ZOSING CARE HOME II

Official classification

Type A

Official code

80020(a)

Regulation authority

CCR

What the official deficiency says

80020 Fire Clearance (a) All facilities shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal. Facility did not meet the requirement as evidenced by: LPA record review of the initial hospice assessment where a resident is described as needing repositioning services, interview with the staff who respond affirmatively that assistance with repositioning is necessary. The resident meets the definition of bedridden, while the facility is fire cleared for 6-non ambulatory, 0 bedridden. This presents a health and safety risks to a resident in care.

Official plan of correction

No plan of correction, the facility has an application for a fire clearance reappraisal submitted to the department on 1/8/26. Fire dpt. will come out and give thier assessment. LPA is asking to be informed of the decision to make nessisary upgrades to the facility or evict the resident in a timely fashion after the assessment by the fire department or if otherwise decided. LPA should be sent regular status updates(monthly begining 2/15/25) until the decision is made.

Deadline recorded: Jan 16, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87456(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment. 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 [4] facility resident files did not contain an updated annual medical assessment which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/10/2024 Plan of Correction The facility designated Administrator stated that all residents diagnosed with dementia will be scheduled with their licensed medical professional to obtain an updated annual medical assessment to address any changes in level of care and supervision. A statement of correction, along with copies of all updated annual medical assessments, will be completed and submitted into CCL by the due date.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and documentation, the licensee did not comply with the section cited above in 87355 (e)(2). LPA observed Staff #3 is not associated to facility which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/04/2021 Plan of Correction Facility agreed to associate Staff #3 to facility and submit proof to CCLD by POC date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and documentation, the licensee did not comply with the section cited above in1569.65(c). LPA observation facility last conducted fire drill November 2020, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/05/2021 Plan of Correction Facility agreed to conduct a fire drill and submit proof to CCLD by POC date.