ESCONDIDO SENIOR LIVING

Official classification

Type A

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in 3 out of 3 times. Per interview conducted all staffs CPR have expired, with the exception of (3), Administrator,AM , NOC staff with valid CPR however, it does not meet the requirement, as there is no PM staff and the staff do not work 7 days a week, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2025 Plan of Correction The licensee agrees to scehdule a CPR certification training with a preferred vendor, and have staff complete the training. Proof of POC is to be submitted to the department by 5pm on the due date indicated.

Official classification

Type B

Official code

87633(a)(2)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility, when all of the following conditions are met: (2) The licensee remains in substantial compliance with the requirements of this section, with the provisions of the Residential Care Facilities for the Elderly Act (Health and Safety Code Section 1569 et seq.), all other requirements of Chapter 8 of Title 22 of the California Code of Regulations governing Residential Care Facilities for the Elderly, and with all terms and conditions of the waiver. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 14 of 14 persons. The facility has an approved hospice waiver for ten (10) with no additional exception requests on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/21/2025 Plan of Correction The licensee agrees to submit a request for hospice waiver increase or exception to receive hospice services for the outstanding 14 residents. Proof of POC is to be submitted to the department by 5pm on the due date indicated.

Official classification

Type B

Official code

87218(a)(2)

Regulation authority

CCR

What the official deficiency says

87218 (a)The licensee shall ensure an adequate theft and loss program as specified in H & S code 1569.153. (2) A licensee who fails to make reasonable efforts to safeguard resident property, shall reimburse a resident for or replace stolen or lost resident property at its current value. The Licensee shall be resumed to have made reasonable efforts to safeguard resident property if there is clear and convincing evidence of efforts....This requirement is not met as evidenced by: R1 dentures being lost by facility staff. This poses a potential health, safety and personal rights risk to persons in care.

Official plan of correction

The licensee agrees to replace in the form of a credit to R1s account for the amount of the dentures quoted on bill provided on 2/12/25 for $4,480.00 Proof of POC is to be submitted to the department by 5pm on the due date (4/11/25) indicated.

Deadline recorded: Apr 11, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.312(D)

Regulation authority

HSC

What the official deficiency says

HSC 1569.312(d) Basic services requirements: Being aware of the resident's general whereabouts, although the resident may travel independently in the community. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not ensure supervision was provided to 1 out of 101 residents [R1], which posed a potential health and safety risk to residents in care.

Official plan of correction

Resident Services Director will initiate an in-service elopment training will all staff by POC Due Date.

Deadline recorded: Sep 28, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(20)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights of Residents in Privately Operated Facilities- (a) In addition to the rights listed in Section 87468.1... residents in privately operated care...facilities for the elderly shall have all of the following personal rights: (20) To be protected from involuntary transfers, discharges, and evictions. A license shall comply with all eviction and relocation protections for residents. This requirement was not met as evicdenced by: the licensee did not refrain from involuntarily evicting R1. Based on LPA interview conducted, the licensee refused to accept R1 upon their discharge from the hospital. This poses a potential health, safety and personal rights risk to residents in care.

Official plan of correction

Licensee states they will submit a written statement of understanding on the regulation cited by POC due date of 8/12/2022.

Deadline recorded: Aug 12, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on observations, records reviewed, and interviews, he licensee did not protect the personal rights of residents in care to receive safe and healthful accommodations in that S1 and S2 did not wear face masks while in the facility during a COVID-19 outbreak. This posed a potential health and safety risk to residents in care.

Official plan of correction

The Executive Director (ED) indicated that S1 was couseled recently for not wearing a face mask and most likely will be terminated for not following guidance. ED agrees to request PPE training for all staff.

Deadline recorded: Apr 22, 2022. A deadline is not proof that correction was completed.