VILLA DESCANSO DE AMOR

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) 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 by ensuring that the facility is maintained in good repair at all times, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/13/2026 Plan of Correction The Licensee has agreed to read over the Maintenance and Operation regulation, provide training to all staff, and submit proof of training(s) to LPA by POC due date. Licensee will also provide photo evidence demonstrating fence door repairs.

Official classification

Type B

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by ensuring outdoor and indoor passageways and stairways shall be kept free of obstruction, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/13/2026 Plan of Correction The Licensee has agreed to read over the Personal Accommodations and Services regulation(s), provide training to all staff, and submit proof of training(s) to LPA by POC due date. In addition, Licensee will provide photographic evidence ensuring the area is compliance by POC due date.

Official classification

Type A

Official code

80019(e)(2)

Regulation authority

CCR

What the official deficiency says

80019(e)(2) Criminal Record Clearance (e) All individuals subject to a criminal record..licensed facility:(1) Submit a valid mailing..the Department. (A) An individual who holds a..mailing address. (2) Obtain a California clearance...Department or. This requirement is not met as evidenced by: Based on observation, interview and record review, the administrator did not comply with the section cited above in requesting a criminal record clearance for (S#1) which poses an immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

Administrator will remove (S#1) from the schedule until criminal clearance has been approved. licensee will review the regulation cited and submit a statement of understanding to LPA via email by 01/25/2025.

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

Official classification

Type B

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

87555 General Food Service Requirements.... (b) The following food service requirements shall apply: ...(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidence by: Based on interviews, and observation, the licensee did not ensure sufficient amont of perishale food supply to be in stock for R#1-5, which poses a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Licensee will read over General Food Service Requirement. Licensee will restock refrigerator provide pictures along with grocery receipt to LPA. Licensee will provide an acknowledgement of understanding and email all required documents to LPA on POC date 1/27/2025.

Deadline recorded: Jan 27, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(2)

Regulation authority

CCR

What the official deficiency says

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) 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 evidence by: Based on observation, and interviews, licensee did not ensure medications were kept locked and secure for 5 out of 5 residents, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

licensee has agreed to read over the " Incidental Medical and Dental Care " regulation and provide training to all staff. Licensee will provide a copy of training signed and dated by all staff. Training will be emailed to LPA Guerrero by POC date 1/10/2025.

Deadline recorded: Jan 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555

Regulation authority

CCR

What the official deficiency says

General Food Service Requirements.... (a) 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 evidence by: Based on observation, and interviews, licensee did not ensure refrigerator was kept at the temperature according to title 22, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

licensee has agreed to read over the " General Food Service Requirements " regulation and provide training to all staff. Licensee will provide a copy of training signed and dated by all staff. Training will be emailed to LPA Guerrero by POC date 1/10/2025.

Deadline recorded: Jan 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(6)(18)

Regulation authority

CCR

What the official deficiency says

87468.1 (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. (18) To move from the facility. This requirement is not met as evidence by: Based on interviews, the Administrator did not follow Personal Rights of Resident and prevented R#1 to leave from the facility, which poses an immediate Health, Safety, or Personal Rights risks to persons in care.

Official plan of correction

Administrator has agreed to read over Personal Rights of Resident in All Facilities 87468.1(a)(6)(18) regulation and will provide training to all staff. Administrator will provide a copy of the training to LPA. The training will provide signatures and acknowledgement by all staff. Plan of Correction will be emailed to LPA on POC date: 12/20/2024.

Deadline recorded: Dec 20, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

87468.1 (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not met as evidence by: Based on interviews, the Administrator did not follow Personal Rights of Resident and did not release R#1 medication to R#1 Responsible Party, which poses an immediate Health, Safety, or Personal Rights risks to persons in care.

Official plan of correction

Administrator has agreed to read over Personal Rights of Resident in All Facilities 87468.1(a)(3) regulation and will provide training to all staff. Administrator will provide a copy of the training to LPA. The training will provide signatures and acknowledgement by all staff. Plan of Correction will be emailed to LPA on POC date: 12/20/2024.

Deadline recorded: Dec 20, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507a

Regulation authority

CCR

What the official deficiency says

87507 a. A refund of at least 80 percent of the preadmission fee in excess of $500 shall be provided if the applicant does not enter the facility after a preadmission appraisal is conducted, or the resident leaves the facility for any reason during the first month of residency. This requirement is not met as evidence by: Based on obervation, interviews and record review, the licensee did not ensure admission agreement " Refund " was followed, which poses an immediate Health, Safety, or Personal Rights risk to persons in care

Official plan of correction

Administrator has agreed to read over the entire Admissions Agreement regulation and provide a signed and written acknowledgement of understanding regarding refund procedures. Administrator will email document to assigned LPA by 12/1/2023

Deadline recorded: Dec 1, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

87458(a) Medical Assessment (a)Prior to a person's acceptance as a resident, .. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment.This requirement is not met as evidenced Based on recrod review the licensee did not comply with the section cited above by not having R5 physician reports, which poses a potiential health and safety risk to persons in care

Official plan of correction

Licensee has agreed to send LPA Physician's Report for R5. Completed and updated by Physician. POC due date 11/3/2023

Deadline recorded: Nov 3, 2023. A deadline is not proof that correction was completed.