DANICA'S HOME

Official classification

Type A

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. 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 [2] out of [2] facility personnel records did not current first aid certification which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/29/2026 Plan of Correction The facility designated Administrator stated that all facility personnel providing care and supervision to the residents will undergo and receive updated First Aid training and be certified with documentation at all times. A statement of correction, along with update First Aid Training, will be completed and submitted into CCL for review by this LPA by the due date.

Official classification

Type B

Official code

87412(a)

Regulation authority

CCR

What the official deficiency says

The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. 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 [2] out of [2] facility personnel records were incomplete missing required forms and documents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/04/2026 Plan of Correction The facility designated Administrator stated that all facility personnel records will be audited to make sure that they are complete with all required forms and documents. A statement of correction, along with copies of missing forms and documents, will be photocopied and submitted into CCL for review by this LPA by the due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. 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 area was open to pets and needed to be cleaned and cleared of any feces or unnecessary items not used by the facility residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/04/2026 Plan of Correction The facility designated Administrator stated that the backyard will be cleared and cleaned of any dog feces. All unused items will be removed so that if residents wanted to go outside then they are able to do so in a clean and comfortable outdoor environment. A statement of correction, along with photos of cleared and cleaned exterior areas will be completed and submitted into CCL for review by this LPA by the due date.

Official classification

Type B

Official code

87507(8)(a)

Regulation authority

CCR

What the official deficiency says

General facility policies that are for the purpose of making it possible for residents to live together. All facility policies shall be reasonable, and shall not violate any applicable rights, laws or regulations. This requirement was not met as evidenced by: Based on confirmation that the Licensee has not refunded the prorated amount for the Pre admission fee and the rent payment for November into December 2024 in the amount of $3200.08. This violation poses a potential risk to the health, safety and personal rights of all residents in care.

Official plan of correction

Licensee shall send a check to the responsible party for R1 in the amount requested by the POC due date. Proof of payment shall be submitted into Community Care Licensing by POC date.

Deadline recorded: Jan 1, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(8)(a)

Regulation authority

CCR

What the official deficiency says

Admission Agreements General facility policies...All facility policies...shall not violate any applicable rights, laws or regulations. This requirement is not met as evidenced by: Based on confirmation that the Licensee has not refunded the prorated amout for the pre admission fee and the rent payment for november into decamber in the amount of $3200.08. This violation poses a potential health, and safety risk to residents in care

Official plan of correction

Licensee shall send a check to the responsible party for R1 in the amount requested by POC due date. Proof of payment shall be submitted to Community Care Licensing by POC date.

Deadline recorded: May 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

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. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. 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] out of [2] facility personnel records did not possess an updated and documented TB clearance which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/16/2024 Plan of Correction The facility designated Administrator stated that all facility resident records will be updated to contain updated TB clearances at all times. A statement of correction, along with updated copies of the cleared TB clearance, will be completed and submitted into CCL by the due date of 07/16/2024.

Official classification

Type B

Official code

87412(b)

Regulation authority

CCR

What the official deficiency says

(b) Personnel records shall be maintained for all volunteers and shall contain the following: 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] out of [2] facility resident files did not contain all of the required forms and documents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/22/2024 Plan of Correction The facility designated Administrator stated that all facility resident records will be updated to contain all of the required forms and documents at all times. A statement of correction, along with updated copies of the facility staff files, will be completed and submitted into CCL by the due date of 07/22/2024.

Official classification

Type B

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. 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 [2] out of [2] facility staff files did not contain the required hours of documented initial/ongoing training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/22/2024 Plan of Correction The facility designated Administrator stated that all facility resident records will be updated to contain all of the required hours of initial/ongoing training at all times. A statement of correction, along with updated copies of the facility staff training hours, will be completed and submitted into CCL by the due date of 07/22/2024.

Official classification

Type B

Official code

87219(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) Facilities shall provide sufficient space to accommodate both indoor and outdoor activities. Activities shall be encouraged by provision of: (2) Outdoor activity areas which are easily accessible to residents and protected from traffic. Gardens or yards shall be sufficient in size, comfortable, and appropriately equipped for outdoor use. 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 outdoor space intended for resident use needed to be cleared and cleaned to remove clutter and signs of dog use which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/22/2024 Plan of Correction The facility designated Administrator stated that the exterior grounds of this facility will be cleared and cleaned to remove unnecessary items so that pathways and walkways were always clear for resident use. In addition, dog feces and toys will be removed to make sure that these areas were always clean and clear at all times. A statement of correction, along with photos of clean and clear backyard area, will be completed and submitted into CCL by the due date of 07/22/2024.