JLA HEALTHCARE SERVICES LLC

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309 Storage Space and Access a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions,..a danger to residents are in locked storage and are not left unattended if outside the locked storage. The requirement is not met as evidenced by LPA observed on 5/5/2026, during the facility tour, LPA observed the laundry room filled with chemicals was unlocked and accessible to residents in care which poses an immediately health and safety risks to residents in care.

Official plan of correction

The administrator will develop a plan to ensure chemicals are locked and inaccessible to residents at all times. The plan of correction shall include staff education. The administrator will submit a copy of the plan of correction and staff in-service to CCL by 5/6/2026.

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

Official classification

Type A

Official code

87616(a)

Regulation authority

CCR

What the official deficiency says

87616 Exceptions for Health Conditions (a) As specified in Section 87209, Program Flexibility, the licensee may submit a written exception request if he/she agrees that the resident has a prohibited and/or restrictive health condition but believes that the intent of the law can be met through alternative means. This requirement is not met as evidenced by during the tour of the facility, LPA observed R3 has a sign of contact isolation posted on the door but the facility did not notify CCL which poses an immediately health and safety risks to residents in care.

Official plan of correction

The administrator will review the regulation and develop a plan of correction on how the facility is going to prevent this from happening again. The administrator will provide a copy of the plan of correction by 5/6/2026. The administrator will obtain documentation from resident's provider to clarify if resident shall remain on isolation and will communicate with CCL by 5/8/2026.

Deadline recorded: May 6, 2026. 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 met as during the facility tour, LPA observed the exit door by room 103 was broken and not able to close. LPA observed the shower tub between rooms 301 and 302 was dirty which poses an immediately health and safety risks to residents in care.

Official plan of correction

The administrator will call the contractor today to fix the exit door and the administrator will clean the shower room by room 301 and 302. The administrator will take photos of the shower room between 301 and 302 and submitted to CCL by 5/6/2026 and will provide photos for the exit door by 5/12/2026.

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

Official classification

Type A

Official code

87618(b)(3)(B)

Regulation authority

CCR

What the official deficiency says

87618 Oxygen Administration - Gas and Liquid (b)In addition to Section 87611(b), the licensee shall be responsible for the following:(3) Ensuring that the use of oxygen equipment meets the following requirements: (B) " No Smoking-Oxygen in Use " signs shall be posted in the appropriate areas. This requirement is not met as evidenced by during the tour of the facility, LPA observed R1 and R3 required oxygen and LPA did not observed " no smoking signs " posted by the room and around the area which poses an immediate health and safety risks to residents in care.

Official plan of correction

During the visit, LPA observed the " no smoking signs " were posted resident's rooms. The administrator will develop a plan of correction to ensure signs are posted accordingly and will provide a copy of the plan to CCL by 5/6/2026.

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

Official classification

Type B

Official code

87618(b)(3)(A)

Regulation authority

CCR

What the official deficiency says

87618 Oxygen Administration - Gas and Liquid (b)In addition to Section 87611(b), the licensee shall be responsible for the following: (3) Ensuring that the use of oxygen equipment meets the following requirements: (A) A report shall be made in writing to the local fire jurisdiction that oxygen is in use at the facility. This requirement is not met as LPA observed R1 and R3 requires oxygen and the administrator stated that the local fire jurisdiction was not notified of the oxygen usage.

Official plan of correction

The administrator will develop a plan of correction to ensure the local fire jurisdiction is notified accordingly when oxygen is in use at the facility and will provide a copy of the written notices for R1 and R2. The administrator will provide a copy of the notification and a copy of the plan of correction to CCL by 5/14/2026.

Deadline recorded: May 14, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services(a) Living accommodations and grounds.. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility.. This requirement has not been as evidenced by during the tour of the facility, staff #1 (S1) reported that the resident's shower room by the bathroom is being shared with the live-in staff members which poses an immediate health and safety risks to residents in care.

Official plan of correction

The administrator will develop a plan to ensure staff and resident are not sharing a common shower room and will provide a copy of the plan to CCL by 5/14/2026.

Deadline recorded: May 14, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87202(a)(2)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, Resident 1's (R1's) physician's report states R1 is bedridden and resides in Room #104, however the room is not approved for bedridden which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/20/2025 Plan of Correction Licensee/administrator shall reach out to the fire department by 6/20/25, and notify them of R1 being bedridden. Licensee/administrator shall submit a new LIC200 with a new floor plan indicating what rooms to be used as bedridden so CCL can submit to fire deparment for a new clearance.

