AILIDA RETIREMENT HOME

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a)All facilities shall maintain a fire clearance approved...prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county... This requirement was not met with evidence Based on interviews and records review, R1 was admitted at the facility as a bed bound with maximum assistance in a non-approved room for bedridden. This poses an immediate health and safety risk to the residents in care.

Official plan of correction

The licensee stated they will make arrangements to move R1 to the approved bed ridden facility by POC due date.

Deadline recorded: Jan 6, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care(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: Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 4 client medications were not in their original container which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee will conduct staff training on the regulation cited above and will provide proof of training to LPA by the POC date

Deadline recorded: Jun 12, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87156(a)

Regulation authority

CCR

What the official deficiency says

87156 Licensing Fees (a) An applicant or licensee shall be charged fees as specified in Health and Safety Code section 1569.185. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above. LPA observed the facility has not paid their annual licensing fees due on 4/11/2025 and has a current balance of $1,484.00, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee reported they will pay their licensing fees and provide proof of correction to LPA by close of business on POC due date.

Deadline recorded: Jun 12, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87156(a)

Regulation authority

CCR

What the official deficiency says

87156 Licensing Fees (a) An applicant or licensee shall be charged fees as specified in Health and Safety Code section 1569.185. 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 observed the facility has not paid their annual licensing fees due on 4/11/2025 and has a current balance of $1,237.00, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/14/2025 Plan of Correction Licensee reported they will pay their licensing fees and provide proof of correction to LPA by close of business on POC due date.

Official classification

Type B

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 and interview, the licensee did not comply with the section cited above in 1 out of 4 client medications were not in their original container which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/14/2025 Plan of Correction Licensee will conduct staff training on the regulation cited above and will provide proof of training to LPA by the POC date

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

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. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. 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. No records of the drills were found and Administrator stated the last drill conducted was in 2023, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/14/2025 Plan of Correction Licensee will conduct the quarterly drill and submit proof of completion with participants signatures to LPA by POC due date

Official classification

Type A

Official code

87632(d)(2)

Regulation authority

HSC

What the official deficiency says

CRIMINAL RECORD CLEARANCE: All individuals subject to criminal records review...shall prior to working, volunteering...in a licensed facility (1) obtain a California clearance...as required by the Department. This requirement was not being met as evidenced by: LPA Delgado conducted interviews and records reviewed that 1 of 6 staff member (Staff #6) was not fingerprinted cleared and associated to the facility, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Administrator states they will not retain staff #6. Administrator will ensure a criminal background clearances and associate to the facility for future employees prior to working at the facility. LPA did not observe staff #6 on premises on 12/15/2021. Civil penalities of $500 dollars will be issued.

Deadline recorded: Dec 15, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

HOSPICE CARE WAIVER: The licensee shally notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or a resident already receiving hospice care services. This requirement was not being met as evidenced by: LPA Delgado observed, interview and review of records revealed that the Administrator did not notify CCLD that 4 of 6 residents were on Hospice in writing within 5 days, which poses an immediate Health, Safety, or Personal Rights risk to person in care.

Official plan of correction

Administrator will submit in writing to CCLD by 12/17/2021 of current residents on Hospice. LPA received Hospice notification for residents on 12/15/2021.

Deadline recorded: Dec 15, 2021. 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

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation during inspection the door to the laundry room and door to the garage was propped with a 5-gallon water jug, inside the garage were disinfectants and cleaning solutions., the licensee did not comply with the section cited above. Administrator failed to make sure doors were locked and secured This poses an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 05/09/2022 Plan of Correction Licensee to agree to conduct and submit In-service for all staff on securing and locking up disinfectants and cleaning solutions inaccessible for clients while working in the facility. Proof to be submitted to the Department by 5pm on POC.

Official classification

Type B

Official code

87468.2(a)

Regulation authority

CCR

What the official deficiency says

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation and record review, the licensee did not comply with the section cited above licensee did not ensure COVID-19 Infection Control measures: COVID-19 screening protocols and practices for all staff, residents and visitors. The personal rights of persons in care to safe and healthful to the health, welfare, and safety of persons in care, as required by the CA Dept. of Public Health Guidance.

Official plan of correction

POC Due Date: 05/09/2022 Plan of Correction The licensee will obtain additional PPE supplies, comply with COVID-19 screening protocols and practice. Proof of correction will be submitted to licensing by 5pm on POC.

Official classification

Type B

Official code

81087(a)

Regulation authority

CCR

What the official deficiency says

Buildings and Grounds: (a) The Facility shall be clean, safe, sanitary and in good repair at all times for the safety and well being of clients, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation Facility failed to meet the safety and well-being of all staff as the refrigerator door handle is broken and injury can occur while in use. LPA observed the caregiver went to open the refrigerator door handle and the handle is broken and the licensee did not ensure that the refrigerator was safe and good repair and this poses an immediate, safety and personal rights risks to staff and persons in care.

Official plan of correction

POC Due Date: 05/09/2022 Plan of Correction Licensee to agrees to replace refrigerator. Proof to be submitted to the Department by 5pm on POC.

Official classification

Type B

Official code

87468.2(a)(1)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights in Privately Operated Facilities This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation of Resident room #C, there was a camera inside a flower vase and the monitor for the camera was located inside the kitchen on top of a card table. The licensee did not ensure the personal privacy of the residents and this poses an immediate, safety and personal rights risks to persons in care.

Official plan of correction

POC Due Date: 05/09/2022 Plan of Correction Licensee to read CCR 87468.2 in its entirety and will remove any and all cameras from residents’ room(s). Proof to be submitted to the Department by 5pm on POC.