SUN AND SEA ASSISTED LIVING

Official classification

Type B

Official code

87303(e)(3)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (3) Taps delivering water at 125 degree F (52 degrees C) or above shall be prominently identified by warning signs. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 7 out of 13 water taps exceeded the allotted temperature and had no warning signs which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 10/18/2024 Plan of Correction Facility will adjust their water heater temperature to reduce the temperatures at taps and monitor the teperature at the taps. Facility agreed to inform LPA once all their hot waters have been adjusted to have LPA return and measure the hot water by POC due date, 10/18/2024.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. 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 6 out of 10 resident files did not have an updated Physician's Report (LIC602) which posed a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/25/2024 Plan of Correction Facility agreed to obtain updated LIC602s, place in the residents file and agreed to send a digital copy to LPA by POC due date, 10/25/2024.

Official classification

Type B

Official code

87507(d)

Regulation authority

CCR

What the official deficiency says

(d) The licensee shall retain in the resident's file the original signed and dated admission agreement and all subsequent signed and dated modifications. This does not apply to rate increases which have specific notification requirements as specified in Health and Safety Code section 1569.655. 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 of10 resident files did not obtain an admission agreement which posed a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/18/2024 Plan of Correction Facility agreed to obtain a signed admission agreement in the residents file and submit a digital copy to LPA by POC due date, 10/18/2024.

Official classification

Type B

Official code

1569.317

Regulation authority

HSC

What the official deficiency says

H & S 1569.317 Absentee notification plan for missing residents - Every residential care facility for the elderly, as defined in Section 1569.2, shall, for the purpose of addressing issues that arise when a resident is missing from the facility, develop and comply with an absentee notification plan as part of the written record of the care the resident will receive in the facility, as described in Section 1569.80. This requirement was not met as evidency by: Based on records review, the licensee did not provide an elopement plan to meet resident’s needs to R1, 1 of 23 residents in care, which posed a potential safety risk to persons in care.

Official plan of correction

Executive Director will implement an elopement plan for R1, and have staff complete Relias training and submit a copy of R1s elopment plan and the staff certificates to LPA via email by POC due date, 8/20/24.

Deadline recorded: Aug 20, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(g)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental: (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). Based on records review the facility did not contact emergency personnel immediately after the initial fall and waited two hours to contact resident to be transported to the hospital which posed a potential health risk for 1 of 25 residents (R1) in care.

Official plan of correction

Executive Director will update the SIR and conduct staff in-service training on RELIAS for Reporting Incidents for documenting special incident reports properly and submit in-service training sheet and certificates for med techs and ED to LPA via email, by POC due date of 08/05/2024.

Deadline recorded: Aug 5, 2024. A deadline is not proof that correction was completed.