TRINITY CARE HOME

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 is not met as evidenced by: Deficient Practice Statement Based on record review, S2 did not have a current first aid/CPR certification, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/28/2024 Plan of Correction Licensee agrees to acquire updated first aid/CPR certification for S2 by POC due date. vincent.moleski@dss.ca.gov

Official classification

Type B

Official code

87457(c)

Regulation authority

CCR

What the official deficiency says

(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, R3 did not have a pre-admission appraisal completed, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2024 Plan of Correction Licensee agrees to complete a new appraisal for R3 by POC due date. vincent.moleski@dss.ca.gov

Official classification

Type A

Official code

87465(a)(2)

Regulation authority

CCR

What the official deficiency says

87465(a)(2): “(2) The licensee shall provide assistance in meeting necessary medical and dental needs. This includes transportation which may be limited to the nearest available medical or dental facility which will meet the resident's need. In providing transportation the licensee shall do so directly or make arrangements for this service.” This requirement was not met as evidenced by: Based on interviews, transportation was not provided or arranged for R1 for a medically necessary appointment, which poses an immediate health and safety risk.

Official plan of correction

Licensee agrees to submit a written plan of correction. vincent.moleski@dss.ca.gov

Deadline recorded: Nov 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(4)

Regulation authority

CCR

What the official deficiency says

87464(f)(4): “(f) Basic services shall at a minimum include: … (4) Personal assistance and care as needed by the resident … as specified in Section 87608, Postural Supports.” This requirement was not met as evidenced by: Based on interviews, R1 was not provided assistance with a medically necessary postural support on at least one occasion, which poses an immediate health and safety risk.

Official plan of correction

Licensee agrees to conduct a staff training and shall provide LPA Moleski with a sign in sheet of staff members in attendance. vincent.moleski@dss.ca.gov

Deadline recorded: Nov 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(B)

Regulation authority

CCR

What the official deficiency says

" (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:... (B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision. " This requirement was not met as evidenced by: Based on interviews, the licensee did not submit required incident reports after R1 suffered a genital laceration due to a catheter being removed, nor when R1 was sent to the hospital for a fracture of their arm, which poses a potential health, safety, and/or personal rights risk.

Official plan of correction

Licensee agrees to send in incident reports for these incidents by POC due date. vincent.moleski@dss.ca.gov

Deadline recorded: Aug 26, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(e)

Regulation authority

CCR

What the official deficiency says

" (e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. " This requirement was not met as evidenced by: Based on interviews, this facility did not retain R1's file after termination of service, which poses an potential health, safety, and/or personal rights risk.

Official plan of correction

Licensee agrees to conduct a staff training regarding record retension, and will provide LPA Moleski with a sign-in sheet for the training by POC due date. vincent.moleski@dss.ca.gov

Deadline recorded: Aug 26, 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, cleaning solutions were left unlocked and accessible in two facility bathrooms and a hallway cabinet, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/31/2023 Plan of Correction Staff moved cleaning solutions into locked storage areas during this visit. This plan of correction will be cleared.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in the kitchen flooring in disrepair and hood of over the stove accumulating grease which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2021 Plan of Correction Licensee will place an order for the repair of kitchen flooring and send proof to LPA Hubbard via email to indicate the time of repair. Licensee stated the hood over the stove will be replaced by 11-5-2021 and will send proof via email with pictures showing the repair.

Official classification

Type B

Official code

87303(a)(1)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in R1 room contained leaks from the ceiling due to rain on 10-24-21. R1 has been sleeping in the room with the leaks which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2021 Plan of Correction Licensee stated the ruff will be repaired on 11-3-21 and will send pictures of wall repair from leak via email and fax. R1 will be relocated to vacant room 4 on 11-3-21 until repair is completed by 11-5-2021.

Official classification

Type B

Official code

87303(c)

Regulation authority

CCR

What the official deficiency says

(c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in the window screen in backyard of right of facility in disrepair which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2021 Plan of Correction Licensee stated they will replace the window screen by 11-5-21 and show proof of correction by 11-5-21 via email with pictures.

Official classification

Type B

Official code

87303(e)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in bathroom 2 contained a facet knob in disrepair containing plastic wrapped around it with rubber bands not working and able to use which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2021 Plan of Correction Licensee will replace faucet knob and fix plumbing to ensure residents can use the bathroom sink by 11-5-2021.