PASO ROBLES SENIOR LIVING

Official classification

Type A

Official code

87470(a)(3)(B)

Regulation authority

CCR

What the official deficiency says

(3) In addition to Section 87629, Injections, all staff who are assigned to assist residents with the self-administration of injectable medication shall observe the following procedures: (B) A syringe and needle shall only be used once per injection on one resident and then properly disposed of in accordance with the California Code of Regulations, Title 8, Section 5193. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above when staff allowed R1 to reuse needles for their insulin pens, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/02/2026 Plan of Correction Staff discarded all used needles during visit. Licensee stated they will locate a vendored course related to diabetes medication management for facility staff and symptoms related to diabetes that require intervention. All staff will take the course and the Licensee will submit certificates of completion to LPA on or before 7/15/2026.

Official classification

Type B

Official code

87468.2(a)(1)

Regulation authority

CCR

What the official deficiency says

Amended. Personal Rights. (a)(1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the internet, and meetings of resident and family groups. This requirement was not met as evidenced by: Based on interview and record review, the licensee placed video cameras in 3 of 4 residents rooms without resident consent which poses a potential Personal Rights risk to persons in care.

Official plan of correction

S1 removed the cameras from the bedrooms after the LTCO visit on 9/15/2025. Licensee will review this regulation with all staff and email LPA documentation and signed training on or before 10/6/2025.

Deadline recorded: Oct 6, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a)... the licensee shall ensure that disinfectants, cleaning solutions,... and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above when S1 left a bottle of bleach unattended and S1 and S2 left the medication closet unlocked leaving these items accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee will perform a disciplinary write-up with S1 and S2 and email this to LPA by 8/8/2025. Additionally Licensee will have them individually write a statement of understanding of this regulation, how it can affect the residents in care and ways to prevent it in the future. Licensee will email these statements to the LPA on or before 8/14/2025.

Deadline recorded: Aug 8, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when LPA noted over fifteen prescription and non-prescription medications in four unlocked kitchen cabinets, a bottle of liquid lorazepam unlocked in the kitchen refrigerator and nine bottles of chemicals (including bleach and Cascade dish washing soap) unlocked and accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/17/2025 Plan of Correction Licensee will email LPA a statement of understanding of this regulation and how the facility will work to comply with the cited regulation by 7/17/2025. Additionally Licensee will assign all staff training or conduct the training on the regulation and submit the training material and signed staff roster to LPA on or before 7/30/2025. Licensee stated they would conduct more frequent checks of the facility.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

87705 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 by evidence of knifes being accessible to residents in care. which poesses and immidate threat to resident in care.

Official plan of correction

Licensee agrees to conduct 1 hour of training for all staff on care of residents with dementia, with focus on securing potentially dangerous times. This requirement must be started by 01/10/2024.

Deadline recorded: Jan 10, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) 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 by detergent and fabric softener being accessible to resident with dementia, which posses in immediate threat to resident in care.

Official plan of correction

Licensee agrees to conduct 1 hour of training for all staff on care of residents with dementia, with focus on sun downing behaviors for residents with dementia. This requirement must be started by 01/10/2024.

Deadline recorded: Jan 10, 2024. A deadline is not proof that correction was completed.