HESPERIA SENIOR CARE

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). 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 4 out of 5 residents bathroom water temperature within regulation; which poses an immediate 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 proof that water temperatures is within regulation by POC due date.

Official classification

Type A

Official code

87465(d)(3)

Regulation authority

CCR

What the official deficiency says

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. 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 documenting the dates of when medication was administered to R1, R2, and R3; which poses an immediate 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 a statement of understanding on the regulation cited by POC due date.

Official classification

Type A

Official code

87202(a)(2)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons 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 by not obtaining fire clearance for 2 bedridden residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/26/2024 Plan of Correction The administrator states that she will submit a new application requesting bedridden approval to the regional office and find new placement for the 2 bedridden residents. Administrator states that she will submit proof 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/updating and signing and dating 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: 02/01/2024 Plan of Correction Administrator states that she will review/update, sign and date the emergency disaster plan and submit a copy to LPA via email by POC due date.

Official classification

Type B

Official code

87208(a)(6)

Regulation authority

CCR

What the official deficiency says

87208 Plan of Operation (a)(6) (6) Plan for training staff, as required by Section 87411(c). This requirement was not met as evidenced by: Based on file review & interview, the Licensee did not ensure that staff training and proof of staff training were followed as outlined in the facility's program description on medication training.

Official plan of correction

The Licensee shall read section 87208(a)(6) and 87411(c) of the California Code of Regulation (CCR). Licensee shall submit a letter of understanding to the Regional Office (RO) by the POC due date.

Deadline recorded: Jan 27, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87755(c)

Regulation authority

CCR

What the official deficiency says

87755 Inspection Authority of the Licensing Agency (c) The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours... This requirement was not met as evidence The facility's staff could not provide the residents' records as requested by LPA. The facility staff did not have the key to access the records.

Official plan of correction

Licensee shall provide access to residents' records to all staff. Proof of correction shall be submitted to LPA on the POC due date of May 16, 2022 by the close of business.

Deadline recorded: May 16, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87755(e)(2)

Regulation authority

CCR

What the official deficiency says

87755 Inspection Authority of the Licensing Agency (c) The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours... This requirement was not met as evidence The facility's staff could not provide the residents' records as requested by LPA. The facility staff did not have the key to access the records.

Official plan of correction

Licensee shall provide access to residents' records to all staff. Proof of correction shall be submitted to LPA on the POC due date of May 16, 2022 by the close of business.

Deadline recorded: May 16, 2022. A deadline is not proof that correction was completed.