OCEANSIDE ELDERLY CARE HOME 448

Official classification

Type B

Official code

87506(b)(9)

Regulation authority

CCR

What the official deficiency says

87506 Resident Records: “(b) Each resident’s record shall contain at least the following information: (9) Name, address, and telephone number of physician and dentist.” This requirement was not met, as evidenced by: Based on records and interviews, for 2 of 2 residents (R1 and R2), Licensee did not ensure that their record of care contained the name, address, and telephone number for both their respective current dentist and physician. This posed a potential health risk to persons in care.

Official plan of correction

During today’s site visit, LPA provided Licensee with the names and phone numbers for R1’s PCP and RP. Licensee agreed to update the Face Sheet for R1 to include the name, address, and telephone number for R1’s current PCP, NP, and dentist. Licensee agreed to update the Face Sheet for R2 to include the name, address, and telephone number for R2’s current dentist. Licensee agreed to E-mail the updated Face Sheets for R1 and R2 to LPA, by the POC due date.

Deadline recorded: Nov 11, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87467(a)

Regulation authority

CCR

What the official deficiency says

87467 Resident Participation in Decisionmaking: “(a) Prior to, or within two weeks of the resident’s admission, the licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any, and any other appropriate parties, to prepare a written record of care the resident will receive in the facility, and the resident’s preferences regarding the services provided at the facility.” This requirement was not met, as evidenced by: Based on records reviewed and manager interview, Licensee did not have on file for 2 of 2 residents (R1 and R2) a completed LIC625 Appraisal/Needs and Services Plan (or equivalent “written record of care the resident will receive”), and the resident’s preferences regarding the services provided at the facility. This posed a potential health and personal rights risks to persons in care.

Official plan of correction

Licensee agreed to complete an LIC625 Appraisal/Needs and Services Plan form on both R1 and R2, and to have both signed by their respective responsible person and a facility representative after a joint-review during a care-conference meeting. Licensee agreed to E-mail the completed and signed LIC625s for R1 and R2 to LPA, by the POC due date. Going forward, Licensee agreed to update the LIC625 and hold a care conference, for all residents, whenever there is a significant change in their condition, but also at least once every twelve (12) months, whichever occurs first.

Deadline recorded: Nov 11, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). 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 that the hot water was measured at 141.5 and 143.2 degrees F in bathrooms for resident use which poses an immediate safety risk to 2 of 2 residents in care.

Official plan of correction

POC Due Date: 07/01/2024 Plan of Correction Facility staff adjusted the hot water temperature during the visit. Facility staff will conduct checks of water temperature in bathrooms every other day for a week in a written log. Administrator will submit copy of the log to the Department by POC due date of 7/1/2024.

Official classification

Type A

Official code

87465

Regulation authority

CCR

What the official deficiency says

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... This requirement was not met as evidenced by: Based on staff and outside source interviews and records reviews revealed the Licensee did not immediately telephone 911 after Resident 1 (R1) sustained an injury deemed an imminent threat to their health. This posed an immediate safety risk to [R1] 1 out of 6 residents in care.

Official plan of correction

An all staff will attend CCL approved training regarding incidents that occur that require immediate medical intervention including activating a 911 call. Proof of POC will be provided by POC due date.

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