Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(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) (interview) (record review)], the licensee did not comply with the section cited above. LPA observed medications inside resident closet that were accessible to residents in care; LPA observed medication inside bathroom cabinet. This poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/04/2026 Plan of Correction Per discussion, Administrator will obtain a lockable cabinet to be stored in the resident's closet and they will keep the key. Send photo evidence via email by POC due date.
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87203
- Regulation authority
- CCR
What the official deficiency says
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: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. LPA observed fire door was propped opened during this visit. Per interview, staff keep this door open. LPA observed fire extinguisher last serviced was 1/22/2025 which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/10/2026 Plan of Correction During this visit, LPA observed staff closing the fire door. Per discussion with Administrator, he will obtain new fire extinguishers and he will retrain staff on fire safety to include keeping the fire door closed at all times. Proof of training and photo of fire extinguishers will be submitted to the Department by POC due date.
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(25)
- Regulation authority
- CCR
What the official deficiency says
(25) Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation) (interview) the licensee did not comply with the section cited above. LPA observed In the laundry room, LPA observed cleaning supplies, rubbing alcohol, and air refreshers to be unlocked and accessible to residents. Inside the garage, LPA observed cleaning chemicals that were stored in the same storage as drinks, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/10/2026 Plan of Correction Per discussion, the administrator agreed to keep items locked and retrain staff on proper storage. Submit proof of training by POC due date.