AMARIAH HOME CARE

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and manager interview, Licensee did not ensure that 3 of 3 staff (S1, S2, and S3) had completed 20 hours of training within the last twelve (12) months, of which 8 hours were required to be on dementia care and of which 4 hours were required to be on postural supports, restricted health conditions, and hospice care. This posed a potential health and personal rights risk to 6 of 6 residents [R1 through Resident #6 (6)] in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction Licensee agreed to have S1, S2, and S3 each finish 20 hours of annual training (ensuring at least 8 hours are on dementia care and at least 4 hours are on " postural supports, restricted health conditions, and hospice care " ). Licensee agreed to clearly document the training, and to send proof of completion to LPA, by the POC due date.

Official classification

Type B

Official code

1569.69(b)

Regulation authority

HSC

What the official deficiency says

(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and manager interview, Licensee did not ensure that 2 of 3 medication-passing staff (S1 and S3) had completed 8 hours of in-service training on medication-related issues within the the last twelve (12) months. This posed a potential health risk to 6 of 6 residents [R1 through Resident #6 (6)] in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction Licensee agreed to have S1 and S3 each finish 8 hours of annual training on medicaiton-related topics. Licensee agreed to clearly document the training, and to send proof of completion to LPA, by the POC due date.

Official classification

Type B

Official code

87463(h)(1)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. (1) Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and manager interview, Licensee did not ensure that 2 of 6 residents (R2 and R5) had documentation of an annual routine visit with a licensed medical professional. This posed a potential health risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction Licensee agreed to coordinate with responsible persons (RP) to ensure that R2 and R5 complete their respective annual routine physical/medical visit. (In cases where the RP refuses the annual visit, Licensee will document such refusal in writing.) Licensee agreed to send proof of completion to LPA, by the POC due date.

Official classification

Type B

Official code

87467(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Prior to, or within two weeks of the resident's admission, the licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, and any other appropriate parties, to prepare a written record of the care the resident will receive in the facility, and the resident's preferences regarding the services provided at the facility. (3) The licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident's condition, or once every 12 months, whichever occurs first. Significant changes shall include, but not be limited to occurrences specified in Section 87463, Reappraisals. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, for 4 of 6 residents (R1 through R4), Licensee did not within the last 12 months arrange a meeting with the resident and required individuals to review and revise the resident's written record of care. This posed a potential health risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction For R1 through R4 each, Licensee agreed to conduct a care conference with their responsible person (and visiting care agency personnel, as applicable) to review the resident's facility Plan of Care, updating it as needed. All parties to the meeting will sign. Licensee agreed to E-mail proof of care conference completion to LPA, by the POC due date. Going forward, Licensee agreed to facilitate such care conferences at least once every 12 months for each resident.

Official classification

Type B

Official code

87633(b)(6)(B)

Regulation authority

CCR

What the official deficiency says

(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: (6) Identification of the training needed, which staff members need this training, and who will provide the training relating to the licensee's responsibilities for implementation of the hospice care plan. (B) The hospice agency will provide training specific to the current and ongoing needs of the individual resident receiving hospice care and that training must be completed before hospice care to the resident begins. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, Licensee did not ensure that the hospice agency trained 3 of 3 facility staff (S1, S2, and S3) on 1 of 6 resident' (R1's, who was under hospice care) current and ongoing individual care needs. This posed a potential health risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction Licensee agreed to coordinate with the hospice agency for R1, to have their nurse lead an in-service training for current facility staff, covering both R1's hospice care plan and the current and their ongoing care needs. Licensee agreed to E-mail the training sign-in sheet to LPA, by the POC due date.

