TLC HOME CARE

Official classification

Type A

Official code

87355(j)

Regulation authority

CCR

What the official deficiency says

(j) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of employees in the individual's personnel file as required in Section 87412, Personnel Records. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, the licensee did not comply with the section cited above due to S1 having no criminal record clearance while working in the facility which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction Licensee to remove S1 from schedule and not allow S1 to work at the facility and to follow up with Guardian services regarding S1's clearance.

Official classification

Type B

Official code

1569.625(b)(1)

Regulation authority

HSC

What the official deficiency says

(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, the licensee did not comply with the section cited above due to S2 and S3 not having records of initial 40 hour training upon hiring which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/11/2026 Plan of Correction Licensee to submit records of training to LPA by POC due date

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 records review, the licensee did not comply with the section cited above due to S4 not having the required 20-hour annual 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: 03/11/2026 Plan of Correction Licensee to submit records of training to LPA by POC due date

Official classification

Type A

Official code

87465(h)(6)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care: (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes... This requirement is not as evidenced by: Based on record reviewed, Licensee failed to ensure that residents' centrally stored medication record (CSMR) is current and logged. In addition, when conducting medication count, LPA observed the amount of medications in residents' bottles did not correspond with the start date of the medication listed on the CSMR which poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee/administrator shall update all 4 residents' CSMR to reflect physician's medication list. All updated CSMR shall be submitted to CCLD with all 4 residents' current medication list prescribed by physician.

Deadline recorded: Dec 18, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87207

Regulation authority

CCR

What the official deficiency says

87207 False Claims: No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This regulation is not met as evidenced by: Based on records reviewed, S1 was not working on 10/20/25, however LPA observed S1's initials signed on R1's MAR on 10/20/25. According to staff interviewed, they are unsure why R1's MAR had S1's initials for 10/20/25.

Official plan of correction

Licensee/administrator shall submit a plan in writing describing how licensee will ensure that staff are at all times disseminating truthful statements regarding the facility and operations.

Deadline recorded: Dec 18, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87205(a)

Regulation authority

CCR

What the official deficiency says

ACCOUNTABILITY OF LICENSEE GOVERNING BODY The licensee... shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This requirement was not met , as licensee failed to operate facility in conformance with regulations, which poses an immediate health, safety, or personal rights risk to clients in care.

Official plan of correction

Plan of correction to be submitted to CCLD BY DUE DATE, in which licensee shall ensure that facility operates in conformance with these regulations

Deadline recorded: Nov 13, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.58(a)(2)

Regulation authority

HSC

What the official deficiency says

Persons prohibited from being a licensee...(2) Engaged in conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility, or the people of the State of California. This H & S regulation has not been met as evidenced by: The licensee is currently providing unlicensed care to another facility which jeopardized the residents' health and safety and the care and supervision of the residents in care.

Official plan of correction

The Licensee shall comply with the regulation stated herewithin and other agencies of such a change in the future. A written statement of such shall be received by the POC date stated.

Deadline recorded: Nov 13, 2023. A deadline is not proof that correction was completed.

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 interview, the licensee did not comply with the section cited above due to emergency drills has only been done once a year, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/30/2023 Plan of Correction Licensee shall ensure to provide written proof of in service log for emergency drill and that the drill will be held quartelry after that.

Official classification

Type B

Official code

1569.695(d)

Regulation authority

HSC

What the official deficiency says

(d) A facility shall review the plan annually and make updates as necessary, including changes in floor plans and the population served. The licensee or administrator shall sign and date documentation to indicate that the plan has been reviewed and updated as necessary. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above due to per facility sketch, Room No. 5 was used as a staff room instead of a resident room, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/30/2023 Plan of Correction Licensee shall ensure that the facility sketch is updated POC due date.