WHOLESOME ELDERLY ON MAR VISTA

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

(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: Based on record review the licensee did not comply with the section cited above facility did not ensure that residents were given their medications as prescribed. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee will schedule a training with staff, topics to be covered medication administration, and how to use the MAR. Submit proof of planned training to LPA by POC due date. Once training is complete Licensee will send LPA proof of completed training by all staff.

Deadline recorded: Jan 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements-General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by Based on interviews the license did not comply with the section cited above that on 08/30/24 residents were left at the facility without any staff which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee is to come up with a plan and schedule to prevent this from happening. Facility will also send LPA a statement of understanding for this regulation.

Deadline recorded: Jan 17, 2025. 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, and terminate employment of staff who perform in an unsatisfactory manner. This requirement is not met as evidenced by Based on file review the licensee did not comply with the section cited above as facility staff was not keeping accurate records of MARs.

Official plan of correction

Licensee to write a statement of understanding of this regulation and to conduct a training by POC due date with all staff to ensure staff are following facility policies and procedures.

Deadline recorded: Jan 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

87307Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities:(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above due to passageway not being free of obstruction which poses a potential health and safety risk to persons in care.

Official plan of correction

Licensee is to fix passageway to ensure it is not obstructed. Licensee will send LPA a picture of passageway once fixed by POC due date.

Deadline recorded: Dec 18, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above disinfectants and cleaning solutions were in an unlocked kitchen cabinet which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/01/2024 Plan of Correction Licensee immediately put lock on kitchen cabinet and will submit a statement of understanding of the regulation.