PARKER VILLA

Official classification

Type A

Official code

1569.317

Regulation authority

HSC

What the official deficiency says

" Every residential care facility for the elderly, as defined in Section 1569.2, shall [...] develop and comply with an absentee notification plan as part of the written record of the care the resident will receive in the facility [...]. " This requirement was not met, evidenced by: Based on file review and interviews, the Licensee did not have an Absentee Notification Plan in place, which posed an immediate health and safety risk to 5 out of 5 residents in care.

Official plan of correction

Licensee will develop an Absentee Notification Plan as required and conduct a training with staff on the plan. Licensee will submit a copy to LPA by POC due date.

Deadline recorded: Jul 23, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87415(a)(1)

Regulation authority

CCR

What the official deficiency says

87415 Night Supervision (a)(1) In facilities caring for less than sixteen (16) residents, there shall be a qualified person on call on the premises. This requirement has not been met as evidenced by: Based on interviews, the Licensee did not ensure that facility staff were present at all times. This poses an immediate safety risk to 6 of 6 residents in care.

Official plan of correction

Caregiver stated that shifts are from 7am-7pm and 8am-8pm and there is at least one live-in caregiver present at all times, including overnight. Licensee will submit a copy of staff schedule showing 24 hour supervision to the Department by POC due date of 10/10/2025.

Deadline recorded: Oct 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.2(a)(8)

Regulation authority

CCR

What the official deficiency says

87468.2(a)… residents… shall have the following personal rights: (8) to be free from neglect… This requirement has not been met as evidenced by: Based on interviews and records review, the Licensee did not ensure that R1 and R2 were repositioned every 2 hours, resulting in pressure injuries. This poses an immediate health risk to 2 of 6 residents in care.

Official plan of correction

Caregiver stated understanding that R1 and R2 need to be repositioned every two hours, including overnight. Caregiver stated that an outside vendor will provide training regarding repositioning and will submit proof of training to the Department by POC due date of 10/31/2025. Caregiver agreed to create a repositioning tracker to keep record of repositioning of R1 and R2 and will keep a copy of the record within each resident's file.

Deadline recorded: Oct 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement has not been met as evidenced by: Based on interviews, the Licensee did not ensure that staff correctly assisted residents with medication administration, which poses a potential health risk for 6 of 6 residents in care.

Official plan of correction

Caregiver stated that an outside vendor conducted medication training on 9/29/2025. Caregiver will submit proof of medication training to the Department by POC due date of 10/22/2025.

Deadline recorded: Oct 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87158(a)

Regulation authority

CCR

What the official deficiency says

87158(a) A license shall be issued for a specific capacity which shall be the maximum number of residents which can be provided care at any give time... 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 that the facility is only licensed for one bedridden resident and both R1 and R2 are bedridden, which poses an immediate safety risk to 6 of 6 residents in care.

Official plan of correction

POC Due Date: 10/03/2025 Plan of Correction Licensee will either submit LIC200 and updated facility sketch requesting 2 bedridden residents or will submit a 30-day eviction notice for either R1 or R2 to the Department by POC due date of 10/3/2025.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

87405(a) …The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours… This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above in that the Administrator was not present at the facility enough hours to oversee its operation which poses a potential safety and personal rights risk to 6 of 6 residents in care.

Official plan of correction

POC Due Date: 10/17/2025 Plan of Correction Licensee will submit change of Adminstrator papework to change the listed Administrator and will submit a schedule showing that the new Administrator will be present at the facility a minimum of 20 hours a week to the Department by POC due date of 10/17/2025.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211(a)(1) A written report shall be submitted… to the person responsible for the resident within seven days of the occurrence… This requirement has not been met as evidenced by: Based on interviews and records review, the Licensee did not comply with the section cited above in that the Licensee did not notify R1’s responsible party of R1’s hospitalization. This poses a potential personal rights risk to 6 of 6 residents in care.

Official plan of correction

Caregiver will conduct inservice training on reporting requirements and when to notify responsible parties and will provide staff sign in sheets to the Department by POC due date of 10/31/2025.

Deadline recorded: Oct 2, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. 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 cleaning chemicals were not kept in locked storage, which poses an immediate health and safety risk to 6 of 6 residents in care.

Official plan of correction

POC Due Date: 10/22/2025 Plan of Correction Caregiver relocated cleaning chemicals to locked storage during LPA's visit. Caregiver stated that they will request an outside vendor to conduct training regarding storage of hazardous/dangerous items for staff and provide proof of completion to the Department by POC due date of 10/22/2025.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 medication was stored in the unsecured refrigerator located in the kitchen which poses an immediate health and safety risk to 6 of 6 residents in care.

Official plan of correction

POC Due Date: 10/22/2025 Plan of Correction Caregiver relocated the medication to the locked medication refrigerator during LPA's visit. Caregiver stated that an outside vendor will conduct medication storage training for Staff 1, 2, 3, and 4 and will submit proof of training to the Department by POC due date of 10/22/2025.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure... This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above in that S1 did not complete a health screening and tuberculosis test which poses a potential health risk to 6 of 6 residents in care.

Official plan of correction

POC Due Date: 10/03/2025 Plan of Correction Caregiver stated that S1 will receive a health screening and tuberculosis test performed by a physician and will submit the completed health screening document to the Department by POC due date of 10/3/2025.

Official classification

Type A

Official code

87415(a)(1)

Regulation authority

CCR

What the official deficiency says

87415 Night Supervision (a)(1) In facilities caring for less than sixteen (16) residents, there shall be a qualified person on call on the premises. This requirement has not been met as evidenced by: Based on interviews and records review, the Licensee did not ensure that the facility had staff present at the facility overnight to provide care and supervision. This poses an immediate safety risk to 6 of 6 residents in care.

Official plan of correction

Administrator and Licensee understand that a staff member responsible for providing care and supervision must be present at the facility at all times when residents are also present and that the facility management is responsible for covering staff shifts if a staff calls out. Licensee will provide a signed LIC9098 stating the understanding of supervision responsibility to the Department by POC due date of 11/20/2024.

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

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department… 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 S1 has been working at the facility since August 2024, which poses an immediate safety risk to 6 of 6 residents in care.

Official plan of correction

POC Due Date: 11/04/2024 Plan of Correction LPA observed S1 leave the facility prior to the end of the visit. Administrator stated that S1 will be getting fingerprinted and associated and S1 will not return to the facility until the Administrator receives S1's clearance letter. Administrator will submit a letter stating that S1 will receive clearance and association prior to returning to the facility to the Department by POC due date of 11/4/2024.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 unsecured medications belonging to a previous resident were stored in the facility fridge which poses an immediate safety risk to 6 of 6 residents in care.

Official plan of correction

POC Due Date: 11/15/2024 Plan of Correction LPA observed Caregiver Abedoza relocate medications to a secured location and will be destroying those medications promptly. Abedoza stated that staff will receive a medication storage training and submit proof of training to the Department by POC due date of 11/15/2024.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. 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 cleaning chemicals, knives, and other sharps were not locked which poses an immediate safety risk to 6 of 6 residents in care.

Official plan of correction

POC Due Date: 10/16/2024 Plan of Correction LPA observed Caregiver Abedoza relocate the cleaning chemicals and sharps to the facility garage which is secured by a number pad lock. Abedoza stated that staff will receive training on proper storage of dangerous and hazardous items and submit proof of training to the Department by POC due date of 11/15/2024.