BETH HAVEN

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 [7] facility staff records did not contain updated annual training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/12/2026 Plan of Correction The facility designated Administrator stated that all facility staff providing care and supervision to the residents in care will be updated for annual training in order to meet the required number of hours at all times. A statement of correction, along with proof of updated training, will be completed and submitted into CCL for review by this LPA. Proof of updated training will involve name of trainer, hours and training topics, and list of attendees.

Official classification

Type A

Official code

87468.1(a)(8)

Regulation authority

CCR

What the official deficiency says

Residents in all residential care facilities for the elderly shall have all of the following personal rights: To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This facility was found to be deficient as evidenced by a records review in which this facility, and it's representatives and staff, did not properly notify the responsible parties of a resident who sustained an injury posing an immediate threat to the Health, Safety, and Personal Rights of residents in care.

Official plan of correction

The facility designated Administrator stated that all facility personnel will undergo, and complete, training on the topic of Proper Reporting Requirements for no less than (1) hour in duration. A statement of correction, along with proof of training, will be completed and submitted into CCL by the due date. Proof of training will include name of trainer, topic, and list of attendees from this facility.

Deadline recorded: Feb 22, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87466

Regulation authority

CCR

What the official deficiency says

The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This facility was found to be deficient as evidenced by a records review in which this facility, and it's representatives and staff, did not properly seek medical attention after a resident sustained an injury which posed an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

Official plan of correction

The facility designated Administrator stated that all facility personnel will undergo, and complete, training on the topic of Observation of the Resident for no less than (1) hour in duration. A statement of correction, along with proof of training, will be completed and submitted into CCL by the due date. Proof of training will include name of trainer, topic, and list of attendees from this facility.

Deadline recorded: Feb 22, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87406(a)(1)(A)

Regulation authority

CCR

What the official deficiency says

(a) All individuals shall be residential care facility for the elderly certificate holders prior to being employed as an administrator. (1) Applicants who possess a valid Nursing Home Administrator license, issued by the California Department of Public Health, shall be exempt from completing an approved Initial Certification Training Program and taking a written exam, provided the individual completes twelve (12) hours of classroom instruction in the following Core of Knowledge areas: (A) Four (4) hours of instruction in laws, regulations, policies, and procedural standards that impact the operations of residential care facilities for the elderly, including but not limited to the authority referenced in this Chapter. 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 that [4] out of [7] facility staff training records did not meet the required number of update annual training hours which posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/05/2024 Plan of Correction The facility designated Administrator stated that all facility staff providing care and supervision to the residents will undergo, and receive, updated annual training to meet the required number of hours with certification on file for review. A statement of correction, along with training topics, name(s) of trainers, and list of attendees with course durations, will be completed and submitted into CCL by the due date of 02/05/2024.

Official classification

Type A

Official code

87411(c)

Regulation authority

CCR

What the official deficiency says

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 that facility staff did not have updated certified First Aid training on file which posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/05/2024 Plan of Correction The facility designated Administrator stated that all facility staff providing care and supervision to the residents will be trained and properly certified in First Aid at all times. A statement of correction, along with copies of updated First Aid training cards for the facility staff, will be completed and submitted into CCL by the due date of 02/05/2024.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia The following shall be stored inaccessible to residents with dementia: Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement was not met as evidenced by: Based on LPA Jensen's observation of cleaning supplies accessible in both memory care buildings. This poses an immediate risk to teh health, safety and personal rights of residents in care.

Official plan of correction

The Licensee immediately locked all cleaning supplies and will conduct an inservice training with staff within one week. The Licensee will email verification that the inservice training has been completed to maja.jensen@dss.ca.gov by 1/20/23

Deadline recorded: Jan 14, 2023. A deadline is not proof that correction was completed.