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Official classification

Type A

Official code

87224(a)

Regulation authority

CCR

What the official deficiency says

87224 Eviction Procedures (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5)...This requirement is not met as evidenced by based on interviews and record reviews, R1 was hospitalized due to a change in health condition and the administrator/licensee refused to take R1 back to the facility despite additional staffing support was arranged by GGRC, hospital physician and other disciplines agreed that R1 has made good progress and shall return to the facility which posed an immediate health and safety risks to residents in care.

Official plan of correction

The administrator will review the regulation and provide a signed and dated statement indicating of the review. After the review, the administrator will develop a plan of correction to prevent this from happening again. The administrator will provide a copy of the statement and a copy of the plan of correction to CCL by 2/6/2026.

Deadline recorded: Feb 6, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87224(d)(1)(B)

Regulation authority

CCR

What the official deficiency says

87224 Eviction Procedures (d) The licensee shall set forth in the notice to quit the reasons..(1) The notice to quit shall include the following information: (B) Resources available to assist in identifying alternative housing.. but are not limited to, the following:1.Referral services..2. Case management organizations This requirement is not met as evidenced by based on interviews, observations and record reviews, the administrator/licensee provided two 30-day eviction notices to R1's responsible party and both notices did not contain the required information which posed an immediate health and safety risks to residents in care.

Official plan of correction

The administrator will review the regulation and provide a signed and dated statement indicating of the review. After the review, the administrator will develop a plan of correction to prevent this from happening again. The administrator will provide a copy of the statement and a copy of the plan of correction to CCL by 2/6/2026.

Deadline recorded: Feb 6, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87224(a)

Regulation authority

CCR

What the official deficiency says

87224 Eviction Procedures (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5)...This requirement is not met as evidenced by based on interviews and record reviews, R1 was hospitalized due to a change in health condition and the administrator/licensee refused to take R1 back to the facility despite additional staffing support was arranged by GGRC, hospital physician and other disciplines agreed that R1 has made good progress and shall return to the facility which posed an immediate health and safety risks to residents in care.

Official plan of correction

The administrator will review the regulation and provide a signed and dated statement indicating of the review. After the review, the administrator will develop a plan of correction to prevent this from happening again. The administrator will provide a copy of the statement and a copy of the plan of correction to CCL by 2/6/2026.

Deadline recorded: Feb 6, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(8)

Regulation authority

CCR

What the official deficiency says

87468.1Personal Rights of Residents in All Facilities(8)To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement is not met as evidenced by based on interviews, and record reviews, the administrator/licensee stated that after admission, it was determined that R1 required a higher level of care but it was not communicated to R1's responsible party and GGRC which poses an immediate health and safety risk to residents in care.

Official plan of correction

The administrator will review the regulation and provide a signed and dated statement indicating of the review. After the review, the administrator will develop a plan of correction to prevent this from happening again. The administrator will provide a copy of the statement and a copy of the plan of correction to CCL by 2/6/2026.

Deadline recorded: Feb 6, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(c)

Regulation authority

CCR

What the official deficiency says

(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in as 4 out of 4 residents did not have an updated reappraisal needs/service plans which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2024 Plan of Correction The administrator will provide a copy of the updated appraisal needs and service plans for all the residents and provide a copy to CCL by 9/24/2024.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by:87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as resident #1 (R1)'s Physician's Report (LIC602) in 2024 was not signed by the physician which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2024 Plan of Correction The administrator will provide a copy of the signed and completed LIC 602 to CCL by 9/24/2024.

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, at 11:08am LPA observed sharps and chemicals are not locked, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/11/2023 Plan of Correction The administrator will submit a plan of correction to ensure all chemicals and sharps are locked at all times and inaccessible to residents in care to CCL by 10/11/2023 and will provide a copy of the in-service sign-in sheet.

Official classification

Type B

Official code

1569.69(e)(3)

Regulation authority

HSC

What the official deficiency says

(e) Each person who provides employee training under this section shall meet the following education and experience requirements: (3) The licensed residential care facility for the elderly shall maintain the following documentation on each person who provides employee training under this section: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record reviews, the licensee did not comply with the section cited above as the administrator was not able to provide proof that training was completed for staff. According to administrator, training was completed but all the sign-in sheets are kept at the administrator's personal residence which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/17/2023 Plan of Correction The administrator will submit a copy of all training records to CCL by 10/17/2023 and will submit a plan to ensure all records are maintained at the facility.