INTEGRATED CARE COMMUNITIES - A1

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 Marshal for the protection of life and property against fire and panic. 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 1 emergency exits being locked and unavailable as a fire exit. The LPA observed a chain & lock on the only emergency exit in the back yard area of the facility. An interview with the local fire department revealed the chain and lock should not have been placed on the exit gate. This poses an immediate health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/10/2024 Plan of Correction Staff immediately removed the lock from the gate at the time of the visit. Administrator Rodriguez reported an in-service training will be completed to ensure all staff are aware the emergency exit is not to be blocked off.

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 2 out of 2 staff members who did not have the above required training. No postural support training or restricted health training was observed on file for S1 or S2. Insufficient hours for hospice training were observed on file for S1 and S2. This poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/31/2024 Plan of Correction Administrator Rodriguez reported the training will be completed for S1 and S2 and proof will be submitted to the Department by the POC due date.

Official classification

Type B

Official code

87307(a)(3)(D)

Regulation authority

CCR

What the official deficiency says

Personal Accommodations and Services: (a) Living accommodations and grounds shall be related to the facility’s function……(3) Equipment and supplies necessary…..shall be readily available….(D) Hygiene items o general use such as soap and toilet paper. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the Licensee did not comply with the above regulation in 3 out of 12 bathrooms, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/16/2021 Plan of Correction Licensee agrees to have an all-staff meeting regarding ensuring resident bathrooms are kept stocked with hygeiene supplies (locked). Proof of all-staff meeting to be submited to LPA Colvin by Plan of Correction Date of 11/16/21.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

PERSONNEL REQUIREMENTS - GENERAL: Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidence by: Facility stafff failed to show competency when staff failed to notify hospice of R1’s worsening condition and when staff deviated from physician’s order for treatment of pressure injuries. This posed an immediate Health and Safety risk to residents in care.

Official plan of correction

Licensee shall ensure that residents are regularly observed for changes in condition and that notifications are made to the resident's physician and the resident's responsible person, including hospice if applicable. Staff shall always ensure that residents are receiving care to meet their needs. If a resident’s needs cannot be met, then a higher level of care may be needed. Proof of understanding and staff training log on Regulation 87411 shall be submitted to CCL by the POC due date of 9/21/2021..

Deadline recorded: Sep 21, 2021. A deadline is not proof that correction was completed.