DIAMOND COTTAGE

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia: (c) Licensees...shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment...and a reappraisal done at least annually... This requirement is not met as evidenced by: Based on observation,interview, record reviews, the licensee did not comply with the section cited above in three (3) out of four (5) residents not having a current and updated Physician's Report, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee will ensure all of the residents with dementia shall have an annual medical assessment conducted and will submit proof to LPA by the POC due date

Deadline recorded: Jan 2, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(3)

Regulation authority

CCR

What the official deficiency says

(e)Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Based on observation,interview, record reviews, the licensee did not comply with the section cited above as water temperature was measuring at 149.5 F

Official plan of correction

Licensee to monitor water temperature for 10 days and create a water log that will be sent to LPA Zerbo on 12/12/2024. Staff to check hot water temperature routinely to assure the proper water temperature is maintained at all times.

Deadline recorded: Dec 3, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training...(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. LPA conducted interviews and staff interviews (1) staff #1 did not have CPR first aid training. This poses a potential health saftey or personal rights risk to residents in care.

Official plan of correction

The licensee agreed to conduct a check of staff records monthly to ensure that all staff have required and renewed training and send this procedure in writting to the LPA by the POC due date. CPR certificate for S1 to be sent by the POC due date.

Deadline recorded: Oct 3, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: 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 with (1) staff present during the visit who did not have a complete personnel record. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/26/2024 Plan of Correction The administrator agreed to send the LPA the CPR and first aide training, along with health screening and TB test for the staff by the 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 with daily pill boxes that are being used for resident medications which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/26/2024 Plan of Correction The administrator agreed to conducted training with staff and discontinue the use of the pill boxes when administering medications. Documentation of the training is due by the POC due date.

Official classification

Type A

Official code

1569.10

Regulation authority

CCR

What the official deficiency says

RCFE; License or permit; necessity; No person...within the state & no state or local public agency shall operate, establish, manage, conduct, or maintain a residential facility for elderly in this state without a current valid license or current valid special permit.. This requirement was not met, as evidenced by; Based on interview and record review. This poses an immediate Health and safty risk to resident in care.

Official plan of correction

Operator will obtain a license before POC due date 8/12/2022

Deadline recorded: Aug 12, 2022. A deadline is not proof that correction was completed.