BRENDA'S PLACE

Official classification

Type A

Official code

87307(a)(2)(B)

Regulation authority

CCR

What the official deficiency says

Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage storage area, shed or similar detached building. This facility was found to be deficient as observed by the placement of a resident into the living room to serve as their bedroom. This posed an immediate risk to the Health, Safety, and Personal Rights of all residents in care.

Official plan of correction

The facility representative stated that the resident currently residing in the living room will immediately be moved back into their assigned bedroom. A statement of correction, along with photos of the cleared living room area where the resident used to occupy, will be completed and submitted into CCL by the due date.

Deadline recorded: Jan 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Jensen's review of the CSMDR and MAR, the CSMDR was never completed for R1 and the MAR was inconsistent with medications on hand therefore the licensee did not comply with the section cited above residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/30/2023 Plan of Correction The Licensee agrees to train all staff on medication administration and record keeping through a third party source or outside vendor. The Licensee agrees to schedule the training by 8/31/23 with training completed by 9/30/23 and will email LPA Jensen proof of completion.

Official classification

Type B

Official code

87412(g)

Regulation authority

CCR

What the official deficiency says

All personnel records shall be maintained at the facility and shall be available to the licensing agency for review. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Jensen's review of 1 staff file that did not contain training records, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/01/2023 Plan of Correction The Licensee agrees to sign an attestation that records will be maintained at the facility and will send the training records for Staff 1 (S1) by email to LPA Jensen by the POC due date.

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 Jensen's measurement of the bathroom water tempertaure witrh a reading of 103.5 degrees Fahrenheit, the licensee did not comply with the section cited above in 1 out of 1 count which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/01/2022 Plan of Correction Licensee agrees to adjust the hot water temperature and maintain a water temperature reading log that contains readings taken at least once a month or more. The Licensee agrees to send a photo of the water tenmperature reading and the log created to maja.jensen@dss.ca.gov by the Plan of Correction due date.

Official classification

Type B

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

Incedental Medical and Dental Care ... (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based onLPA Jensen's Medication Record Review], the licensee did not comply with the section cited above in 3 out of 3 resdient records which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/24/2022 Plan of Correction Licensee agrees to conduct in-service training on the proper documentation of medication adminsitration records and will email LPA Jensen evidence that the training has occured, who was in attendance and the information covered by the Plan of Correction due date.