MANTECA RTRMT COM-HAPPY LVNG BY COGIR/COGIR MANTEC

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 a portion of the facility perimeter fence had fallen down and was in need of repair/replacement. Also it was observed that unused furniture items and discarded shower chair and bathroom chair were left out which needed to be removed which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/27/2025 Plan of Correction The facility designated Administrator stated that the facility perimeter fence will be repaired/replaced. In addition, all unused items such as old furniture and resident furnishings will be removed from the premises. A statement of correction, along with photos of the repaired fence and cleared back area of this facility, will be completed and submitted into CCL by the due date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(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 the Custodian closet, housing cleaning supplies and chemicals, along with (2) other laundry rooms with posted signs to be locked at all times were unlocked and made accessible which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/29/2024 Plan of Correction The facility designated representative stated that all staff will be in-serviced, for no less than (1) hour in duration, on the topic for proper storage and maintenance of all cleaning supplies and chemicals. A statement of correction, along with proof of completed training for all facility staff, will be completed and submitted into CCL by the due date.

Official classification

Type A

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. 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 [6] out of [6] facility personnel files did not contain updated First Aid training which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/29/2024 Plan of Correction The facility representative stated that all facility personnel files will reviewed and any staff missing required First Aid training, and expired First Aid training, will be scheduled to receive and complete updated First Aid training. A statement of correction, along with copies of all facility staff updated First Aid training certifications, will be completed and submitted into CCL by the due date.

Official classification

Type A

Official code

87705(c)(5)(A)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. (A) When any medical assessment, appraisal, or observation indicates that the resident's dementia care needs have changed, corresponding changes shall be made in the care and supervision provided to that resident. 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 [6] facility resident files did not have updated annual medical assessments to address any possible changes with a dementia diagnosis which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/29/2024 Plan of Correction The facility representative stated that a review of all resident files diagnosed with dementia will be conducted. Any, and all, resident files which require an updated annual medical assessment will be scheduled with their responsible licensed medical professional to undergo, and receive, an updated annual medical assessment. A statement of correction, along with copies of all updated medical assessments, will be completed and submitted into CCL by the due date.

Official classification

Type B

Official code

87303(c)

Regulation authority

CCR

What the official deficiency says

(c) All window screens shall be clean and maintained in good repair. 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 several window screens were observed to missing and others were observed to contain holes, tears, or rips in them which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/06/2024 Plan of Correction The facility representative stated that a review of the exterior window screens will be conducted. Any, and all, window screens which are missing or contain holes, rips, or tears within them will be repaired/replaced. A statement of correction, along with copies of the receipt for services rendered for the window screen repair/replacements, will be completed and submitted into CCL by the due date.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 [5] out of [6] facility personnel files were missing updated annual training hours which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/06/2024 Plan of Correction The facility representative stated that a review of all facility personnel files will be conducted. Any, and all, facility personnel missing required annual training and training hours will be in-serviced to meet the required training topics and training hours requirements. A statement of correction, along with copies of all completed and updated training topics with corresponding training hours, will be completed and submitted into CCL by the due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement Based on observation by this LPA, the licensee did not comply with the section cited above in that the facility perimeter fence was falling down in sections and was in need of repair/replacement which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/22/2023 Plan of Correction Facility designated personnel stated that a work order will be commissioned and the fallen fence sections of the perimeter will be replaced/repaired as needed. A statement of correction, along with a copy of the work order and photos of the updated fence, will be completed and submitted into CCL by the due date.

Official classification

Type B

Official code

87303(c)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement Based on observation by this LPA, the licensee did not comply with the section cited above since windows screens were torn, had holes, or were in need of repair/replacement which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/22/2023 Plan of Correction Facility designated personnel stated that a work order will be commissioned and the window screens will be replaced/repaired as needed. A statement of correction, along with a copy of the work order, will be completed and submitted into CCL 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 by this LPA, the licensee did not comply with the section cited above in that the facility perimeter fence was falling down in sections and was in need of repair/replacement which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/11/2022 Plan of Correction Facility designated personnel stated that a work order will be commissioned and the fallen fence sections of the perimeter will be replaced/repaired as needed. A statement of correction, along with a copy of the work order and photos of the updated fence, will be completed and submitted into CCL by the due date.

Official classification

Type B

Official code

87303(c)

Regulation authority

CCR

What the official deficiency says

(c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation by this LPA, the licensee did not comply with the section cited above since windows screens were torn, had holes, or were in need of repair/replacement which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/11/2022 Plan of Correction Facility designated personnel stated that a work order will be commissioned and the window screens will be replaced/repaired as needed. A statement of correction, along with a copy of the work order, will be completed and submitted into CCL by the due date.

Official classification

Type A

Official code

80065(f)(4)

Regulation authority

CCR

What the official deficiency says

(f) All personnel shall be given on-the-job training or shall have related experience which provides knowledge of and skill in the following areas, as appropriate to the job assigned and as evidenced by safe and effective job performance. (4) Assistance with prescribed medications which are self-administered.This requirement was not met as evideniced by records reviewed residents records for controlled medication count has missing documentation this is a safety risk to residents in care.

Official plan of correction

Licensee shall ensure that all resident records are current and complete. Licensee shall provide an in-service for staff on medication documentation from an outside agency and submit copies of the trainer with a complete training list of individuals to Licensing by POC date,12/01/2021

Deadline recorded: Dec 1, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

80088(e)(1)

Regulation authority

CCR

What the official deficiency says

Fixtures, Furniture Equipment and Supplies. Faucets used by clients shall deliver hot water, and attain temperatures of not less than 105 degrees F and not more than 120 degrees F. LPA tested hot water at 125.5 degrees F. This poses an immediate health and safety risk to resident in care.

Official plan of correction

The facility will test the hot water for 3 days. Test hot water for three days to meet Title 22 regulations. Send 3 days of hot water temperatures to LPA via email

Deadline recorded: Nov 16, 2021. A deadline is not proof that correction was completed.