HEIRLOOM GARDENS OF DALY CITY

Official classification

Type A

Official code

87468.1(a)(6)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night... This regulation is not met as evidenced by: Based on interviews conducted, S1 admitted that he/she tied R1's door on 3/16/25, because R1's door did not close all the way and to stop R1 from going downstairs which poses an immediate health and safety concern to residents in care.

Official plan of correction

Licensee/administrator shall submit a plan in writing on how to ensure CCR 87468.1(a)(6) will be met. This plan shall include staff training.

Deadline recorded: Apr 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal 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, furnishings and equipment. This regulation is not met as evidenced by: 87468.1 Personal 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, furnishings and equipment. This regulation is not met as evidenced by:

Official plan of correction

Licensee/administrator shall submit a plan in writing on how to ensure CCR 87468.1(a)(6) will be met. This plan shall include staff training.

Deadline recorded: Apr 17, 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

(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 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in 1 out of 2 bathrooms. LPA measured the hot water temperature in the residents bathroom sink at 131.9°F, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/20/2024 Plan of Correction Licensee/Administrator shall submit a plan in writing on how to address this deficiency by the POC due date.

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, the licensee did not comply with the section cited above by not keeping cleaning supplies, chemical, and sharp objects locked and inaccessible to the residents. LPA observed dishwashing solution and knife on kitchen countertop. Scissor and knives were observed to be stored in an unlocked kitchen cabinet drawer. Toilet bowl cleaner was observed near the sink in resident's bathroom. Bathroom cleaner was observed in Resident room #3, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/20/2024 Plan of Correction Licensee/Administrator shall submit a plan in writing on how to address this deficiency by the POC due date.

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, the licensee did not comply with the section cited above. LPA observed expired milk dated September 14 stored in the kitchen refrigerator, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/20/2024 Plan of Correction Licensee/Administrator shall submit a plan in writing on how to address this deficiency by the POC due date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on the record review and interview, the licensee did not comply with the section cited above as the facility did not conduct fire drills at least once a quarter.Emergency drills are not conducted in the facility and there were no emergency drill logs available for LPA to review, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/26/2024 Plan of Correction Licensee/Administrator shall submit a plan in writing on how to address this deficiency by the POC due date.