SKYE LUIS CARE HOME

Official classification

Type B

Official code

87219(a)

Regulation authority

CCR

What the official deficiency says

(a) Residents shall be encouraged to maintain and develop their quality of life through participation in a variety of planned activities. The activities made available shall include: 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 During this visit, there were no activity supplies avaiblle for review at this time, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/20/2025 Plan of Correction Per discussion, she will purchase additional activity suppliies for residents to use. Submit proof of purchase by POC due date.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465(h)(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: Based on observation, the licensee did not comply with the regulation cited above. LPA observed 2 resident medications were stored in the kitchen refrigerator and are accessible to residents in care which poses an immediate health, safety and personal risks to residents in care.

Official plan of correction

Corrected during this visit. Adminstrator placed the 2 medications inside a small refridgerator and placed it inside a locked room. Administrator to submit a statement of understanding of the regulation, CCR Section 87465 to the Department by the POC due date of 4/25/2024. Administrator to conduct a staff training on the subject of properly storing medications and submit a proof of completed training to the Department by 5/1/2024.

Deadline recorded: Apr 25, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

80088(e)(1)

Regulation authority

CCR

What the official deficiency says

Furniture, Fixtures, Equipment, and Supplies 1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).... LPA tested hot water at 142 degrees F. Licensee failed to assure hot water meeting Title 22 regulation of 105-120 degree F. This poses a immediate health and safety risk to resident in care.

Official plan of correction

Staff lowered the thermostat during the tour and agreed to test the hot water for 3 days. Test hot water in the bathroom to meet Title 22 regulations. Send 3 day hot water temperature to LPA.

Deadline recorded: May 9, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(c)(5)

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. This requirement is not met as evidenced by: Based on observation, interview, and records reviewed, the licensee did not comply with the section cited above in (1) out of (1) residents diagnosed with dementia which poses a potential health and safety risk to persons in care.

Official plan of correction

Licensee agrees to submit a plan of correction to LPA by 5/19/2023 on how R1's annual appraisal will be completed.

Deadline recorded: May 19, 2023. A deadline is not proof that correction was completed.