SAINT JARIELLE RESIDENTIAL CARE 2

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearancee (e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by based on observation, record review and interview, S3 has been working at the facility since 2024 without a criminal record clearance which poses an immediate health and safety risks to residents in care.

Official plan of correction

The administrator stated that S3 will be removed from duty until criminal background and transfer processes are completed. The Licensee will provide a plan of correction indicating the process and the date to complete S3's criminal background process. The POC will indicate the facility's staffing plan to ensure sufficient staffing at all times. The POC shall also include what is the facility's process to ensure this does not happen again. The licensee will provided a copy of the plan and a copy of an updated LIC500 to CCL by 10/30/2025. A civil penalty of $500 is being assessed today.

Deadline recorded: Oct 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

83755(e)(3)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearancee (e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance.. This requirement is not met as evidenced by based on observation, record review and observation, S2 and S3 did not have a transfer of criminal record clearance which poses an immediate health and safety risk to residents in care.

Official plan of correction

The licensee will submit a plan of correction indicating what is the facility's plan to ensure S2 and S3 will complete the transfer of a criminal record clearance process and the date of completion. The plan of correction shall include the plan to ensure this does not happen again. The Licensee will provide a copy of the plan of correction by 10/30/2025. A civil penalty of $1000 is being assess for S2 and S3.

Deadline recorded: Oct 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

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 evidenced by: Based on observation, and interview, the TV in the living was not been working for months which poses a potential health and safety risk to residents in care.

Official plan of correction

The licensee will submit a plan of correction indicating the plan to ensure the TV in the living will be in good working condition and will submit a copy of the plan to CCL 11/10/2025.

Deadline recorded: Nov 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.311

Regulation authority

HSC

What the official deficiency says

Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in 1 out of 1 carbon monoxide detectors not in functioning order, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/20/2025 Plan of Correction Licensee failed to ensure carbon monoxide detector was in functioning order. Licensee agrees to repair or replace carbon monoxide detector submit LIC9098 Proof of Corrections form indication correction has been completed. LIC9098 to be submitted to CCLD by POC date 6/20/2025.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above finding that 1 of 2 staff present did not have current 1st aid & CPR training on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/20/2025 Plan of Correction Licensee failed to ensure all staff have received appropriate first aid training on file. Licensee agrees to ensure all caregiver staff have updated 1st aid training on file. Copies of completed certification to be submitted to CCL by POC date 6/20/2025.

Official classification

Type B

Official code

87219(j)

Regulation authority

CCR

What the official deficiency says

(j) The licensee shall provide sufficient equipment and supplies to meet the requirements of this section, including access to variety of reading materials. Special equipment and supplies necessary to reasonably accommodate the individual physical persons and mental needs of residents shall be provided as appropriate. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview with resident (R1), the licensee did not comply with the section cited above with R1 indicating a lack of activities, engagement and a non-operating activity supply (basic television) services, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/20/2025 Plan of Correction Licensee failed to ensure resident in care has sufficient equipment for activities and engagement. Licensee agrees to provide R1 with supplies that encourage engagement and activity. Licensee agrees to provide R1 with similar activity accommodation as other residents such as basic television channel access.

Official classification

Type B

Official code

87458(c)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in 2 out of 3 resident physician's reports not on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/20/2025 Plan of Correction Licensee failed to ensure resident medical assessments (physician's reports: LIC602) are updated and on file. Licensee agrees to obtain updated medical assessments for residents (R1 & R2). Copies of LIC602 to be submitted to CCLD by POC date 6/2022025.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in 1 out of 3 resident needs & service plan/appraisals not on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/20/2025 Plan of Correction Licensee failed to ensure all residents have updated needs & service plan/appraisals (LIC625) on file. Licensee agrees to complete LIC625 and submit copy to CCLD by POC date 6/20/2025.