SUNRISE SENIOR CARE

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 in (2) out of (4) updated care plans for R1 and R2, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/02/2025 Plan of Correction Licensee/Administrator agree to update the reappraisal/care plan for (R1/R2) by October 2, 2025 and submit updated copies to the Department by 10/2/25.

Official classification

Type A

Official code

87202(a)(1)

Regulation authority

CCR

What the official deficiency says

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. (1) Nonambulatory persons. This requirement is not met as evidenced by: Based on observation and record review, including the most recent fire safety inspection request (STD850), dated 9/23/22, the Licensee did not ensure that room #1 only housed ambulatory clients, which poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee/Administrator agree to review the fire clearance approved on 9/23/22 and Regulation 87202 and submit a signed statement to the Department acknowledging their understanding. Also R1 needs to locate to a room approved for a non-ambulatory resident within 24 hours of returning to the facility from the hospital.

Deadline recorded: Aug 18, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.626

Regulation authority

HSC

What the official deficiency says

§1569.626 (a) All residential care facilities for the elderly shall meet the following training requirements, as described in Section 1569.625, for all direct care staff: (1) Twelve hours of dementia care training, six of which shall be completed before a staff member begins working independently with residents, and the remaining six hours of which shall be completed within the first four weeks of employment. All 12 hours shall be devoted to the care of persons with dementia. The facility may utilize various methods of instruction, including, but not limited to, preceptorship, mentoring, and other forms of observation and demonstration. The orientation time shall be exclusive of any administrative instruction. (2) Eight hours of in-service training per year on the subject of serving residents with dementia. This training shall be developed in consultation with individuals or organizations with specific expertise in dementia care or by an outside source with expertise in dementia care. In formulating and providing this training, reference may be made to written materials and literature on dementia and the care and treatment of persons with dementia. This training requirement may be satisfied in one day or over a period of time. This training requirement may be provided at the facility or offsite and may include a combination of observation and practical application. This requirement is not met as evidenced by: Based on documentation reviewed, the Licensee did not ensure that staff (S1, S2 and S3) completed initial and/or continuing required training requirements, which poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee/Administrator agree to have staff complete any required intial and/or continuing training requirements. LPA provided a copy of copy of RCFE Training Guide which can be completed as each required training topic is completed.

Deadline recorded: Aug 22, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.69

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:(2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Based on documentation review, the Licensee did not ensure that staff (S1, S2 and S3) had completed the required initial medication training, which poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee/Administrator agree to have any staff handling medications complete the required initial and annual medication trainings. Administrator agrees to reach out to CCLD for names of approved vendors who can provide on-line trainings if desired.

Deadline recorded: Aug 22, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. 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 multiple cleaning products were left unlocked, under the sink, which posed a potential health, safety or personal rights risk to persons in care. Additionally, the drawer containing sharps was not locked at the time of inspection.

Official plan of correction

POC Due Date: 10/21/2022 Plan of Correction Administrator immediately removed the cleaning products and placed them in a secured area. Administrator to install a lock on the cabinet under the kitchen sink if wishing to place toxins there. Administrator immediately locked the drawer when discovered unlocked. Administrator agrees to read Regulation 87705 with staff and submit a signed statement that the regulation is understood. Submit by 10/21/22 by fax or email.

Official classification

Type B

Official code

87355(e)(2)

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: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or 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 in 1 out of [total 2 caregivers which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/19/2021 Plan of Correction Administrator to send into CCL a copy of the LIC9182, LIC508, and copy of caregivers ID for a transfer request. In addition administrator agrees request a username for Guardian. administrator to send into LPA a copy of the fax confirmation or email that was sent into CCL for transfer request by 11/19/21.

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 in pre-pouring medications over 24 hours in advance which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/24/2021 Plan of Correction Administrator agrees to send into CCL a plan of who and when resident medications will be dispensed. Plan to be sent into CCL by 11/24/21.