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Official classification

Type A

Official code

87465(a)(5)

Regulation authority

CCR

What the official deficiency says

(5) Facility staff, except those authorized by law, shall not administer injections, but staff designated by the licensee may assist persons with self-administration as needed. Assistance with self-administered medications shall be limited to the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above in that [1} out of [6] facility residents was unable to handle, dispense, and inject themselves relying on the facility staff, at all times, in order to perform glucose testing and insulin injections which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/10/2025 Plan of Correction The facility designated representative stated that a plan for the resident injections will be produced to address who would be responsible for completing these tasks on a daily basis. A statement of correction, along with the updated plan of dealing with the injections, will be completed and submitted into CCL by the due date.

Official classification

Type A

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

(6) 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 record review, the licensee did not comply with the section cited above in that [3] out of [6] Medication Administration Records, with dispensing log, were not properly initialed and filled out with corresponding follow up when medications were missed, refused, or not given as prescribed which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/10/2025 Plan of Correction The facility designated representative stated that a plan for the resident medication management will be produced to address proper handling, dispensing, and documentation of the resident medications at all times. An in-service, for no less than (1) hour in duration, will be completed for all facility staff responsible for handling, dispensing, and documentation of the resident medications. A statement of correction, along with the updated medication training, will be completed and submitted into CCL by the due date.

Official classification

Type B

Official code

87470(a)(2)(B)

Regulation authority

CCR

What the official deficiency says

(a) A licensee shall ensure that infection control practices are maintained as follows: (2) Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: (B) Walls and window coverings in resident care areas shall be dusted or cleaned on a regular schedule to ensure they are safe and sanitary and when they are visibly contaminated or soiled. 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 exterior grounds needed to be clean, clear, and maintained in good repair since some of the window screens were ripped, torn, and in need of repair which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/16/2025 Plan of Correction The facility designated representative stated that all window coverings and screens will be repaired/replaced to remove any rips, tears, or holes in them as well as clean up the backyard area to remove all unused furniture, dog feces, and debris. A statement of correction, along with photos of the updated screens and cleared backyard areas, will be completed and submitted into CCL by the due date.

Official classification

Type A

Official code

87307(e)

Regulation authority

CCR

What the official deficiency says

Personal Accommodations and Services - 87307(e) Facilities providing services to residents who have physical or mental disabilities shall assure the inaccessibility of fishponds, wading pools, hot tubs, swimming pools, or similar bodies of water, when not in active use by residents, through fencing, covering or other means. This requirement is not met as evidenced by: LPA's observed pool gate unlocked to pool area. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee agrees to lock gate to pool area immediately while LPA's are conducting 1 Year Annual Inspection. LPA;s observed gate being locked. Immediate Civil Penalty Assessed. No further action required.

Deadline recorded: Jan 27, 2022. A deadline is not proof that correction was completed.