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 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

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.