BELLA CORTINA RESIDENTIAL CARE FACILITY

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care: (a) A plan for incidental medical & dental care shall be developed by each facility. The plan shall encourage routine medical & dental care & provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met, as evidenced by: Based on interviews and records, R1 was administered the wrong medications on 10/09/2024 resulting in a hospitalization.

Official plan of correction

Proof of training on new medication procedures and on the six rights of safe medication administration was observed on file. POC is cleared.

Deadline recorded: Oct 16, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in [1] out of [1] staff members who did not have the required training completed. S2 did not have current Dementia training, postural support training or hospice training on file. S2 had 1.25 hours of restricted healthcare training. This violation poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/16/2024 Plan of Correction The Co-Administrator stated the training for S2 will be completed and proof of the training will be submitted to the Department by the POC due date.

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 [2] out of [5] staff files that were not available. No staff file was available for S3 or S5. This poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/16/2024 Plan of Correction Co-Administrator stated files will be created for both staff members and photographs will be submitted to the Department by the POC due date.

Official classification

Type A

Official code

1569.17(b)(1)(D)

Regulation authority

HSC

What the official deficiency says

Fingerprints and criminal records of individuals in contact with clients; exemptions; criminal records clearances In addition to the applicant, the provisions of this section shall apply to criminal record clearances and exemptions for the following persons: Any staff person, volunteer, or employee who has contact with the clients. 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 in [1] out of [4] staff members who did not have an appropriate criminal record clearance prior to working in the facility. LPAs observed S5 to be present and working at the facility; however, the individual did not have a fingerprint clearance. This poses an immediate health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/15/2024 Plan of Correction LPAs observed S5 leave the facility prior to the end of their visit. POC cleared.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. 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 due to record review and interview revealing the CPR/First Aid certification for Staff #1 is expired, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/08/2023 Plan of Correction Licensee agreed to request Staff #1 to obtain CPR/First Aid certification and provide proof of correction to CCLD by close of business on POC due date.

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. 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 due to LPA finding that staff dispensed medication this morning (8/29/2023) and did not document assistance with medication on MAR, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/08/2023 Plan of Correction Licensee agreed to provide staff training regarding medication management, dispensing and documentation, and provide proof of correction to CCLD by close of business on POC due date.