FIRST CHOICE SENIOR LIVING

Official classification

Type A

Official code

87555(b)(9)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (9)Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirment was not met as evidenced by: Based on observation LPA found (1) jar of pasta sauce that had green fuzzy spot inside the jar. The jar jad last been given to the residents The staff threw the jar away immediately. This poses an immediate personal rights, health or saftey risk to residents in car.

Official plan of correction

The staff agreed to send the LPA a self certified statement that they would ensure all facility food in a safe and consumable state weekly by the POC due date.

Deadline recorded: Jun 8, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees...This requirment was not met as evidenced by: Based on observation and staff interview, it was found that resident and staff medications are kept unlocked in the facility fridge. The facility has a designated fridge for medications that was found to be unlocked. This is an immediate health, saftey or personal rights risk.

Official plan of correction

The facility staff agreed to send the LPA photos of the medications removed from the facility fridge and placed in the designated locked medication fridge. The staff agreed to send the LPA self certified statements that they would ensure all medication is kept in a locked place inaccesible to residents. This shall be sent to the LPA by the POC due date.

Deadline recorded: Jun 8, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(h)(4)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (h) The administrator shall have the responsibility to: (4) Recruit, employ and train qualified staff…This requirment was not met as evidenced by: Based on administrator interview and personnel records review, it was found that staff have not receive the required training. It was found that administrator was unaware of the requirments for staff training. This is a potential personal right, health or saftey risk to the residents in care.

Official plan of correction

The administrator agreed to send a self certified statement that they have read and understood the regulation section cited, as well as the regulation pertaining to required staff training. The administrator agreed to send the LPA the required training for all staff including themselves by the POC due date.

Deadline recorded: Jun 30, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87307(a)(C)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (C) No bedroom of a resident shall be used as a passageway to another room, bath or toilet. This requirement is not met as evidenced by: the master closet being made into a room for staff, and the pantry being a passage way leading to bedroom # 3. This poses an immediate health and safety risks to persons in care.

Official plan of correction

The Licensee agreed to continue the process to obtain the necessary permits, AND to have to sleep in the 2 vacant bedrooms. (Room #1 and Room #3).

Deadline recorded: May 5, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(6)

Regulation authority

CCR

What the official deficiency says

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night...This requirement was not being met as evidenced by: During visit to facility on 1/27/2022, LPA's observed the front door to have a keyed deadbolt prevently individuals from exiting the facility.This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee will removed deadbolt located in the front door and provide proof of correction by 5:00pm on 1/27/2022.

Deadline recorded: Jan 27, 2022. A deadline is not proof that correction was completed.

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 was not being met as evidenced by: During a facility inspection on 1/27/2022, LPA's observed a hall closet and the kitchen pantry being used as staff bedrooms. This poses a potential health and safety risk.

Official plan of correction

Licensee will immidiately cease using hall closet and kitchen pantry as staff bedrooms by 5PM on 1/27/2022

Deadline recorded: Jan 27, 2022. 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

(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 evidence by: LPA observed Resident #6's medications to be stored in a daily pill container rather than the prescription bottle. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee will conduct training with staff to review regulation requirements with current and newly hired staff and submit proof of training by due date 2/3/22

Deadline recorded: Feb 3, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

87506(a) Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information.This requirement was not met evidence by: Based on a review of resident records, Resident #1 through #5 were incomplete and missing required documents. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensse will conduct an audit of current resident records and update as necessary. Proof of audit and updates must be presented to CCL by due date

Deadline recorded: Feb 3, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

Incidential Medical and Dental Care: (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes...This requirement was not met evidence by: During a review of residents file no record of centrally stored resident prescriptions were observed for resident #1, 2, 3,4, & 5.This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee, will obtain a written prescription for all residents and provide proof by due date 1/31/22

Deadline recorded: Jan 31, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(6)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night...This requirement was not being met as evidenced by: During a facility inspection on 1/3/2022, LPA observed the front door to have three locks on the interior of the front door. In addition, LPA observed a keyed deadbolt on resident bedroom #1 and #2. This poses an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 01/04/2022 Plan of Correction Per the licensee, the three locks and keyed deadbolt from resident bedrooms #1 and #2 will be removed immediately and proof of removal submitted today, 1/3/2022.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement 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 was not being met as evidenced by: During a facility inspection on 1/3/2022, LPA observed a hall closet and a pantry being used as staff bedrooms. This poses a potential health and safety risk.

Official plan of correction

POC Due Date: 01/04/2022 Plan of Correction Licensee will empty the closet and pantry and discontinue use as living accomodations. Proof of correction will be submitted to licensing by 1/4/2022.

Official classification

Type B

Official code

87468.2(a)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement (a) In addition, Personal Rights of Residents in All Facilities...this requirement is not met as evidenced by licensee did not ensure sufficent PPE, 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: 01/04/2022 Plan of Correction The licensee will obtain PPE supplies, update screening protocols and practice. Proof of correction will be submitted to licensing by 1/4/2022