Official classification

Type A

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on record reviewed, 3/5 staff did not have health screening which includes TB testing which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/20/2025 Plan of Correction Licensee/administrator shall ensure all staff members have health screening that are completed, including TB testing. Licensee/administrator shall submit a plan in writing to ensure health screenings are completed for each staff.

Official classification

Type A

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 [(observation) (interview) (record review)], the licensee did not comply with the section cited above as facility was not able to provide documents to proof that emergency drills were conducted accordingly which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/18/2024 Plan of Correction The administrator will develop a plan to ensure compliance and will provide an in-service on drills. The administrator will provide a copy of the plan and staff in-service record to CCL by 6/18/2024.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 as LPA observed 1 staff did not have records to proof that required training was completed which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/24/2024 Plan of Correction The administrator will develop a plan to ensure compliance and will provide a copy of the plan and training records to CCL by 6/24/2024.

Official classification

Type B

Official code

87506(b)(15)

Regulation authority

CCR

What the official deficiency says

(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. 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 as 1 resident's admission agreement was blank and not signed by the resident and/ the responsible party which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/24/2024 Plan of Correction The administrator will develop a plan to ensure compliance and will provide a copy of the plan and the completed admission agreement to CCL by 6/24/2024.

Official classification

Type B

Official code

87456(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment. 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 as LPA observed 1 resident did not have a copy of the medical/physician's assessment which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/24/2024 Plan of Correction The administrator will develop a plan to ensure compliance and will provide a copy of the plan and a copy of the physician's order to CCL by 6/24/2024.

Official classification

Type A

Official code

87411(d)(f)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: 87411 Personnel Requirements - General Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 4 out of 5 staff's personnel files did not have health screening and 2 out of 5 staff did not have TB records which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/18/2024 Plan of Correction The administrator will develop a plan to ensure compliance and the plan shall indicate when the health screening/TB will be completed for the 4 out of 5 staff members. The administrator will provide a copy of the signed and dated plan to CCL by 6/18/2024.

Official classification

Type A

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by:87608 Postural Supports Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 4 out of 5 residents have half bedrails installed on their bed and the facility was not able to provide a copy of the physician's order for such device which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/18/2024 Plan of Correction The administrator will develop a plan to ensure compliance and on the plan, it shall indicate when a physician's order will be obtained. The administrator will provide a copy of the signed and dated plan of correction to CCL by 6/18/2024.

Official classification

Type B

Official code

1569.69(b)

Regulation authority

HSC

What the official deficiency says

This requirement is not met as evidenced by: §1569.69 Employees assisting residents with self-administration of medication; training requirements Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed a caregiver/med tech's training record was expired on 6/5/2024 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/24/2024 Plan of Correction The administrator will develop a plan to ensure compliance and will provide a copy of the signed and dated plan to CCL by 6/24/2024 and a copy of the training record.

Official classification

Type A

Official code

87628(a)

Regulation authority

CCR

What the official deficiency says

87628 Diabetes..(a)The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood..or has it administered by an appropriately skilled professional. This requirement is not met as evidenced by facility staff who are not identified as appropriate skilled professionals are administering the daily glucose finger stick checks for R1 posed an immediate health risk for residents in care.

Official plan of correction

The licensee and/or the administrator will develop a plan to ensure compliance and the plan shall include staff education. This plan shall be submitted to CCL by 8/3/2023.

Deadline recorded: Aug 3, 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 (e) 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: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) Violation of this regulation is evidenced by: Based on records review, facility failed to request a transfer of criminal record clearance for S1 which poses an immediate health and safety risk to residents in care. On 11/1/2022, LPA confirmed with Administrator that S1 and S2 is still employed with facility and is providing care and supervision to residents. In addition, LPA observed S1 and S2 during the visit providing care and supervision.

Official plan of correction

Administrator faxed criminal record clearance transfer request to the licensing office for S1 and S2 during LPA's precense. In addition, copies were provided to LPA. Immediate civil penalty of $100 is assessed for EACH individual. $200.00 is being assessed during the visit

Deadline recorded: Nov 2, 2022. A deadline is not proof that correction was completed.