Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87629(b)(1)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection... or has it administered by an appropriately skilled professional. This requirement was not met with evidence by (2) two out of (2) two staff reported that Staff #1 (S1), who is not a licensed professional, administers Resident #2 (R2) insulin injection.
Official plan of correction
Licensee will inform PACE that Resident #2 is requiring assistance with insulin injections. Licensee will provided proof of communication to LPA by Close of Business confirming that PACE is responsible for managing the insulin injection.
Deadline recorded: Feb 3, 2026. A deadline is not proof that correction was completed.
Food serviceType A
- Official classification
- Type A
- Official code
- 87555(2)(h)
- Regulation authority
- CCR
What the official deficiency says
(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. (h) The following requirements shall apply to medications which are centrally stored:
Official plan of correction
Licensee immediately purchased and place insulin injection in a lock box. POC was fulfilled.
Deadline recorded: Feb 3, 2026. A deadline is not proof that correction was completed.
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(3)
- Regulation authority
- CCR
What the official deficiency says
(b) The following food service requirements shall apply: (3) Between-meal nourishment or snacks shall be made available for all residents unless limited by dietary restrictions prescribed by a physician. This was not met with evidence by; Staff interviews reported that residents are provide one snack a day.
Official plan of correction
An outservice training will be conducted with staff regarding general food requirements. This shall be provoided to LPA by close of business of 2/17/2026 via email.
Deadline recorded: Feb 17, 2026. A deadline is not proof that correction was completed.
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(23)
- Regulation authority
- CCR
What the official deficiency says
(b) The following food service requirements shall apply: (23)All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. This was not met with evidence by: food was observed to be stored without a container or original packaging.
Official plan of correction
An outservice training will be conducted with staff regarding general food requirements. This shall be provoided to LPA by close of business of 2/17/2026 via email.
Deadline recorded: Feb 17, 2026. A deadline is not proof that correction was completed.