OAKMONT OF CARMICHAEL

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records (a)The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the facility did not ensure R1’s records were maintained for hourly checks conducted, which poses a potential health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility agrees to submit a statement of understanding as well as conduct a staff training to ensure staff understand the importance of documentation. Facility will also submit a list of all staff who attended the training by the POC due date of 12/15/23.

Deadline recorded: Dec 15, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure that R1 was receiving hourly checks or that residents’ call button alerts were responded to in a timely manner, which poses a potential health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility agrees to submit a statement of understanding as well as conduct a staff training to ensure staff understand the caregiver expectations. Facility will also submit a list of all staff who attended the training by the POC due date of 12/15/23.

Deadline recorded: Dec 15, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(c)(5)(A)

Regulation authority

CCR

What the official deficiency says

(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. (A) When any medical assessment, appraisal, or observation indicates that the resident's dementia care needs have changed, corresponding changes shall be made in the care and supervision provided to that resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, the licensee did not comply with the section cited above inInspection found three(3) of six(6) residents, R1, R3 and 5 with physician's reports out of date.which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/28/2023 Plan of Correction Licensee agrees to submit LIC 602's for the residents identified, after confirming accuracy, by the POC date of 4/28/23.

Official classification

Type B

Official code

1569.69(a)(3)

Regulation authority

HSC

What the official deficiency says

§1569.69 Employees assisting residents with self-administration of medication; training requirements. (a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (3) An employee shall be required to complete the training requirements for hands-on shadowing training described in this subdivision prior to assisting any resident in the self-administration of medications. The training and instruction described in this subdivision shall be completed, in their entirety, within the first two weeks of employment. This requirement is not met as evidenced by: Based on record review and interview conducted, the Licensee did not ensure that staff (S1 and S2) had the required initial shadow training prior to administering medications, posing a potential health and safety risk to residents in care.

Official plan of correction

Licensee/Administrator agree to ensure all staff administering medication are current in their initial medication training. Documentation of completed required training to be sent to the Department by 12/22/22.

Deadline recorded: Jan 16, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.69(b)

Regulation authority

HSC

What the official deficiency says

§1569.69 Employees assisting residents with self-administration of medication; training requirements: (b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met as evidenced by: Based on record review, the Licensee did not ensure that staff (S3)had completed the required ongoing medication training within the last 12 months from when the review was conducted on 10/11/22, posing a potential health and safety risk to residents in care.

Official plan of correction

Licensee/Administrator agree to ensure all staff administering medication are current in their ongoing medication training. Documentation of completed required training to be sent to the Department by 12/22/22.

Deadline recorded: Jan 16, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(4)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services. (f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. This requirement is not met as evidenced by: Based on interviews conducted, the Licensee did not ensure that resident (R1) received scheduled showers, twice weekly, on a consistent basis, from May 2022- September 2022, which posed an immediate health and safety risk to residents in care.

Official plan of correction

Licensee/Administrator already conducted training with " pm " and " NOC " caregiver staff. Resident is now receiving daily showers, Mon-Fri, effective 3 weeks ago, and has a shower chair and is cooperating better. Time of shower has changed and resident is doing better. MCD will continue to consult with the Health and Services Director.

Deadline recorded: Oct 13, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)(3)

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:(3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee did not ensure that resident (R1) had a shower chair to use for assistance during bathing from on/around April 2022- September 2022, which posed a potential health and safety risk to residents in care.

Official plan of correction

Resident received a shower chair end of September 2022. Licensee/Administrator agree to conduct staff training on proper protocols in reporting issues to managers. Documentation of agenda/attendees to be provided to CCLD by 10/31/22.

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