LOVING CARE RANCH

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above by cleaning supplies were kept unlocked and unattended by staff in resident bathrooms and laundry room; which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/07/2025 Plan of Correction Staff removed the cleaning supplies and placed them in locked cabinets.

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. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above by staff #1 (S1) did not have a health screening with tuberculosis(TB) or chest x-ray screening on file for LPA review; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/27/2025 Plan of Correction The Licensee/Administrator shall provide to the licensing agency by POC due date, documentation of S1's health screening and TB results.

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 observations, the licensee did not comply with the section cited above by not maintaining documenation of direct care staff #1 (S1), staff #2 (S2) and staff #3(S3) annual dementia and hospice training; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/27/2025 Plan of Correction The Licensee/Administrator shall provide to the Licensing Agency by POC due date, documentation of staff's annual dementia & hospice training.

Official classification

Type B

Official code

87307(a)(2)(C)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services (a)Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (C)No bedroom of a resident shall be used as a passageway to another room, bath or toilet. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above by resident #1 (R1's) room was being used as a passageway into staff's sitting area and back bedrooms;which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/27/2025 Plan of Correction The Licensee/Administrator shall submit to the Licensing Agency by POC due date, proof that R1's bedroom is no longer being used as a passage way to other rooms.

Official classification

Type B

Official code

1569.69(b)

Regulation authority

HSC

What the official deficiency says

(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's record review, the licensee did not comply with the section cited above by staff #2 (S2) and staff#3 (S3) did not have record of annual medication administration training on file for review; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/27/2025 Plan of Correction The Licensee/Administrator shall provided to the Licensing Agency by POC due date, documentation of annual medication training for S2 and S3.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observed, the licensee did not comply with the section cited above by not maintaining cleaning supplies and disinfectants locked and inaccessible to residents in care; which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/12/2024 Plan of Correction Staff removed the cleaning supplies and placed them in a locked room. No further action required.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(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: Deficient Practice Statement Based on LPA obervations, the licensee did not comply with the section cited above by not maintaining resident's medications in building #2 locked;which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/12/2024 Plan of Correction Staff locked medication closet. No further action required.

Official classification

Type A

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above by maintaining resident's medication in pill boxes; which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/12/2024 Plan of Correction The Licensee/Administrator shall submit a statement of understanding the regulation cited.

Official classification

Type B

Official code

87412(e)

Regulation authority

CCR

What the official deficiency says

(e) In all cases, personnel records shall demonstrate adequate staff coverage necessary for facility operation by documenting the hours actually worked. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above by not maintaining a staff schedule with staff hours for review; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/10/2025 Plan of Correction The Licensee/Administrator shall submit to the Licensing agency a staff schedule by plan of correction date.

Official classification

Type B

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

Postural Supports (a) based on the individual's preadmission appraisal...the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. (B)Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above by having residents in full bedrails who are not under hospice care; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/10/2025 Plan of Correction The Licensee/Administrator stated they will request a written physician orders for bed rail approval.

Official classification

Type B

Official code

87608(a)(5)(A)

Regulation authority

CCR

What the official deficiency says

Postural Supports (a) based on the individual's preadmission appraisal...the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. (A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above by utilizing half bed for other purposes other than mobility without a physician's order; which poses/posed a potential health, safety or personal rights risk to persons in care.,

Official plan of correction

POC Due Date: 01/10/2025 Plan of Correction The Licensee/Administrator stated that they will provide physician's approval for half bed rails and submit to licensing by POC due date.

Official classification

Type A

Official code

87468.1(a)(13)

Regulation authority

CCR

What the official deficiency says

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(13)To have access to individual storage space for private use. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observations, the licensee did not comply with the section cited above by storing facility supplies in R1's private room; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/16/2024 Plan of Correction The Licensee/Administator shall have the storage items that do not belong to R1 removed from R1's closet by Plan of Correction date.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above by not maintaining an updated medical assessment reflecting R3's change in condition; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/10/2025 Plan of Correction The Licensee/Administrator shall provide an updated medical assessment to the Licensing Agency by Plan of correction date.

Official classification

Type B

Official code

87470(c)

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. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the administrator did not comply with the section cited above in having an Infection Control Plan available for inspection which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/28/2024 Plan of Correction Administrator stated that she will submit a complete and updated Infection Control Plan to LPA via email by POC due date.

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the administrator did not comply with the section cited above in having a copy of a current liability insurance for the facility which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/28/2024 Plan of Correction Administrator stated that she will submit a copy of a current liability insurance of the facility to the LPA via email by POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

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, interview and record review, the administrator did not comply with the section cited above in maintaining the facility in good repair like the 5 nonfunctioning smoke alarms in building #1 and 1 nonfunctioning smoke alarm and broken ceiling in building #2 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/28/2024 Plan of Correction Administrator stated that she will have the maintenance person repair all the nonfunctioning smoke alarms and schedule an appointment for the ceiling to be repaired in the living room for building #2. Administrator will submit proof of repairs to LPA via email by POC due date.

