BLUE SKIES OF OCEANSIDE

Official classification

Type A

Official code

87202(a)(2)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons This requirement is not met as evidenced by: Deficient Practice Statement Based on observations and interviews, the licensee did not comply with the section cited above by not maintaining an approved fire clearance for 2 out of 5 residents who were observed to be bedridden, which poses an immediate health risk to persons in care.

Official plan of correction

POC Due Date: 08/18/2026 Plan of Correction LIcensee submitted an LIC200 during the visit, which was verified. Licensee will comply with local fire authority regarding increasing bedridden status. Licensee will evaluate the second bedridden resident for either rehabilitation or hospice care, and will assist the resident with relocation if the bedridden status does not resolve.

Official classification

Type B

Official code

87412(a)(12)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Hazardous health conditions documents as specified in Section 87411, Personnel Requirements - General. 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 of 3 staff files reviewed, as verification of a negative TB test was not present on the record. This posed a potential health risk to persons in care.

Official plan of correction

POC Due Date: 06/26/2026 Plan of Correction Staff was removed from the property and will not be scheduled until proof of negative TB result is verified.

Official classification

Type B

Official code

87219(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall provide sufficient space to accommodate both indoor and outdoor activities. Activities shall be encouraged by provision of: (2) Outdoor activity areas that are easily accessible to residents, protected from traffic, and have adequate shady areas. 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 backyard did not have any shady areas for resident use which poses a potential health risk to 5 of 5 residents in care.

Official plan of correction

POC Due Date: 07/14/2025 Plan of Correction Staff stated that she will re-install tarps to provide shade in the backyard of the facility and will submit photo proof to the Department by POC due date of 7/14/2025.

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in that 5 of 5 residents's medications were stored in daily pill boxes, which poses a potential health and safety risk to 5 of 5 residents in care.

Official plan of correction

POC Due Date: 07/30/2025 Plan of Correction House Manager will reach out to hospice agencies to provide vendor training on medication administration and storage to staff. House Manager will submit proof of training to the Department by POC due date of 7/30/2025.

Official classification

Type A

Official code

87204(a)

Regulation authority

CCR

What the official deficiency says

(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity. 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 that 6 of 6 residents were deemed non-ambulatory, which is over the current fire clearance of 5 non-ambulatory residents, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 03/15/2024 Plan of Correction House Manager will submit and LIC200 and facility sketch requesting an increase in non-ambulatory capacity to the Department by POC due date of 3/15/2024.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (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 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in that the water temperature was measured at 134.4 degrees F, which is higher than the required 120 degree F maximum allowed by regulation. This poses a potential safety risk to 6 of 6 persons in care.

Official plan of correction

POC Due Date: 03/29/2024 Plan of Correction During LPA's visit, Caregiver Gaya turned down the water heater and the water was measured within regulation requirements. House Manager stated staff will check and log the hot water temperature in resident bathrooms every other day. The House Manager will send a copy of the hot water log to the Department by POC due date of 3/29/2024.

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and interviews, the licensee did not comply with the section cited above in that 6 of 6 residents medications were not stored in their original container and the doses for the next 24 hours were stored in a daily pillbox, which poses a potential health risk to 6 of 6 persons in care.

Official plan of correction

POC Due Date: 03/29/2024 Plan of Correction The House Manager will conduct in-service training for staff on proper medication administration and storage and staff will use a MAR to record medication doses. The House Manager will send a copy of the in-service sign in sheet to the Department by POC due date of 3/29/2024.

Official classification

Type B

Official code

87632(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) In order accept or retain terminally ill residents... the licensee shall have obtained a facility hospice care waiver from the Department. ... The request shall include, but not be limited to the following: (1) Specification of the maximum number of terminally ill residents which the facility wants to have at any one time. 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 that the facility has a current hospice waiver for 3 residents and that 4 of 6 residents are currently receiving hospice services, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 03/29/2024 Plan of Correction The House Manager will submit an hospice waiver increase to at least 4 residents to the Department by POC due date of 3/29/2024.

Official classification

Type B

Official code

87468.1(a)(11)

Regulation authority

CCR

What the official deficiency says

87468.1 (a)(11) To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice... This requirement has not been met as evidenced by: Based on interviews and records review, the Licensee did comply with the section above due to staff restricting OP1 from visiting with R1. This poses a potential personal rights risk to 6 of 6 residents.

Official plan of correction

The House Manager stated that staff will allow visitation for all residents and staff will receive in-service training and submit copies of the sign in sheet to the Department by POC due date of 3/8/24.

Deadline recorded: Mar 8, 2024. A deadline is not proof that correction was completed.