SUMMERFIELD OF ENCINITAS

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211(a):Each licensee shall furnish to the licensing agency [...] (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 specified in (A) through (D) below [...]. " This requirement is not met as evidenced by: Based on LPA file review and interview, the licensee did not comply with the section cited above in meeting timelines for reporting requirements, which poses a potential health, safety, and personal rights risk to all persons in care.

Official plan of correction

Licensee submitted an incident report to the Department. Licensee will review regulation 87211 and submit to LPA by the POC due date the facility's plan to ensure ongoing compliance with reporting timelines moving forward

Deadline recorded: May 12, 2026. A deadline is not proof that correction was completed.

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 and interview, the licensee did not comply with the section cited above in ensuring cleaning/disinfecting chemicals were kept locked and inaccessible to residents, which poses an immediate health, safety and personal rights risk to 40 out of 40 persons in care.

Official plan of correction

POC Due Date: 02/26/2026 Plan of Correction Licensee immediately removed the items from accessible areas and placed them in secured storage. Licensee will replace locks on the cabinets they wish the designate as chemical storage and conduct review or retraining of chemical/toxic items storage procedures with staff and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87468.2(a)(2)

Regulation authority

CCR

What the official deficiency says

87468. 2(a) ... residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (2) To have their records and personal information remain confidential and to approve their release, except as authorized by law. Based on records and interviews, Licensee did not ensure the personal information for Resident 1 (R1) remained confidential. This posed a potential personal rights risk to 1 of 41 persons in care.

Official plan of correction

The Executive Director agreed to coordinate retraining of all staff on resident personal rights and confidentiality, and to submit the training sign-in sheet(s) to LPA by the POC due date, as proof.

Deadline recorded: Feb 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87633(b)(4)(A)

Regulation authority

CCR

What the official deficiency says

A current and complete hospice care plan shall be maintained... include(4) licensee’s responsibility for implementing...,facility staff duties... communication with hospice agency... physician,...responsible person(s). (A) The plan shall specify all procedures to be implemented by the licensee regarding... maintenance and use of medical supplies, equipment...This requirement was not met as evidenced by: Licensee did not ensure a complete hospice care plan was maintained for 1 out of 43 clients. This posed a potential health risk to persons in care.

Official plan of correction

Executive Director agreed to review all hospice care plans to ensure all aspects of resident care were addressed. Executive Director will arrange in-service training with staff regarding oxygen administration and provide proof of training by POC due date.

Deadline recorded: Feb 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(11)

Regulation authority

CCR

What the official deficiency says

To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon.This requirement has not been met as evidenced by: Based on LPA observation the licensee did not allow residents to have their visitors...permitted to visit privately during reasonable hours and without prior notice, 1 in 1 of [total numbers] persons in care [R1] which posed a potential Personal Rights risk to persons in care.

Official plan of correction

Per Resident Services Director Richard Mariona, Facility is allowing visitation even during covid outbreaks, a staff inservice will be conducted and a staff roster of those attended will be sent to LPA by 11/20/22.

Deadline recorded: Nov 30, 2022. 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

Resident Records(c) All information... regarding residents shall be confidential. (1) The licensee shall be responsible for... safeguarding the confidentiality of their contents. The licensee...shall make available...information...upon ...resident's written consent or...representative. Based on staff and outside source and staff interviews and a resident record review the Licensee did not provide resident records requested by an authorized party for 1 out of 37 residents in care. This poses a potential risk to residents in care. ED Myers will provide in-service training to administrative staff regarding the topic of records management, and resident or authorized representatives rights to obtain records in a timely fashion. ED Myers will provide complete proof of completion by POC due date.

Official plan of correction

ED Myers will provide in-service training to administrative staff regarding the topic of records management, and resident or authorized representatives rights to obtain records in a timely fashion. ED Myers will provide complete proof of completion by POC due date.

Deadline recorded: Jun 9, 2022. A deadline is not proof that correction was completed.