ESTHER CARE HOME

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on file review, the licensee did not comply with the section cited above as R1's LIC 602 indicated dementia but has not been reassessed in 2024 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/17/2024 Plan of Correction Licensee is get an updated LIC602A for R1. Licensee is to submit a statement of understanding that each resident with dementia shall have an annual medical assessment and reappraisal. POC due 10/17/2024, failure to correct by due date may be a $100 civil penalty per day until received.

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (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: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on file review, the licensee did not comply with the section cited above as S1's file did not have LIC503 and/or TB testing which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/17/2024 Plan of Correction Licensee is to ensure S1 gets a negative TB test. Licensee is to submit S1's LIC 503 to LPA by due date.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on medication audit, the licensee did not comply with the section cited above as LPAs observed Tylenol to be expired with date of 06/14, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/18/2024 Plan of Correction Licensee is to destroy the medication and ensure there is a replacement bottle. Licensee will submit a statement of understanding that all medication should be audited to ensure it is within best of date.

Official classification

Type A

Official code

87465(h)(2)

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: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as LPAs observed multiple bottles of medication in S1's room which door was unable to be locked which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/18/2024 Plan of Correction Licensee retrieved all S1's medication and centrally stored them in a safe location. Licensee will submit a photo proof of new lock for S1's door.

Official classification

Type B

Official code

87412(f)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and file review, the licensee did not comply with the section cited above as LPA osberved 1 out of 2 personnel file to be unavailable, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/21/2023 Plan of Correction Licensee is to ensure all caregivers have a personnel file completed with the required documents. Licensee is to submit a statement of compliance to California Code Regulation 87412 to LPA by Friday September 22, 2023.

Official classification

Type A

Official code

87465(a)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (2) The licensee shall provide assistance in meeting necessary medical and dental needs. This includes transportation which may be limited to the nearest available medical or dental facility which will meet the resident's need. This requirement is not met as evidenced by: Based on record review and interview, Licensee did not ensure residents in care received medical attention in a timely manner as LPA was informed R1 fell at 3:35 AM and dislclosed her back hurts, but was not sent to the emergency room until approximately 7:15AM, which poses an immediately risk to the residents in care.

Official plan of correction

Licensee agrees to provide training for all direct care staff on the requirement to seek medical attention timely for residents. Licensee will schedule the training and provide CCL with the training content and signed staff attendance sheet as proof of correction by 5/5/2023.

Deadline recorded: May 5, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

87203 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: Based on observation, Licensee did not ensure facility was in compliance as LPA observed the fire door located on the right wing to be propped open with a door stopper, which poses an immediate risk to the residents in care.

Official plan of correction

LPA observed caregiver removing the door stop and closed the door immediately. Licensee is to notify all staff that the fire door must remain closed at all time. Licensee is to submit a letter of compliance of CCR 87203 to CCL by 5/5/2023. ***$500.00 Immediate Civil Penalties issued today.

Deadline recorded: May 5, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87309(d)(1)

Regulation authority

CCR

What the official deficiency says

87309 Storage Space (a) Disinfectants...and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1)Storage areas for... other dangerous weapons shall be locked. Tbhis requirement is not met as evidenced by: Based on observation, Licensee did not ensure dangerous items were inaccessible as LPA observed the knife drawer to be unlocked, which poses a potential risk to residents in care.

Official plan of correction

Knife drawer was locked immediately. Licensee is to get technical support as Administrator informed LPA ,the facility has been non-operating for some time and will need refreshers on Title 22..

Deadline recorded: Mar 10, 2023. A deadline is not proof that correction was completed.