TARINA OF STOCKTON

Official classification

Type A

Official code

87303(a)(b-1)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) 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.(b) A comfortable temperature for residents shall be maintained at all times. (1) The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C). Based on an interview with the Staff the facility is having issues with the heater. The parts to replace the heater have been received and the facility is actively working on fixing the heater. This poses an immediate risk to the health safety of residents in care.

Official plan of correction

Licensee will repair the HVAC system to maintain a comfortable temperature by the POC date 11/1/2024. The facilities Staff will check each residents room to ensure that the residents are comfortable during the evening and will supply additional blankets or throws if needed. The facility will send a report to the department by 11/1/2024 when the repairs have been completed.

Deadline recorded: Nov 1, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) 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 records reviewed the facility has 31 rooms without working heaters. This is a potential health and safety risk to residents in care.

Official plan of correction

The facility will repair or replace the Unit for air-conditioning and heating by the POC date or provide the department with a plan to repair or replace the unit by 2/15/2024.

Deadline recorded: Feb 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

87463 Reappraisals (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to: This requirement is not met as evidenced by records reviewed the facility did not address the additional use of tray services for R2 from 12/2022 through 12/2023.

Official plan of correction

The Administrator will update any and all service plans for any resident that is being billed for services not identified in their pre-appraisal or their current service plan. Proof of this will be submitted to licensing by 2/15/2024

Deadline recorded: Feb 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements ...A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified...Any incident which threatens the welfare, safety or health of any resident...This requirement was not as evidenced by: Based on LPA Jensen's verification through interviews and review of submitted incident reports that the power outage was not reported to the Department as required. This poses a potential health, safety and personal rights risk to residents in care.

Official plan of correction

Licensee will send an attestation that a plan has been implemented to notify the Department of any power outages or potential evacuations by Plan of Correction due date and will email the attestation to LPA Jensen.

Deadline recorded: Feb 17, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.695(a)(7)

Regulation authority

HSC

What the official deficiency says

Emergency Plans ...a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: ...Residents and their responsible parties shall be informed of the process for communicating during an emergency. This requirement was not met as evidenced by: Based on interviews conducted and a review of the LIC 610E the facility has a plan to notify families of emergency or disaster occurrences and this did not occur for every resident during the power outage from 12/31/23-1/2/23. This poses a potential risk to the health, safety and personal rights of residents in care.

Official plan of correction

Licensee will send an attestation that a plan has been implemented to notify the resident's responsible paries of any power outages or potential evacuations by Plan of Correction due date and will email the attestation to LPA Jensen.

Deadline recorded: Feb 17, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on interviews and record reviews, staff was not scheduled and available during the dates of 1/11/22. Additionally, a staff member who was on schedule was absent from care for 2.5 hours on 3-12-22. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee will submit a plan to ensure sufficient staff is available to meet resident needs by POC due date.

Deadline recorded: Mar 31, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

3205(c)(2)(B)

Regulation authority

CCR

What the official deficiency says

COVID-19 Prevention The employer shall develop and implement a process for screening employees with COVID-19 symptoms. This requirement was not met as evidenced by based on COVID screening logs for teh dates of 1/18/22, 1/19/22, 1/20/22 and 1/23/22 the licensee did not ensure the rights of persons in care to safe and health accomodations in that staff members were allowed to work while experiencing COVID-19 symptoms, which poses a threat to the health and safety of clients.

Official plan of correction

The licensee shall agree to not allow employees to work that are symptomatic or test positive and are symptomatic with COVID-19. This is an amendment of the LIC 9099-D of 3/30/22 and replaces the LIC 9099-D of 3/30/22.

Deadline recorded: Mar 30, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

Not listed

Regulation authority

CCR

What the official deficiency says

Deficiency narrative not available.

Official classification

Type A

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

873039a) Maintenance and Operation 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 was not met based on observation of LPA observing the building and grounds to be unsanitary and not in good repair. This poses a potential health and safety risk to residents in care.

Official plan of correction

Administrator agrees complete all repairs by 3/31/22.

Deadline recorded: Mar 31, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.50(a)(3)

Regulation authority

HSC

What the official deficiency says

Health and Safety Code 1569.50(a)(3) Conduct Inimical: Conduct which is inimical to health, morals, welfare or safety of either an individual in, or receiving services from the facility or the people of the State of California. This requirement was not met as evidenced by based on observation the facility did not follow proper usage of face covering and did not implement COVID-19 pre-screening measures at entrance of facility. This poses an immediate health and safety risk to residents in care.

Official plan of correction

The Administrator agrees to conduct a donning and doffing training for all staff and conduct a training for front desk staff on pre-screening of residents by 3/4/22.

Deadline recorded: Mar 4, 2022. A deadline is not proof that correction was completed.