DERRY WAY HOME, INC.

Official classification

Type B

Official code

87463(h)(1)

Regulation authority

CCR

What the official deficiency says

REAPPRAISALS The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every 12 months, either in person or by video appointment. Documentation of the...visit, such as a visit summary, shall be added to the record. This requirement is not met, as date of MD report for client #1 is not clearly indicated. Licensee failed to ensure clear records that 1 out of 4 clients has an annual medical evaluation, which poses a potential health, safety or personal rights risk to clients in care.

Official plan of correction

Updated, signed, dated MD assessment for client #1 will be sent to CCLD BY DUE DATE

Deadline recorded: Aug 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

INCIDENTAL MEDICAL CARE A record of centrally stored prescription medications for each resident shall be maintained and include names of the resident for whom prescribed, prescribing physician and pharmacist, drug name, strength and quantity, dates filled, started & expiration, prescription number and instructions. This requirement is not met, as Centrally Stored Medication Records are not available for review, which poses a potential health, safety or personal rights risk to clients in care.

Official plan of correction

Centrally Stored Medications Records shall at all times be maintained and accessible for licensing staff review. Proof of correction will be sent to CCLD BY DUE DATE

Deadline recorded: Aug 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

PERSONNEL REQUIREMENTS 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 first-aid training for 3 out of 5 staff is not current. Licensee failed to ensure that staff who provide care have valid first-aid training, which poses a potential health, safety or personal rights risk to clients in care.

Official plan of correction

First aid training for staff #2, #4, #5 will be completed, and proof of correction will be sent to CCLD BY DUE DATE

Deadline recorded: Aug 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.69(b)

Regulation authority

HSC

What the official deficiency says

HEALTH AND SAFETY CODE Each employee who received training and passed the exam required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete 8 hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met, as it cannot be verified that all staff have received annual medications training. Licensee failed to ensure that all staff who handle clients' medications has received 8 hours of annual medications training.

Official plan of correction

Proof of required 8 hours of annual medications training for staff who handle or administer clients' medications will be sent to CCLD BY DUE DATE.

Deadline recorded: Aug 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

REAPPRAISALS The 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 appraisals for all clients are dated more than 12 months ago. Licensee failed to ensure annual appraisals are documented.

Official plan of correction

Updated, signed and dated reappraisals for all clients will be sent to CCLD BY DUE DATE

Deadline recorded: Aug 27, 2026. 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

(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, as hot water temperature tested at 125 degrees F in client bathroom on 2nd floor, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/03/2026 Plan of Correction Hot water temperature will be lowered and maintained within range of 105 to 120 degrees and proof of correction to be sent to CCLD BY DUE DATE