SUNRISE ASSISTED LIVING OF FAIR OAKS

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility (...) 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 medication count and records reviewed, the facility did not ensure that residents R1 and R3 received medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility will complete an inservice with staff regarding medication administration. Facility will also continue weekly medication audits. Facility will submit to LPA information regarding in-service training and medication audit, including time and date of in-service and training material, by POC due date. A civil penalty of $250 is assessed for a repeated violation.

Deadline recorded: Apr 24, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observations and records reviewed, the facility did not ensure that staff completed annual training per health and safety code, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/11/2025 Plan of Correction Facility will ensure that annual training is completed for each care staff in accordance with the health and safety code and documentation for staff training is maintain at the facility at all times. Facility will complete a statement of understanding regarding regulation 1569.625 and submit statement to LPA by POC due date.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. (...) This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure to report multiple falls for R1 to the licensing agency, which poses a potential health, safety, and personal rights risk to the residents in care.

Official plan of correction

Facility will complete a statement of understanding regarding regulation 87211. Facility will submit statement to LPA by POC due date of 10/31/24.

Deadline recorded: Oct 31, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

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 interviews conducted and records reviewed, the facility did not ensure call buttons for residents were responded to in a timely manner, resulting in response times reaching as long as 419 minutes, which poses a potential health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility will develop a plan to address staffing and submit plan to LPA by POC due date.

Deadline recorded: Oct 31, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility (...) 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 interviews and records reviewed, the facility did not ensure that resident R1 received assistance with medication administration in accordance with their Physician's Report, which poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility will complete an inservice with staff regarding medication administration. Facility will submit to LPA information regarding in-service training by POC due date.

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

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (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: Based on interviews and records reviewed, the facility did not ensure that R1's medication was centrally stored in a safe and locked place, which poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility will complete an inservice with staff regarding centrally storing medication. Facility will submit to LPA information regarding in-service training by POC due date.

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