CLEARVIEW CAREHOMES,INC.

Official classification

Type B

Official code

87469(c)(1)

Regulation authority

CCR

What the official deficiency says

87469 Advanced Directives and Requests Regarding Resuscitative Measures....advance directive and/or request regarding resuscitative measures form to the responding emergency medical personnel and identify the resident as the person to whom the order refers. Based on interviews this requirement was not observed as evidensed by LPA which poses poterntial health andsafety risk to persons in care.

Official plan of correction

The facility administrator will provide corrective measurments and POC to LPA by email following POC due date

Deadline recorded: Mar 16, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87470(c)(1)(D)

Regulation authority

CCR

What the official deficiency says

(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. (1) The Infection Control Plan shall include all of the following: (D) The licensee shall review the use of infection control procedures in the facility at least annually, if local government public health determines an epidemic outbreak has occurred, or if the review is requested by the local licensing agency. This requirement is not met as evidenced by: Deficient Practice Statement During annual insopection based on interview and record review, the licensee did not comply with the section cited above regarding Plan of Operations was unavailable / not provied to LPA forreview, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/27/2026 Plan of Correction Administrator will review and update PLan of Operations and will provideto LPA by mail/email by POC due date

Official classification

Type B

Official code

87311

Regulation authority

CCR

What the official deficiency says

All facilities shall have telephone service on the premises. Facilities with a capacity of sixteen (16) or more persons shall be listed in the telephone directory under the name of the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in regarding working facility phone which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/20/2026 Plan of Correction Administrator will provide working telephone number for the facility

Official classification

Type B

Official code

87456(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview and record review, the licensee did not comply with the section cited above in 1 out of 3 residents missing updated medical evaluation, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/19/2026 Plan of Correction Administrator will provide updated medical evaluation for resident Barney Wright

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in one out of three records reviewed, resident RP records missing updated reappreaisal which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/12/2026 Plan of Correction Administrator will follow up with reassessment for Robert Perez and provide to LPA

Official classification

Type B

Official code

87705(a)(d)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia(a) This section applies to the care of residents diagnosed with dementia. Mild cognitive impairment, as defined in Section 87101, Definitions, is not considered to be dementia.(d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. The following requirement has not been met as evidenced by: LPA observed the facility does not have auditory device to alert staff as required for care of persons with dementia, which poses a potential, health, safety, or personal rights risk to residents in care.

Official plan of correction

Licensee will install auditory alarms to alert staff as required when caring for persons with dementia and submit proof to LPA by POC date of 10/17/2025.

Deadline recorded: Oct 16, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(6)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities . (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights(6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. The following requirement has not been met as evidenced by: LPA observed baby safe door knob covers on facility front door, which poses a potential, health safety, or personal rights risk to residents in care.

Official plan of correction

Licensee will remove baby door knob covers that are preventing residents from leaving and send prood to LPA by POC date of 10/03/2025.

Deadline recorded: Oct 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.695(a)

Regulation authority

HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above and was unable to provide one out of one emergency disaster plan for review, which posed a potential health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/27/2024 Plan of Correction Administrator had agreed to complete an emergency disaster plan (LIC610E) and provide it to CCLD for review by POC due date. LIC610E will be posted in the facility and facility staff will be briefed on emergency disaster procedures.

Official classification

Type B

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

Basic Services. Basic services shall at a minimum include: Care and supervision. This requirement is not met as evidenced by Based on interview with the Licensee, the department was able to determine that R1 had sustained superficial injuries while in care as a result of laying on the floor or banging his hand on the bed post. . This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee and LPA agree to: Submit a plan on how the facility will ensure that residents are provided with a plan to address self injurious behavior. the plan will be submitted by POC due date 5/20/2022.

Deadline recorded: May 20, 2022. A deadline is not proof that correction was completed.