BRASWELL'S MEDITERRANEAN GARDENS

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b): shall prior to working... in a licensed facility: (2) obtain a California clearance... as required by the Department. The requirement is not met as evidence by Based on observation the license did not ensure staff properly obtained background check/ criminal record clearance prior to being hired at the facility which poses an immediate health and safety risk.

Official plan of correction

Licensee will immediately have staff submit a criminal background clearane request to the state licensing and associate all staff to facility profile on Guardian. Once approved Licensee will submit proof of copy via email.

Deadline recorded: Mar 11, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observations the facility staff did not ensure medications were not transferred between containers which pose potential health, safety and personal rights risk to residents in care.

Official plan of correction

POC Due Date: 12/08/2023 Plan of Correction The licensee has agreed to provide training to all staff members (Med Tec) and provided a statement of understanding of the cited regulation by the POC date of 12/8/23.

Official classification

Type B

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's observations the facility staff did not ensure MARS were siged at the time medications were given to the residents in care which pose potential health, safety and personal rights risks to resident in care.

Official plan of correction

POC Due Date: 12/08/2023 Plan of Correction The licensee has agreed to provide training to all staff members (Med Tec) and provided a statement of understanding of the cited regulation by the POC date of 12/8/23.

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities-(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This regulation was not met as evidenced by: The licensee did not ensure the personal rights of all residents were maintained. Based on LPA's observation and statement of S1, S1 did not grant R1 and R2 dignity during S1's assistance with R1 and R2's toileting needs. This poses an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

The licensee with retrain all staff on the resident's right to be treated with dignity. Proof of training to be provided by 5PM 3/4/2023.

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

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements. The licensee shall send a written report, within seven days, to the licensing agency and the person responsible for the resident when any incident occurs which threatens the welfare, safety or health of any resident. This requirement is not met as evidenced by: Licensee to ensure that all unusual incidents are reported to CCL within 7 days as specified on code section 87211. hospitalization of R#1.

Official plan of correction

Licensee to ensure that all unusual incidents are reported to CCL within 7 days as specified on code section 87211. Licensee to conduct an in-service training on reporting and writing an incident report. Evidence of in-service training must be submitted to CCL by POC date.

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

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

HSC

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement (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: Based on interview and record review, the licensee did not comply with the section cited above as LPA confirmed on Guardian that Staff 1 and Staff 2 did not have criminal clearance to work at the facility which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/15/2022 Plan of Correction Licensee shall submit a Criminal Record Clearance to Community Care Licensing for Staff 1 and Staff 2 by the Plan of Correction (POC) date of 11/15/2022. Proof of submission to be submitted to LPA Allen by end of POC day.