DEL CERRO MANOR III

Official classification

Type B

Official code

1569.311

Regulation authority

HSC

What the official deficiency says

Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, the licensee did not comply with the section cited above in five of five residents in care pose a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 10/24/2025 Plan of Correction Licensee agrees to purchase a carbon monoxide detector by POC and provide LPA with a photograph of such.

Official classification

Type B

Official code

87705

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations and records reviewed, the licensee did not comply with the section cited above in out of 3 of 5 residents in care which poses safety risk to persons in care.

Official plan of correction

POC Due Date: 10/24/2025 Plan of Correction Licensee agrees to purchase or fix auditory alarms for all doors leading to exterior, including resident bed rooms by POC date and provide a video to LPA.

Official classification

Type B

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 observations, the licensee did not comply with the section cited above in 6 of 6 residents in care which poses safety risk to persons in care.

Official plan of correction

POC Due Date: 10/31/2024 Plan of Correction Licensee agrees to provide medication hazard training to caregivers by POC date and provide proof of such to LPA via email.

Official classification

Type A

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 was not met, as evidenced by: Based on records and interviews, the licensee did not assist 1 of 6 residents (R1) with self-administered medications as needed/prescribed, which posed an immediate health risk to persons in care.

Official plan of correction

Per licensee, S1 resigned from facility employment around June 2023. Licensee agreed to retrain S2 and all remaining direct care staff on “The Seven Rights of Medication Administration” and licensee’s expectation that the same staff member performs the “Seven Rights” from beginning to end. By the POC due date, Licensee agreed to E-mail LPA the proposed date for the training. No later than 09/30/2023, Licensee agreed to E-mail LPA a copy of the training sign-in sheet as evidence of training completion.

Deadline recorded: Sep 7, 2023. A deadline is not proof that correction was completed.