CASA DEL SOL RESIDENTIAL

Official classification

Type B

Official code

87465(e)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. Deficient Practice Statement Based on records review and observation, the licensee did not comply with the section cited above in (1) one out of (5) five residents did not have a prescription label on (4) four of their medications listed on the Medication Administration Record (MAR) although w Resident #1 had a prescription order for the medication listed on the MAR which poses an potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/28/2025 Plan of Correction Administrator Masurrat agreed to request a prescription label for all medications from the pharmacy and/or refill the medication through the pharmacy to have a label placed on the medication. Administrator will take photo proof of the correction and email the photo to Licensing Program Analyst (LPA) Valerie Flores by Close of Business on 10/28/2025.

Official classification

Type B

Official code

87465(c)(3)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: 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. Deficient Practice Statement Based on observations and records review, the licensee did not comply with the section cited above in (1) one out of (5) five residents as Resident #2 was not administered their medication as prescribed. Observations and records review, revealed medication signed off in Medication Administration Record (MAR) but medication was still in the packaging which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/28/2025 Plan of Correction Administrator Masurrat agreed to have a Registered Nurse come in the facility and demonstrator proper medication handling and how to fill out a Medication Administrator Record. Administrator will provide Licensing Program Analyst (LPA) Valerie Flores a sign off sheet including what was covered, date of the training, and signatures of all participation staff. This form will be emailed to LPA by Close of Business on 10/28/2025.

Official classification

Type B

Official code

87463(b)

Regulation authority

CCR

What the official deficiency says

The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident. This requirement was not met as evidence by: Based on record review and interviews, licensee did not conduct a reappraisal for one (1) out of two (2) residents when there was a change of Resident #1 (R1) mental and behavioral condition which posed a potential Health and Safety risk to the residents in care.

Official plan of correction

Licensee will create a training of Title 22, 87211, reporting requirements, and will document any relative incidents that affect the health and safety of the residents in care. Proof of training will be forwarded to LPA via email. (This is an amended version of the original report.)

Deadline recorded: Jun 27, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87224(a)(4)

Regulation authority

CCR

What the official deficiency says

If, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted ..., and the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident. This requirement was not met as evidence by: Bases on file review and interviews, Licensee issued an eviction notice to one (1) out of two (2) residents without conducting a reappraisal of the need not previously identified in the pre-admission assessment which poses a potential Health and Safety risk to the residents in care.

Official plan of correction

Licensee stated she will have all upper management read Title 22, section 87224, Evictions Procedures and submit a signed document to LPA verifying the procedures were read. This document will be delivered to LPA via email. (This is an amended version of the original report.)

Deadline recorded: Jun 27, 2025. A deadline is not proof that correction was completed.