview, the licensee did not comply with the section cited above in one fire extinguisher last inspected on 12-04-2023 which poses an immediate health, safety or personal rights risk to persons in care..

Official plan of correction

POC Due Date: 06/21/2025 Plan of Correction Licensee will sent proof of correction to LPA by POC due date

Official classification

Type B

Official code

1569.695(c)

Regulation authority

CCR

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... 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. LPA was unable to confirm the facility is conducting the required Emergency Disaster Drills. No documentaion was present at the facility during today's inspection,which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 07/18/2025 Plan of Correction Licensee will provide proof of completion of the required Emergency Drill by POC due date

Official classification

Type B

Official code

1569.695(a)

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: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above. LPA was unable to confirm that the facility an Emergency and DIsaster plan du to documentation not being present at the facility during today's inspection. whichposed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/18/2025 Plan of Correction Licensee will provide a copy of the emergency and disaster plan to LPA by POC due date.

Official classification

Type A

Official code

87468.2(a)(20)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights of Residents…(a) In addition to the rights listed ... residents...shall have all of the following personal rights: (20) To be protected from involuntary transfers, discharges, and evictions.... This requirement was not met as evidenced by: Based on interviews and records review it was found that the facility did not accept R1 back from the hospital. This poses an immediate health safety or personal rights risk to residents in care.

Official plan of correction

The licensee agreed to send the LPA a written step by step plan on how they will screen resident before admission to evaluate compatibility and avoid unecessary transfers. This is due by the POC due date to the LPA.

Deadline recorded: May 23, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87456(a)(4)

Regulation authority

CCR

What the official deficiency says

(a)A plan for incidental medical...care shall be developed...(4)The licensee shall assist residents with self-administratered medications as needed. Based on interviews and records review it was found that R1 had not been given their medication by staff. This poses an immediate health saftey or personal rights risk.

Official plan of correction

The administrator stated they would send a written plan on how they will manage the resident and their medications.

Deadline recorded: Aug 23, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.311

Regulation authority

HSC

What the official deficiency says

Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and testimony given by Liz Baclagan, the licensee did not comply with the section cited above in zero out of one Carbon Monoxide detector in the facility which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/30/2023 Plan of Correction Staff, Liz Baclagan states the Administrator will provide a Carbon Monoxide Detector in the facility.

Official classification

Type A

Official code

87658(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement was not met as evidenced by: LPA observed that R1's bed has full bed rails. Administrator confirmed that R1 is not receiving hospice services. This poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

Licensee shall immediately remove full bed rails on R1's bed and can instead install half-rails. LPA observed licensee remove full bed rails and install half-rails during today's visit. This POC was satisfied.

Deadline recorded: May 11, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(b)(1)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment (1)(b) (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious diseases or other medical conditions which would preclude care of the person by the facility. This requirement was not met as evidenced by: LPA reviewed two LIC602, physician's report from R1's file and neither forms list a primary and secondary diagnosis/es. This poses a potential health, safety, and personal rights risk to resident in care.

Official plan of correction

Licensee shall complete the physician's report in its entirety, specifically sections 7 through 9 of the LIC 602, physician's report. Licensee shall submit proof of correction no later than the end of POC date.

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

Official classification

Type B

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above with powedered bleach that was found under the sink of a residents shared bathroom. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/14/2022 Plan of Correction Staff was able to remove the powedered bleach right away and place it in a located cabinet under the sink of the kitchen and the deficency was cleared by the end of the visit.

Official classification

Type B

Official code

87309(b)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above with centrally stored medications that were left unlocked. This posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/14/2022 Plan of Correction Licensee was able to place the lock back on the cabinet where the medication was being kept.

Official classification

Type A

Official code

80019(e)(2)

Regulation authority

CCR

What the official deficiency says

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 with staff member S1 that was not transferred to the facility. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/15/2022 Plan of Correction Licensee will send in employee transfer to the department and send LPA a written statement stating that this has been completed.