MOUNTAIN VIEW COTTAGES VII

Official classification

Type B

Official code

87465(c)(3)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can 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) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. 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 in 1 out of 2 residents in care, by not ensuring that all medication are logged on the residents MARS and documented when medication is dispensed which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/02/2025 Plan of Correction Licensee agrees to complete a training with all staff reviewing the aboved cited regulation. Licensee will submit a training log stating all staff in attendance for the training, and will implement the new charting for medication including the date medication was received verses the start date. This will be submitted via fax or email by POC date to LPA Farlow.

Official classification

Type B

Official code

87305(a)

Regulation authority

CCR

What the official deficiency says

Alterations to Existing Building or New Facilities: (a) Prior to construction or alterations, all facilities shall obtain a building permit. This requirement was not met as evidenced by: Based on observations and interviews, the Administrator failed to notify Community Care Licensing that the facility roof was damaged and required repairs. This poses a potential health, safety, or personal rights risk to residents in care.

Official plan of correction

Administrator agrees to complete a Special Incident Report to report the damages to the facility, what should be fixed and the projected date of completion to the Community Care Licensing Office within the next 30 days. Administrator will also submit a statement of understanding by way of a LIC9098.

Deadline recorded: Sep 4, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(d)(3)

Regulation authority

CCR

What the official deficiency says

87411 (d)(3) Personnel Requirements (3) Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents. This requirement is not met as evidenced by: Based on observations and interviews, the Administrator did not ensure that all staff have skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents, which poses a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

Administrator will seek and hire staff members who have the skills and knowledge to effectively communicate with staff and residents alike. Administrator agrees to do so within the next 30 days and submit proof of correction to the Community Care Licensing.

Deadline recorded: Sep 4, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309 Storage Space (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 was not met as evidenced by: Based on observations, the Administrator failed to ensure that all toxins and chemicals are kept inaccessible. This poses a potential health, safety or personal rights risk to residents in care.

Official plan of correction

Administrator instructed staff to locate all chemicals left out and place them in a secure place inaccessible to resident's. LPA observed the staff collect all containers and place them in a secure place. The plan of correction has been completed during visit.

Deadline recorded: Aug 7, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. This requirement was not met as evidenced by. Based on record reviews and interviews, the Administrator failed to designate an Administrator for the facility when her Administrator Certificate expired. This poses a potential health, safety and personal rights risk to residents in care.

Official plan of correction

Administrator agrees to locate documentation that the Administrator Certification course has been completed and awaiting the certificate. Administrator will submit verification to community care licensing no later than Monday 8/7/23 by close of business.

Deadline recorded: Aug 7, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(d)(2)

Regulation authority

CCR

What the official deficiency says

PERSONAL ACCOMODATIONS/SERVICE: The following space and safety provisions shall apply to all facilities: The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement was not met as evidenced by: LPA observed live roaches in the facility. Interviews with staff and residents LPA interviewed residents confirmed that roaches remain present in the facility.

Official plan of correction

Licensee will have the entire home fumigated for roaches. Licensee will send proof of pest control treatment and plan to CCL by the end of POC date, 5/25/22.

Deadline recorded: May 25, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.38

Regulation authority

HSC

What the official deficiency says

POSTING OF LICENSING REPORTS; DISCLOSURE TO NEW RESIDENTS: Requires the licensee of a residential care facility for the elderly to provide written notification to the residents, resident's responsible party (if any) and to the local Long-Term Care Ombudsman within 10 days..: The Department of Social Services commences proceedings to suspend or revoke the license of the facility. This occurs when the accusation is served to the respondent. This requirement was not met as evidenced by: LPA observed that the facility failed to post accusations. Licensee verified that they have not provided written notification as required by H & S Code 1569.38(b) to the residents/resident's responsible party Ombudsman.

Official plan of correction

Licensee shall post accusations: 8219211401, 8219211401B, 8219211401C and 8219211401D in a conspicuous place and provide written notification to the residents/resident's responsible party and Ombudsman. The facility was issued a civil penalty of $100 a day which is imposed until the facility complies with a maximum of $5000..

Deadline recorded: Apr 20, 2022. A deadline is not proof that correction was completed.