Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(e)
- Regulation authority
- CCR
What the official deficiency says
(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, and record review, the licensee did not comply with the section cited above in two (2) out of two (2) resident in care by not ensuring the MARS and Centrally stored medication matched and ensuring that all medication had a date and signed initial after being dispensed which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/11/2025 Plan of Correction Administrator agrees to complete a training for all staff regarding medication and dispensing of meds and submit a training log and statement of understanding by POC due date to LPA.
Staffing, personnel, and trainingType B
- 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 licensee did not comply with the section cited above in two (2) out of two (2) by not ensuring all Personnel files are completed with required documents such as health screening, TB test results, CPR, training, etc which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/11/2025 Plan of Correction Administrator agrees to review and audit all staff personnel file for completeness and ensure that all records are updated by POC due date.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87457(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in two (2) out of two (2) resident in care by no ensuring the all residents have a Needs and Service Plan which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/11/2025 Plan of Correction Administrator agrees to review and complete all required documents for each resident file by POC due and complete a statement of understanding to LPA.