GARDEN VILLE HOME CARE

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA review and regional office contact, the licensee did not comply with the section cited above by (1) staff did not have the proper criminal background clearance which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/17/2023 Plan of Correction Licensee immediately had uncleared staff leave the facility. Administrator/Licensee shall submit a statement of understanding of the cited regulation and state that the uncleared staff will not return to the facility until background clearance is verified.

Official classification

Type B

Official code

87412(d)

Regulation authority

CCR

What the official deficiency says

(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA file review and interview, the licensee did not comply with the section cited above by Administrator certification was expired which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/15/2023 Plan of Correction Administrator/Licensee to provide proof of recertification to the licensing agency by POC date

Official classification

Type B

Official code

87411(d)

Regulation authority

CCR

What the official deficiency says

(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA file review, the licensee did not comply with the section cited above by (3) of (3) staff did not have the appropriate training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/31/2023 Plan of Correction Administrator/Licensee to submit proof of training to the licensing agency by POC date

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 LPA file review, the licensee did not comply with the section cited above by (3) of (3) staff did not have the appropriate training, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/31/2023 Plan of Correction Administrator/Licensee to submit proof of training to the licensing agency by POC date

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA file review, the licensee did not comply with the section cited above by (3) out of (3) staff did not have the appropriate health screening, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/31/2023 Plan of Correction Administrator/Licensee to submit proof of health screening to the licensing agency by POC date.

Official classification

Type A

Official code

87211(d)(4)

Regulation authority

CCR

What the official deficiency says

(d)(4) The licensee shall notify the Department, the State Long-Term Care Ombudsman, all residents, and...their representatives, in writing within 2 business days of any of the following...events, or knowledge..: The licensee receives a written notice of default of payment of rent... This requirement was not met as evidenced by: Based on observations and interviews, the licensee has not provided resident responsible parties a written notice of the facility's defaulted rental payments.

Official plan of correction

Licensee shall ensure that a written notice of default of payments of rent shall be given to resident responsible parties no later than the end of POC date of 11/23/2021. Proof of receipt shall be submitted to the Department electronically or in person.

Deadline recorded: Nov 23, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.185(e)

Regulation authority

HSC

What the official deficiency says

(e) The failure of an applicant for licensure or a licensee to pay all applicable and accrued fees and civil penalties shall constitute grounds for denial or forfeiture of a license. This requirement was not met as evicenced by: This requirement was not met as evidenced by: Based on observations and interviews, the licensee has not paid in full the facility's annual licensing fees to date.

Official plan of correction

Licensee shall ensure that the annual fees are paid in full no later than the POC date of 11/26/2021.

Deadline recorded: Nov 26, 2021. A deadline is not proof that correction was completed.