Official classification

Type B

Official code

87613(a)(2)(A)

Regulation authority

CCR

What the official deficiency says

87613 General Requirements for Restricted Health Conditions: (a) Prior to admission of a resident with a restricted health condition, the licensee shall: (2) Ensure that facility staff who will participate in meeting the resident’s specialized care needs complete training provided by a licensed professional sufficient to meet those needs. (A) Training shall include hands-on instruction in both general procedures and resident-specific procedures.” This requirement was not met, as evidenced by: Deficient Practice Statement Based LPA observation, records review, and manager interview, 2 of 6 residents (R3 and R4) had at least one restricted health condition, but Licensee did not have proof that 3 of 3 facility staff (S1, S2, and S3), who will participate in meeting the resident’s specialize care needs, completed training provided by a licensed professional, which included hands-on instruction in both general procedures and resident-specific procedures. This posed a potential health risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction Licensee agreed to coordinate with a licensed professional (such as nurse) to lead a hands-on in-service training for all current caregivers on at least the following Restricted Health Conditions which are present at the facility: Diabetes (including blood sugar basics, controlled carbohydrate diets, use of glucometer, use of insulin flex pens and other diabetic medications, signs and symptoms of hypoglycemia/hyperglycemia, and diabetic emergencies requiring medical intervention.) Licensee agreed to E-mail the staff training sign-in sheet to LPA, by the POC due date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, Licensee did not ensure that cleaning solutions and/or poisonous substances, which could pose a danger to residents, were in locked storage and not left unattended. This posed an immediate health and safety risk to 5 of 5 residents (R1 through R5) in care.

Official plan of correction

POC Due Date: 02/24/2025 Plan of Correction During today's visit, LPA handed the bottles of cleaning solutions/chemicals to staff to be relocated to locked cabinets. This resolved the immediate risk. Licensee agreed to retrain all current staff on what items constitute hazards and on their correct storage, and to E-mail the training sign-in sheet to LPA by 03/25/2025.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care: “(h)(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.” This requirement was not met, as evidenced by: Deficient Practice Statement Based on LPA observation, Licensee did not ensure that centrally stored medicines were kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This posed an immediate health and safety risk to 5 of 5 residents (R1 through R5) in care.

Official plan of correction

POC Due Date: 02/24/2025 Plan of Correction During today's visit, LPA handed the unsecured medicines to staff to be relocated to locked cabinets. This resolved the immediate risk. Licensee agreed to retrain all current staff on expectations regarding safe storage of centrally stored medications, and to E-mail the training sign-in sheet to LPA by 03/25/2025.

Official classification

Type B

Official code

87465(f)(1)

Regulation authority

CCR

What the official deficiency says

(f) Emergency care requirements shall include the following: (1) The name, address, and telephone number of each resident's physician and dentist shall be readily available to that resident, the licensee, and facility staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, for 5 of 5 residents (R1 through R5), Licensee did not have the name, address, and telephone number for both the resident's physician and their dentist readily available. This posed a potential health risk to persons in care.

Official plan of correction

POC Due Date: 03/25/2025 Plan of Correction Licensee agreed to coordinate with residents' responsible persons and to collect the name, address, and telephone number of the primary care physician (PCP) and designated dentist for R1 through R5, and to add this information to those residents' Emergency Contact Sheets (a.k.a, " Facesheets " ). Licensee agreed to E-mail the updated facesheets for R1 through R5 to LPA, by the POC due date.

Official classification

Type B

Official code

87466

Regulation authority

CCR

What the official deficiency says

The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, Licensee did not regularly observe 5 of 5 residents (R1 through R5) for changes in physical functioning, to include unusual weight gains or losses. This posed a potential health risk to persons in care.

Official plan of correction

POC Due Date: 03/25/2025 Plan of Correction Licensee agreed to maintain a record of monthly weight logs for R1 through R5. For residents who would have difficulty standing independently on a scale, Licensee may use alternate methods of monitoring weight (such as arm tape measure). Licensee agreed to take and E-mail current body weight measurements for R1 through R5 to LPA, by the POC due date.

