SUMMER PLACE

Official classification

Type B

Official code

87465

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (i) Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician...shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record, to be retained for at least three years... This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review the licensee did not comply with the section cited above in former resident medications were not destroyed which poses a potential risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2026 Plan of Correction Administrator stated she will destroy the medications belonging to former residents and Administrator agreed to follow medication destruction instructions. Administrator will provide LPA documentation of the medications being destroyed by the POC due date.

Official classification

Type A

Official code

87202(a)(2)

Regulation authority

CCR

What the official deficiency says

87202 Fire Clearance (a) All facilities... Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. (2) Bedridden persons... This requirement was not met as evidenced by: On November 24, 2025, LPA observations, and staff interviews showed R1, R2, R3, R4, R5, and R6 were bedridden and unable to turn and reposition themselves without assistance. The Licensee did not obtain appropriate fire clearance nor receive Community Care Licensing approval. This poses an immediate health and safety risk to 6 out of 10 of residents in care.

Official plan of correction

Licensee stated they will submit an LIC200 application for increased bedridden clearance, update the facility sketch, and contact the Fire Marshall. The Licensee will provide the Proof of Correction(POC) to the Department by the POC due date.

Deadline recorded: Nov 25, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(c)(1)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records(c)All information and records...shall be confidential(1)The licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents… This requirement has not been met as evidenced by: Based on LPA observations, licensee did not ensure 10 of 10 resident records were not safegaurded. This posed a potential personal rights risk to persons in care.

Official plan of correction

Caregiver immediately relocated resdident records in a locked and secured closet. Thereofore, this deficiency has been cleared.

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

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care(h)The following...shall apply...(6)The licensee shall be responsible for assuring that a record of centrally stored...medications for each resident is maintained for at least one year This requirment has not been met as evidenced by:Based on records review licensee did not keep proper medication record for 1 of 10 resdients prior to 10/30/25. This posed a potential risk to persons in care.

Official plan of correction

Licensee and staff will conduct a training reviewing Incidental Medical and Dental Care regulation and submit proof of training to LPA by POC due date.

Deadline recorded: Dec 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements(a)Each licensee shall furnish to the licensing agency such reports...(1)A written report shall be submitted to the licensing agency ....(D)Any incident which threatens the welfare, safety or health of any resident... This requirment has not been met as evidenced by: Staff interviews and records review revealed that Licensee did not submit written reports for 1 of 10 resdients when hospitalized. This poses a potnetial risk to 1 of 10 resdients in care.

Official plan of correction

Licensee and staff will conduct a training reviewing Reporting Requirements and submit proof of training to LPA by POC date.

Deadline recorded: Dec 4, 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 LPA observation and staff interviews, the licensee did not comply with the section cited above in 10 out of 10 residents medications are not stored in their original packaging which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2025 Plan of Correction LPA instructed Administrator and staff to immeditaley cease pre-pouring medications. Administrator agreed to have staff complete training by an outside vendor on centrally stored medications and provide LPA proof of training.

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h)The following...shall apply to medications...(5)...shall be stored in its originally received container. No medications shall be transferred... This requirement is not met as evidenced by: Based upon LPA observation and staff interview, the licensee did not comply with the above cited section in that 10 out of 10 residents medications are not stored in the original packaging. This poses a potential health and safety risk to residents in care.

Official plan of correction

LPA instructed Administrator to immeditaley cease pre-pouring medications. Administrator agreed to have staff complete training on centrally stored medications and provide the Department proof of training.

Deadline recorded: Sep 30, 2025. A deadline is not proof that correction was completed.