PENINSULA REFLECTIONS

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

Personnel Requirements – General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by: Based on interviews and review of documents, R1 had sustained a fracture due to a fall happening in the facility. Staff were present during the fall.

Official plan of correction

Facility shall submit a written Plan of Correction to ensure compliance with regulation 87411(a). POC to include measures to be implemented to prevent a repeated incident. POC to be recieved in by due date

Deadline recorded: Feb 1, 2023. A deadline is not proof that correction was completed.