Official classification

Type B

Official code

87470(b)(2)(C)

Regulation authority

CCR

What the official deficiency says

(b) In addition to subsection (a), when one or more residents in the facility are diagnosed with a contagious disease, the following shall apply: (2) All staff and volunteers providing direct care to a resident who has a contagious disease shall wear appropriate Personal Protective Equipment (PPE) to prevent exposure to infectious agents or chemicals through the respiratory system, skin, or mucous membranes of the eyes, nose, or mouth. PPE may include gloves, gowns, masks, respirators, shoe coverings and eye protection. (C) The licensee shall ensure all staff and volunteers are trained in the proper use of all required PPE prior to being around residents and annually thereafter. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and manager interview, Licensee did not have proof that 3 of 3 current staff (S1 through S3) received training on PPE withing the last year, as required. This posed a potential health risk to 5 of 5 residents (R1 through R5) in care.

Official plan of correction

POC Due Date: 03/25/2025 Plan of Correction Licensee agreed to train all current staff on PPE. The training will include hands-on practice and will cover: a) handwashing, b) how and how often to disinfect commonly touched surfaces, c) how to correctly don and doff surgical masks, N-95 respirators, face shields, gowns, and gloves, and d) how perform an N-95 seal check. Licensee agreed to E-mail the training sign-in sheet to LPA, by the POC due date.

Official classification

Type B

Official code

87705(d)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia: “(d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors…accessible to those residents who may be at risk for elopement…” This requirement was not met, as evidenced by: Deficient Practice Statement Based on LPA observation, Licensee did not ensure that the facility had an auditory device (or other staff alert feature) to monitor exits on 6 of 8 exterior doors which were accessible to residents who may be at risk for elopement. This posed a potential safety risk to 3 of 5 residents (R1, R2, and R3) in care.

Official plan of correction

POC Due Date: 03/25/2025 Plan of Correction During today’s visit, LPA switched existing staff auditory alert devices, which were affixed to exterior doors (but had been turned off), back on. This resolved the risk. Licensee agreed to retrain all staff to ensure staff alert devices are always armed and working on all exterior doors, so long as there is a resident in care who cannot safely leave the facility unassisted. Licensee agreed to E-mail the training sign in sheet to LPA, by the POC due date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and manager interview, Licensee did not conduct a disaster drill at least quarterly for each shift. This posed a potential safety risk to 5 of 5 residents (R1 through R5) in care.

Official plan of correction

POC Due Date: 03/25/2025 Plan of Correction Licensee agreed to conduct, and document in writing, completion of three (3) disaster drills (one for AM shift, one for PM shift, and one for NOC shift). Licensee agreed to E-mail proof of drill completion to LPA, by the POC due date. Going forward, Licensee agreed to drill each shift at least once per quarter, and to vary the type of emergency covered from quarter to quarter.

Official classification

Type B

Official code

87224(a)(4)

Regulation authority

CCR

What the official deficiency says

87224 Eviction Procedures: “(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified… (4) If, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted pursuant to Section 87463, and the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee initiated eviction proceedings against 1 of 5 residents (R1) on the basis of a need not previously identified, without performing a reappraisal pursuant to Section 87463 and providing a thirty (30) days written notice letter to the resident. This posed a potential personal rights risk to persons in care.

Official plan of correction

During today’s visit, LPA provided Licensee with the full text of Regulation 87224 Eviction Procedures. Licensee agreed to notify R1 and their responsible person (via a letter) that due to the current staffing challenges at the facility, “voluntary relocation” of R1 is recommended as soon as possible, but there is no deadline set. Licensee agreed to arrange for at least two (2) staff to be present inside the facility during the typical hours when R1 needs to be transferred via hoyer lift in connection with their dialysis appointments (i.e., early mornings and early afternoons, every Monday, Wednesday, and Friday), hiring contracted caregivers from outside licensed home care organizations if needed. Licensee agreed to E-mail a copy of the letter and an updated LIC500 Personnel Report (to evidence the increased staffing) to LPA, by the POC due date.

Deadline recorded: Mar 15, 2024. A deadline is not proof that correction was completed.