REDWOOD CARE HOME

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not have TB results for S1 and S2 in their personnel files, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/03/2025 Plan of Correction Licensee shall request that S1 and S2 reach out to their primary physicians and get re-tested for TB. Licensee shall submit results to the Department 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 record review, the licensee has not conducted a emergency drill since January 2024, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/27/2025 Plan of Correction Licensee/Administrator will email a list of attendees once training has been completed.

Official classification

Type B

Official code

1569.695(e)(2)

Regulation authority

HSC

What the official deficiency says

(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. This requirement is not met as evidenced by: Deficient Practice Statement HSC 1569.695(e)(2): Emergency Plans: Based on record review, the licensee did not comply with the section cited above in 5 out of 5 resident files which were missing the Needs and Services Plan or Care Plan, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/29/2024 Plan of Correction Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing office by due date. Licensee to submit requested documents (Needs and Services Plans) by the due date.

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 CCR 87303(e)(2): Maintenance and Operations: Based on observation, the licensee did not comply with the section cited above in 1 out of 1 faucets which was delivering water temperature of 135.7 degrees fahrenheit which is above the required range of 105-120 degrees Fahrenheit, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/16/2024 Plan of Correction Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing office by 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 CCR 87309(a): Storage Space: Based on observation, the licensee did not comply with the section cited above in 4 out of 4 soap and detergent bottles which were left out in the kitchen below the sink, where they were accessible to residents, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/16/2024 Plan of Correction Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing office by due date.

Official classification

Type A

Official code

87309(b)

Regulation authority

CCR

What the official deficiency says

(b) Medicines shall be stored as specified in Section 87465(c) and separately from other items specified in (a) above. This requirement is not met as evidenced by: Deficient Practice Statement CCR 87309(b): Storage Space: Based on observation, the licensee did not comply with the section cited above in 2 out of 2 bottles of Vitamin D3 and Glucose tablets that were left on the kitchen counter, where residents might be able to reach them, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/16/2024 Plan of Correction Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing office by due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement CCR 87303(a) Maintenance and Operations: Based on observation, the licensee did not comply with the section cited above in 1 out of 1 gates in the backyard which did not open easily as the latch was broken, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/29/2024 Plan of Correction Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing office by due date.

Official classification

Type B

Official code

87303(i)(1)(B)

Regulation authority

CCR

What the official deficiency says

(i) Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: (B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff. 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 3 out of 3 call buttons which did not call for help when pressed or pulled, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/22/2024 Plan of Correction Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing office by due date.

Official classification

Type A

Official code

80088(e)(1)

Regulation authority

CCR

What the official deficiency says

Furniture, Fixtures, Equipment, and Supplies - Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). This regulation has not been met as evidenced by: LPA tested the water temperature in two common bathrooms, one at the rear and one at the front, of the facility. Temp measured at 128F.

Official plan of correction

To ensure compliance with this regulation the licensee shall lower the overall hot water temperature of the faciilty. LPA is to receive evidence of hot water temperature within the range of 105F and 120F. Licensee will make a written plan on how this will be prevented from happening in the future. POC due by 08/19/2022

Deadline recorded: Aug 19, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

80066(c)

Regulation authority

CCR

What the official deficiency says

Personnel Records - All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. This regulation has not been met as evidenced by: LPA attempted to review the first aid cards, temperature logs, infection control plan, and mitigation plan of the facility but they were not accessible to staff to provide to LPA.

Official plan of correction

To ensure compliance with this regulation the licensee shall provide LPA with evidence of first aid cards, temperature logs, infection control plan, and mitigation plan. Licensee shall create a plan to have records available on site at all times for licensing review. POC due by 08/25/2022

Deadline recorded: Aug 25, 2022. A deadline is not proof that correction was completed.