Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87412(a)(11)
- 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: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above by not having a health screening for S4, TB results for S2,3,4 which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/05/2025 Plan of Correction Wellness Director provided proof of TB results S3,4,5.
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.695(a)(2)
- 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: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above by not having enough emergency food to last 72 hours which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/05/2025 Plan of Correction Dietary Manager has agreed to purchase emergency food to accomodate 72 hours and provide proof to LPA by POC due date.
Background checksType B
- Official classification
- Type B
- Official code
- 87355(e)(4)
- 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: (4) Request and be approved for a transfer of a criminal record exemption, as specified in Section 87356(r), unless, upon request for a transfer, the Department permits the individual to be employed, reside or be present at the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above by not having S2,3,4,5,6 associated to the facility throught Guardian which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/05/2025 Plan of Correction Wellness Director submitted documentation to CCLD to associate staff through Guardian, Executive Director has agreed to ensure all staff is associated to the facility through Guardian.