LA CRUZ SENIOR CARE, INC

Official classification

Type A

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

87355 (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 (3) Request a transfer of a criminal record clearance... Based on records reviewed the licensee did not obtain a criminal record clearance transfer two additional staff at the facility which poses an immediate Safety risk to persons in care.

Official plan of correction

Licensee agrees staff will receive their clearance transfer by 12/22/2025 by end of business and S1, S2, S3 will not be allowed to work on the premises until clearance is fully complete.

Deadline recorded: Dec 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465(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. Based on records reviewed the licensee did not keep medication locked and inaccessible to persons in care which poses an immediate Safety risk to persons in care.

Official plan of correction

Corrections have been made, Licensee stated will provide a copy of key for medication cart to staff and maintain medication continously locked and inaccessible to residents in care. LPA Strong observed medication to be locked prior to leaving facility.

Deadline recorded: Dec 19, 2025. A deadline is not proof that correction was completed.

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, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department. Requirement has not been met as in evidence: Based on records reviewed the licensee did not obtain a criminal record clearance in one person residing at the facility which poses an immediate Safety risk to persons in care.

Official plan of correction

Licensee agrees staff will receive their fingerprints by 10/17/2025 by end of business and provide LPA proof.

Deadline recorded: Oct 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

87355 (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 (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or Requirement has not been met as in evidence: Based on records reviewed the licensee did not obtain a criminal record transfer in four persons working at the facility which poses an potential Safety risk to persons in care.

Official plan of correction

Licensee agrees staff will be associated by the end of business today, 10/17/25 and provide LPA proof of such.

Deadline recorded: Oct 17, 2025. 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

87465(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. Requirement was not met as in evidecnce: Based on records reviewed and interviews the licensee did not store medication in original containers which poses an potential Safety risk to persons in care. · Type B – “posed a potential Health, Safety, or Personal Rights risk to persons in care.”

Official plan of correction

Licensee states they will schedule outside source medication training and provide proof to LPA by end of business day today.

Deadline recorded: Oct 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(2)

Regulation authority

CCR

What the official deficiency says

87465(b) If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication. Based on records reviewed and interviews the licensee did not assist R1 with PRN medication as prescribed which posed a potential Safety risk to persons in care.

Official plan of correction

Licensee states they will schedule outside source medication training and provide proof to LPA by end of business day today.

Deadline recorded: Oct 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(B)

Regulation authority

CCR

What the official deficiency says

87211 (a)... licensee shall furnish to the licensing agency... reports.... including, but not limited to, the following: (1)A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events (B) Any serious injury as determined by the attending physician This requirement was not met as in evidence; Based on observations and records reviewed the licensee did not report a serious injury to the department in one of seven residents in care which posed a potential Personal Rights risk to persons in care

Official plan of correction

Licensee states they will review reporting requirement regulations and provide LPA with a writtten statement of understanding.

Deadline recorded: Aug 8, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87219(d)

Regulation authority

CCR

What the official deficiency says

(d)In facilities licensed for seven (7) or more persons, notices of planned activities shall be posted in a central location readily accessible to residents, relatives, and representatives..copies shall be retained for 6 months This requirement was not met as in evidence; Based on observations and records reviewed the licensee post activitiesfor all seven residents in care which posed a potential Personal Rights risk to persons in care.

Official plan of correction

Licensee states they will create a calendar and provide such to LPA by POC date.

Deadline recorded: Aug 8, 2025. 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 observations, the licensee did not comply with the section cited above in 6 out of 6 residents in carewhich poses/safety risk to persons in care.

Official plan of correction

POC Due Date: 06/27/2025 Plan of Correction Licensee states they will provide staff in each shift with vendorized training for medication manangement.