Official classification

Type B

Official code

1569.618(a)

Regulation authority

HSC

What the official deficiency says

(a) The administrator designated by the licensee pursuant to paragraph (11) of subdivision (a) of Section 1569.15 shall be present at the facility during normal working hours. A facility manager designated by the licensee with notice to the department, shall be responsible for the operation of the facility when the administrator is temporarily absent from the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the administrator did not comply with the section cited above in assigning an approved staff member to cover the facility while the administrator is on vacation which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/28/2024 Plan of Correction Administrator stated that she will review HSC 1569.618(a) and submit a statement of understanding to LPA via email by POC due date.

Official classification

Type B

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the administrator did not comply with the section cited above in having all complete staff files with required documents ready for inspection which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/28/2024 Plan of Correction Administrator stated that she will submit the missing files and documents of staff to LPA via email by POC due date.

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 observation and record review, the administrator did not comply with the section cited above in maintaining a nonexpired administrator's certificate ready for inspection which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/28/2024 Plan of Correction Administrator stated that she will submit a copy of her nonexpired administrator's certificate to LPA via email by POC due date.

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the administrator did not comply with the section cited above in keeping the residents medication in their original containers which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/28/2024 Plan of Correction Administrator stated that she will host a training with all staff going over the regulation cited and submit proof of attendance to LPA via email by POC due date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the administrator did not comply with the section cited above in conducting a drill at least quarterly for each shift which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/28/2024 Plan of Correction Administrator stated that she will host a training with all staff going over the regulation cited and submit proof of attendance to LPA via email by POC due date.

Official classification

Type B

Official code

1569.695(d)

Regulation authority

HSC

What the official deficiency says

(d) A facility shall review the plan annually and make updates as necessary, including changes in floor plans and the population served. The licensee or administrator shall sign and date documentation to indicate that the plan has been reviewed and updated as necessary. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the administrator did not comply with the section cited above in reviewing and updating the emergency disaster plan which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/28/2024 Plan of Correction Administrator stated that she will review and update the emergency disaster plan and submit a copy to LPA via email by POC due date.

Official classification

Type B

Official code

87618(b)(3)

Regulation authority

CCR

What the official deficiency says

(3) Ensuring that the use of oxygen equipment meets the following requirements: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the administrator did not comply with the section cited above in posting oxygen signs on the residents bedrooms and a copy of the notice sent to the local fire department which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/28/2024 Plan of Correction Administrator stated that she will review and complete the requirements needed for the regulation cited and submit a statement of understanding to LPA via 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, interview and record review, the administrator did not comply with the section cited above in maintaining a functioning telephone landline which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/28/2024 Plan of Correction Administrator stated that she will schedule an appointment with the phone company and have it repaired by POC due date and submit proof to LPA via email by POC due date.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411(a) Personnel Requirements - General 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 as evidenced by: Based on observation and interview the licensee did not ensure that C1 was not left unattended or a call system was installed in ranch 3, which poses an immediate health, safety, or personal right risks to persons in care.

Official plan of correction

Licensee shall ensure that staff is present at all times in ranch 3 or install a call system. Licensee shall read CCR 87411(a) and submit a letter of understanding to the Regional Office (RO) by the POC due date.

Deadline recorded: Nov 2, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

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: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in ensuring V1 had a criminal record clearance prior to volunteering at the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/29/2022 Plan of Correction The licensee shall ensure that V1 requests a live scan (LIC9163). The Licensee is advised that this individual cannot volunteer or reside at the facility until he/she has a criminal record clearance . Proof of the live scan shall be submitted to the regional office (RO) by 10/29/2022. A civil penalty of $500.00 has been assesse

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. 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 by: Deficient Practice Statement Based on observation, interview, file review, the licensee did not comply with the section cited above in ensuring to obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year for C2, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/28/2022 Plan of Correction Licensee shall obtain and keep on file, documentation of a medial assessment signed by a physician, made within the last year for C2. Proof of correction shall be submitted to the regional office (RO) by 11/28/2022.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. 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 ensuring adequate care and supervision for clients in care, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/29/2022 Plan of Correction Licensee shall ensure that C1 will stay at ranch 1 during the day and put him outside when he wants to smoke. Licensee shall ensure that when C1 wants to lay down because there is no additional beds in ranch 1 that staff will be with him in ranch 3 so C1 can lay down. Licensee shall submit plan in writing to RO by 10/29/2022.

Official classification

Type B

Official code

87608(a)(B)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 2 of 14 residents. LPA observed that 2 residents had full bed rails that are not receiving hospice services nor did they have an exception on file with the Department. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/04/2021 Plan of Correction Licensee agreed to remove the full bedrails then request exception from the Department and send all required documentation to LPA by POC date.