VILLA BERNARDO

Official classification

Type A

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care(a)A plan for incidental medical and dental care shall be developed...(1)The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on interview and record review the facility did not develop a plan to address R1's care needs or arrange for the timely medical attention of R1's feet. This poses an immediate. health, safety, or personal rights risk to residents in care.

Official plan of correction

The licensee and administrator agreed to submit proof of terminiation of previous Administrator, and submit the administrator's schedule and routine to ensure staff communication, proper notification,care and changes of condition for residents are reported timely by the POC due date.

Deadline recorded: Sep 26, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) In addition...elderly shall have all of the following personal rights:(1)To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications...and meetings of resident and family groups. This requirment was not met as evidenced by: Based on observation and interview R1 and R2 have a video monitor with audio placed in their private rooms. This poses a potential saftey, health or personal rights risk to residents in care.

Official plan of correction

House manager agreed to removed the recording devices in the resident rooms, and conduct a training on the use of video cameras in the facility. Proof of this is due by the POC due date.

Deadline recorded: Jul 25, 2024. 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

(e) All individuals subject to a criminal record review...shall prior to working...(2)Request a transfer of a criminal record clearance...This requirement was evidenced by: Based on records review, it was found that S1 was not associated to the facility. This poses an immediate, health, safety or personal rights risk to residents in care.

Official plan of correction

The hosue manager agreed to send a transfer for S1 by the POC due date.

Deadline recorded: Jul 19, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 1 times as there has not been a drill conducted within the last quarter, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/18/2024 Plan of Correction The licensee agrees to conduct an emergency disaster drill, and document the conducted drill. Proof of POC is to be submitted to the department by 5pm on the due date indicated.

Official classification

Type B

Official code

1569.17(c)(1)(A)

Regulation authority

HSC

What the official deficiency says

(c)(1)(A) Subsequent to initial licensure, a person specified in subdivision (b) who is not exempted from fingerprinting shall obtain either a criminal record clearance or an exemption, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in a facility. This requirement is not met as evidenced by: Deficient Practice Statement Please see the correct deficiency/citation below..S1 obtained proper finger print clearance, however they were not associated to the facility...

Official plan of correction

POC Due Date: 07/01/2024 Plan of Correction

Official classification

Type B

Official code

80019(e)(3)

Regulation authority

CCR

What the official deficiency says

(3) Request a transfer of a criminal record clearance as specified in Section 80019(f) or.. 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 1 out of 1 times as S1 was not associated to the facility prior to working at the facility which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/01/2024 Plan of Correction The Licensee agrees to associate S1 to the facility. Proof of POC (copy of Guardian roster showing S1 is associated) is to tbe submitted to the department by 5pm on the due date indicated.