COTTAGES AT RIVERSIDE

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.

Official plan of correction

Administrator will send LPA they have understood and read the regulation. POC due date 6/28/2024

Deadline recorded: Jun 28, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: 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 by having Staff 1 (S1) employed at the facility without a criminal record clearance which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/05/2023 Plan of Correction Licensee/Director shall submit to the licensing agency by POC datea statement of understanding that no staff shall be permitted to work at the facility until receipt of a criminal record clearance or exemption.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303 (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: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above by the hot water tempertature in four (4) resident bathrooms testing below regulation requirement. Bathrooms in rooms 202, 203, 404, 506 tested between 86 to 96 degrees F, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/18/2023 Plan of Correction Licensee/Director shall submit to the licensing agency by POC date proof that hot water temperatures are in regulation through maintenance receipts.

Official classification

Type B

Official code

87466

Regulation authority

CCR

What the official deficiency says

87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical... the licensee shall ensure that such changes are documented and brought to the attention.. and the resident's responsible person. This requirement has not been met as evidenced by: Based on interviews and records review, the facility could not produce documentation regarding R1's bruise to the forehead. However, during interviews conducted by LPA, 2 of 4 (S3 & S4) staff members interviewed stated that they observed the bruise prior to S1 learning of the bruise from R1's daughter.

Official plan of correction

The Administrator agreed to conduct training for all staff on section 87466- Observation of the Resident of the California Code of Regulations and send proof to the Department by POC date of 10/22/2021.

Deadline recorded: Oct 22, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(B)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency .. (1)A written report shall be submitted to the licensing agency ..(B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision. This requirement has not been met as evidenced by: Based on interviews and records review, 2 of 4 staff members (S1 & S2) stated that there was no incident report was sent to the Department. LPA also reviewed incident report log and did not observe incident report regarding R1's bruise submitted to the Department.

Official plan of correction

The Administrator agreed to conduct training for all staff on section 87211- Reporting Requirements of the California Code of Regulations and send proof to the Department by POC date of 10/22/2021.

Deadline recorded: Oct 22, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.269(21)

Regulation authority

HSC

What the official deficiency says

made in error

Official plan of correction

made in error

Deadline recorded: Mar 13, 2020. A deadline is not proof that correction was completed.