R & E SENIOR CARE, INC.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

" (f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. ... Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. " This requirement was not met as evidenced by: Based on record review, staff members did not have completed health screenings on file indicating good health, which poses a potential health, safety, and/or personal rights risk.

Official plan of correction

Licensee agrees to provide LPA Moleski with an updated health screening for S3. Emily Pozon stated that S1 no longer works at this facility. Licensee agrees to remove S1 from this facility roster by POC due date. vincent.moleski@dss.ca.gov

Deadline recorded: Nov 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

" (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. " This requirement was not met as evidenced by: Based on record review, a staff member did not have first aid/CPR training on file, which poses a potential health, safety, and/or personal rights risk.

Official plan of correction

Emily Pozon stated that S2 no longer works at this facility. Licensee agrees to remove S2 from this facility roster by POC due date. vincent.moleski@dss.ca.gov

Deadline recorded: Nov 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(g)

Regulation authority

CCR

What the official deficiency says

" The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health... " This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, emergency medical services were not called after a resident fell, hitting their head and arm and suffering bruises, redness, and an open wound, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/25/2024 Plan of Correction Licensee agrees to write a signed statement acknowledging the requirement to telephone 911 immediately after an incident occurs which threatens a resident's health by POC due date. vincent.moleski@dss.ca.gov

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, two cleaners were left unlocked in resident bathrooms, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/25/2024 Plan of Correction Licensee agrees to replace a broken lock in a common bathroom and agrees to remove bleach cleaners from R3's bedroom by POC due date. Licensee agrees to send LPA Moleski photographs of each correction. vincent.moleski@dss.ca.gov

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, various medications were left in unlocked and accessible storage areas in R3's bedroom, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/25/2024 Plan of Correction Licensee agrees to remove the medications and to provide photographs of the storage areas by POC due date showing that the medications have been removed. vincent.moleski@dss.ca.gov

Official classification

Type A

Official code

87615(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure sores (dermal ulcers). This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, R3 was admitted to this facility with a prohibited health condition, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/25/2024 Plan of Correction Licensee agrees to provide a written statement acknowledging the requirements regarding prohibited health conditions by POC due date. vincent.moleski@dss.ca.gov

Official classification

Type B

Official code

1569.695(e)(2)

Regulation authority

HSC

What the official deficiency says

(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and observation, R1-R3 had no needs and services plans on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/31/2024 Plan of Correction Licensee agrees to provide LPA Moleski with needs and services plans for all residents by POC due date. vincent.moleski@dss.ca.gov

Official classification

Type A

Official code

87355(f)

Regulation authority

CCR

What the official deficiency says

Criminal Record Clearance Violation of Section 87355(e) shall result in an immediate assessment of civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days by the department. This requirement is not met as evidenced by: LIS and Guardian does not include S2's name as associated and finger print cleared Based on Confirmation from Licensee and S2, S2 has been working for 1 year in the facility. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Administrator shall submit an email to the Guardian Department inquiring what are the next steps. POC Cleared during this visit by observation of email sent. You are hereby notified that an immediate civil penalty of $500.00 is assessed for a violation that resulted in staff working with finger print clearance and association. (See LIC421IM)

Deadline recorded: May 3, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

Personnel Records The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: records review Based on observation during visit, records are either missing or incomplete This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee shall submit a plan on when all documents will be completed and placed in staff files. Fax by POC due date

Deadline recorded: May 3, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87207

Regulation authority

CCR

What the official deficiency says

False Claims No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement is not met as evidenced by: Based on Confirmation from Licensee and S2, that S2 has been working for 1 year in the facility. In addition, S1 and S2 stated that they did not have any identification. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee shall submit a statement that in-service training will be conducted with all staff regarding the Title 22 regulations " False Claims " .

Deadline recorded: May 3, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87555(a)

Regulation authority

CCR

What the official deficiency says

General Food Service Requirements The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement is not met as evidenced by: Observation Based on Confirmation from Licensee those food items will be removed today. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee shall submit by fax a statement indicating the Title 22 regulations regarding food will be upheld at all times.

Deadline recorded: May 3, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

Criminal Record Clearance 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: Obtain a California clearance or a criminal record exemption as required by the Department This requirement is not met as evidenced by: LIS revealed person not associated and Guardian revealed person not finger print cleared Based on Confirmation from Administrator the person left with the residents was not finger printed nor associated to the facility. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Administrator shall submit a copy of live scan, proof of guardian association and/or a plan on how the facility will secure supervision of the residents which shall be faxed by POC due date. You are hereby notified that an immediate civil penalty of $500.00 is assessed for a violation that resulted in residents being left alone with a person that was not finger print cleared nor associated to the facility. (See LIC421IM)

Deadline recorded: Dec 17, 2022. A deadline is not proof that correction was completed.