CLARA CARE HOME

Official classification

Type B

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

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 was not met bases on interviews and records that showed S1 did not demonstrate competency in performing 1st aid to R1. This posed a potential risk to the resident.

Official plan of correction

Licensee will review staff training for competency and submit a list of staff who's competency has been reviewed and topics confirmed by the POC date of 2/28/25

Deadline recorded: Feb 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(1)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights of Residents in Privately Operated Facilities (a)…residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations… This requirement was not met based on statements that S1 photographed and shared a photo of R1 without consent. This posed a potential risk to R1’s personal rights

Official plan of correction

Licensee will review resident rights with all staff and submit a list of staff who have demonstrated understanding of the rights. List of training to be submitted by the POC date of 2/28/25.

Deadline recorded: Feb 28, 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 the licensee did not comply with the section cited above in 2 of 3 staff had insufficient training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/29/2024 Plan of Correction Licensee will submit prrof of training by the POC date of 5/29/24

Official classification

Type B

Official code

1569.683

Regulation authority

HSC

What the official deficiency says

§1569.683 Eviction notices; reasons for eviction contents; service (a) In addition to complying with other applicable regulations, a licensee of a residential care facility for the elderly who sends a notice of eviction to a resident shall set forth in the notice to quit the reasons relied upon for the eviction, with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons. In addition, the notice to quit shall include all of the following: (...) This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure to follow Health & Safety Code when issuing an eviction notice, which poses a potential health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility will complete a statement of understanding regarding Health & Safety Code §1569.683. Facility will submit statement of understanding to LPA by POC due date of 6/23/2023.

Deadline recorded: Jun 23, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure that R1 was following special diet, which poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility will complete a statement of understanding regarding regulation 87464. Facility will submit statement of understanding to LPA by POC due date of 6/9/2023.

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

Official classification

Type A

Official code

87465(a)(2)

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. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (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 is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure that R1 had transportation to all medical appointments, which poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility will complete a statement of understanding regarding regulation 87465. Facility will submit statement of understanding to LPA by POC due date of 6/9/2023.

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

Official classification

Type A

Official code

87465(a)(5)

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. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (5) Facility staff, except those authorized by law, shall not administer injections, but staff designated by the licensee may assist persons with self-administration as needed. (…) This requirement is not met as evidenced by: Based on interviews conducted, the facility did not ensure that residents needing injections were self-administering medication, which poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility ceased " hand-over-hand " method of helping resident (R1) with injections after 4/21/2022 inspection. Facility will conduct a staff training on medication administration. Administrator will submit date of training and training material to LPA by POC due date of 7/28/2022.

Deadline recorded: Jul 28, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. This requirement is not met as evidenced by: Based on interviews conducted and observation, the facility did not ensure that Administrator is at the facility for a sufficient amount of time, which poses a potential health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility will assign Acting Administrator as Administrator. New Administrator will submit to LPA a weekly schedule indicating the times and days in which Administrator is working at the facility. Administrator will submit schedule to LPA by POC due date of 8/11/2022

Deadline recorded: Aug 11, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87705(c)(4)(A)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure that R2, who has a dementia diagnosis, had awake night supervision, which poses an potential health, safety, and personal rights risk to residents in care.

Official plan of correction

Facility will complete a statement of understanding regarding regulation 87415. Facility will submit statement of understanding to LPA by POC due date of 10/14/2022.

Deadline recorded: Oct 14, 2022. A deadline is not proof that correction was completed.