PARK PLACE ASSISTED LIVING

Official classification

Type B

Official code

87205(b)

Regulation authority

CCR

What the official deficiency says

(b)If the licensee is a corporation or an association, The governing body shall be in active and functioning in order to assure accountability. 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 the coporation is not in active status and currently suspended which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/02/2026 Plan of Correction Licensee has submitted a CHOW application to the department and it is currently pending approval, the new Licensee is in active/good status, LPA verified applicant has records to submit to the department to complete the application. Records will be sent and provided to LPA.

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: Plan of Correction

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

(a)Facility personnel shall at all times be sufficient in numbers, ...competent to provide the services necessary to meet resident needs. ...This requirement was not met as evidenced by: Based on interviews, video surveillance, incident reports, the Licensee failed to comply with the regulation above S1 left shift at 1:23am leaving 10 residents alone for over 4 hours which possess an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

The Licensee agreed to schedule adequate staff coverage and send schedules to CCL for the next 90days. Train facility personnel in Facility Policy and Procedures for calling out, leaving the facility, and Cont. below contact names and numbers to call when an emergency need arises, send proof of training and LIC 500 with all current staff listed.

Deadline recorded: Nov 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303(e)(2) Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement was not met as evidenced by: Deficient Practice Statement Based on testing, the licensee did not comply with the section cited above in seven bathrooms whose water temperatures were recorded at 88.7F degrees and between 120.5F and 130.7F degrees which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/16/2023 Plan of Correction Licensee will adjust the water temperatures to comply with the regulation, take videos of each bathroom not in compliance and send videos to LPA by end of day 2/16/23.

Official classification

Type A

Official code

87468.1

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights. Residents have the right to be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Deficient Practice Statement Based on observation, the facility failed to ensure Staff #1 was wearing face coverings properly which poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

POC Due Date: 02/16/2023 Plan of Correction Licensee will counsel Staff #1 regarding infection control policies and send CCL a copy of the written, signed and dated counseling letter by 2/16/23.

Official classification

Type B

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

87705(f)(1) Care of Persons with Dementia: (f) The following shall be stored inaccessible to residents with dementia, (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement was not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that the kitchen drawer with knives/sharps was unlocked which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/22/2023 Plan of Correction Licensee immediately locked the knives drawer. Licensee has committed to locking the knives in a metal box that will be stored above the refrigerator in a locked cabinet. Licensee will send a photo to CCL by 2/22/23 showing the newly stored knife location.

Official classification

Type A

Official code

87204(a)

Regulation authority

CCR

What the official deficiency says

A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons…This requirement was not met as evidenced by: Census at facility. The licensee did not comply with capacity limitations facility has a current census of 13 and a license for 12 which poses an immediate health and safety risk to residents in care. A citation is being given after licensee did not complete POC to meet regulation on 8/21/21.

Official plan of correction

Licensee agreed to finalize application for capacity increase. Licensee will move forward in compliance with capacity limitations. License has agreed to move one resident out of the facility within 24 hours with approval from resident's family or person of responsbility to meet capacity of current license. Civil Penalties Assessed.

Deadline recorded: Aug 25, 2021. A deadline is not proof that correction was completed.