TROUSDALE, THE

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services(f) Basic services shall at a minimum include:(1) Care and supervision, this requirement is not met as evidenced by based on interview and record review, the facility did not check R1's vitals ask requested by R1's responsible party after R1 expressed not feeling well poses an immediate health risk to residents in care.

Official plan of correction

The administrator/licensee will develop a plan in writing to prevent this from happening again and the plan shall include staff training and the topics that will be covered during the training. The administrator/licensee will provide a copy of the plan to CCL by 1/15/2025.

Deadline recorded: Jan 15, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care..(a) A plan for incidental medical and dental care shall be developed by each facility... (4)The licensee shall assist residents with self administered medications as needed. The requirement is not met as evidenced by based on interview, record review and observation, the facility did not assist R1 and R2's medication which poses an immediate health and safety risks to residents in care.

Official plan of correction

The administrator/licensee will develop a plan to ensure facility staff assists residents with their self-administration of medication(s) unless there is a physician's order indicating otherwise. The plan shall include staff training. The administrator will provide a copy of the plan to CCL by 1/15/2025.

Deadline recorded: Jan 15, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

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. This requirement is not me as evidenced by: Based on observation, interview, and record review, the facility did not ensure R1's shower mat was placed on the floor following R1's fall as specifically requested by R1's responsible party for fall prevent which poses an immediate health and safety risk to residents in care.

Official plan of correction

The administrator/licensee will develop a plan to ensure facility staff is assisting independent residents with placing the non-skid shower mats on the floor to ensure safety. The plan shall include staff education. The administrator will provide a copy of the plan to CCL by 1/15/2025.

Deadline recorded: Jan 15, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care..(h) The following requirements shall apply to medications which are centrally stored:..2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees... This requirement is not met as evidenced by based on interviews and record review, R1's medication shall be centrally stored and inaccessible to R1, however, R1 found medication in his/her room which posed an immediate health and safety risks to residents in care.

Official plan of correction

The administrator/licensee will develop a plan to ensure centrally stored medication is inaccessible to residents, and the plan shall include staff education. The administrator will submit a copy of the plan to CCL by 6/20/2024.

Deadline recorded: Jun 20, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services..(f) Basic services shall at a minimum include: (1) Care and supervision.. this requirement is not met as evidenced by based on interviews and record review, there was no facility staff present providing supervision to ensure consent was obtained prior to R1 receiving 2nd doses of Flu and COVID-19 vaccines which posed an immediate health and safety risks resident in care.

Official plan of correction

The administrator/licensee will develop a plan to prevent this from happening again and the plan shall include staff training. The administrator/licensee will provide a copy of the plan to CCL by 6/20/2024.

Deadline recorded: Jun 20, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.69(a)(1)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (1) In facilities licensed to provide care for 16 or more persons, the employee shall complete 24 hours of initial training. This training shall consist of 16 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 8 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first four weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above in as staff #1 did not have the initial training records to proof that it was completed which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/16/2024 Plan of Correction The administrator/licensee will provide proof that the required training has been completed to CCL by 1/16/2024.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above as the toxins, chemicals and sharp were unlocked in the Memory Care unit which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/28/2023 Plan of Correction The administrator/licensee will provided a plan to ensure compliance and the plan shall include staff training. The administrator/licensee will provide a copy of the plan and in-service record to CCL by 12/28/2023.

Official classification

Type A

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above as expired food items were observed in the kitchen which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/28/2023 Plan of Correction The administrator/licensee will provided a plan to ensure compliance and the plan shall include staff training. The administrator/licensee will provide a copy of the plan to CCL by 12/28/2023.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: resident #(1) wanderguard device/pendent did not go off by the front entrance of the memory care unit. Deficient Practice Statement Based on interview, observation and record review the licensee did not comply with the section cited above as R1's wanderguard device did not go off by the front entrance of the memory unit which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/28/2023 Plan of Correction The administrator/licensee will check all the resident's wanderguard device to ensure they are working properly and provide a signed and dated statement to CCL of completion. In addition, the administrator/licensee will develop a plan of the process to ensure resident's wanderguards are checked properly. The administrator/licensee will provide a copy of the statement and plan to CCL by 12/28/2023.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1Personal Rights of Residents in All Facilities..(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations,.. This requirement is not met as evidenced by facility did not follow R1's physician's order upon admission as indicated on the LIC602 " no use of Alcohol " and served R1 alcohol until a 2nd physician's order of no alcohol was obtained which posed an immediately health risk to resident in care.

Official plan of correction

The administrator/licensee will develop a plan to ensure facility is following the physician's order for all residents and the plan shall include staff in-services. The administrator/licensee will provide a copy of the plan and estimated time of in-service completion to CCL by 12/28/2023.

Deadline recorded: Dec 28, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

CRIMINAL RECORD CLEARANCE 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, request a transfer of a criminal record clearance as specified in Section 87355(c) This requirement was not met, as staff 1, who is a private companion to client 1, does not have criminal record clearance associated to facility. Licensee failed to ensure that persons with client contact maintain criminal record clearance and association with facility, which poses a health, safety or personal rights risk.

Official plan of correction

Plan/proof of correction to be submitted to CCLD BY DUE DATE

Deadline recorded: Jul 18, 2023. A deadline is not proof that correction was completed.