SUMMERFIELD OF REDLANDS

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. 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 not disposing perishable food by used by date an which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/08/2026 Plan of Correction Administrator to review all non perisbale and nonperisbale food and dispose of expired food. Conduct a weekly inventory of food and dispose expired food and or label food items with expiration date to ensure it is a good quality of care.

Official classification

Type B

Official code

87211(1)(b)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements A written report shall be submitted to the licensing agency..(b)Any suspected physical abuse that results in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, ...local law enforcement agency within two (2) hours as required by Welfare and Institutions Code Section. Based on observations, interviews and record review, the administrator did not comply with the section cited above by not submitting an incident report within 7 days of the incident which poses a potential health, safety and personal risk to persons in care.

Official plan of correction

Executive Director stated that she will conduct a training and review the regulation with all staff and ensure to submit a statement of understanding with all participate to LPA via email by POC due date.

Deadline recorded: Apr 17, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.2(a)(8)

Regulation authority

HSC

What the official deficiency says

87468.2(a)(8) Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidenced by: Based on interviews and records reviewed staff neglect resulted in R1's death. This poses a potential health, safety, or personal rights risk to residents in care.

Official plan of correction

Licensee will ensure that all care staff/med tech in the care department will be CPR/First Aid training as well as in-services training with all staff. Licensee will email copies of the current care staff CPR/First Aid training with in-service training to LPA by POC due date.

Deadline recorded: Oct 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

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 interviews and records reviewed S1 failed to demonstrate competency when she did not perform first aid. This poses a potential health, safety, or personal rights risk to residents in care.

Official plan of correction

Licensee confirmed S1 is no longer an employee. Licensee will ensure in-service on the requirements and expectation of their duties while on duty, will email copies to LPA by POC due date.

Deadline recorded: Nov 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2(a)(4) Additional perosnal rigths of residents of privately operated faclilites (a)... facilities for the elderly shall have all of the following personal rights: (4) to care, supervision and services that meet...This requirement is not met as evidence by: Based on interviews and records review licensee did not ensure the physical safety of resident 1 (R1) and did not call 911 per the family's request, which posed an immediate risk to the health and safety of the resident in care.

Official plan of correction

licensee/Adminsitrator will complete an in house training on emergency protocol when residents are in need of immediate care and submit proof to LPA by plan of correction due date.

Deadline recorded: Aug 11, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87608(a)(5)

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...(5)Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. Based on interviews, the licensee did not comply with the section cited above evidenced by tying a resident in his wheelchair with a bedsheet which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Executive Director has provided LPA with the in service training to staff on restraining residents.

Deadline recorded: Jun 12, 2025. A deadline is not proof that correction was completed.

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. This requirement is not met as evidence by: The Licensee did not comply with the section cited by the signal system in room 100 was not operating; which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

The Executive Director stated that maintenance staff would check the battery in the call system before the end of the day. The Executive Director stated that the call system button in room 100 is now working properly. The Executive director shall provide a certification statement confirming that the signal system is working properly.

Deadline recorded: Jun 19, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

INCIDENTAL MEDICAL & DENTAL CARE The licensee shall arrange, or assist in arranging, for medical & dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on file review & interviews, the licensee failed to seek medical attention in a timely manner it was 2 days before facility staff arranged for appropriate medical care for R1.

Official plan of correction

The licensee has agreed to provide in-service training on the cited regulation to all staff to ensure medical care is arranged in a timely manner along with a statement of understanding signed by all staff by the POC date of 12/15/2023.

Deadline recorded: Dec 15, 2023. A deadline is not proof that correction was completed.