PURISIMA HILLS

Official classification

Type A

Official code

1569.311

Regulation authority

HSC

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and physical test, the licensee did not comply with the section cited above in one count of Carbon Monoxcide Detector not fuctioning properly, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/09/2026 Plan of Correction During annual inspection on 01/08/2026, Administrator order, online (WallMart) a plug in Carbon Monoxcide detector that is scheduled to be delevered by due date of plan of correction, Administrator will follow up with a picture of new CO2 detector, plugin. to LPA's cell phone and or email.

Official classification

Type B

Official code

87507(5)(E)

Regulation authority

CCR

What the official deficiency says

87507(5) Refund conditions. (E)Pre- admission fees shall be refunded according to the following conditions:1. A 100 percent refund of a preadmission fee shall be provided to an applicant or the applicant’s representative if: a.The applicant decides not to enter the facility prior to the facility completing a preadmission appraisal as defined in Section 87457. b. The licensee fails to provide full written disclosure of preadmission fee charges and refund conditions. This regulation was not met by lack of evidence of 100% refund. Which poses a danger to Residents in care.

Official plan of correction

Administrator will refund 100% of the deposit to W1 on or before 06/02/2025.Administrator will contact LPA by cell phone, email or fax when depot check has cleared their bank account.

Deadline recorded: Jun 2, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

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 [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: Plan of Correction

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) 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 Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: Plan of Correction

Official classification

Type B

Official code

87555(b)(23)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (23) All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. 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 in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: Plan of Correction

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

Addt'l Personal Rights Residents...(a)…residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, services that meet individual needs…delivered by staff sufficient in numbers, qualifications, competency… This requirement is not met based on records review, licensee did not comply with the section cited above when Resident #1 eloped from facility without staff knowledge, and was not provided medical attention by facility which posed an immediate health and safety risk to residents in care.

Official plan of correction

Licensee will provide all Staff with a training on Resident Personal Rights and incidents/situations requiring Staff to assist residents with medical attention. Evidence of this training will be provided to LPA by 09/24/2024.

Deadline recorded: Sep 24, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(11)

Regulation authority

CCR

What the official deficiency says

Personal Rights All Residents...(a) Residents in all residential care facilities for the elderly shall have following personal rights: (11) To have visitors…permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement is not met based on interviews/records review, licensee did not comply when a visitor to the facility was informed by Staff that they had the right to deny visitation to family members, which posed a potential health and safety risk to residents in care.

Official plan of correction

Licensee will provide all Staff with a refresher training on the facility visitiation policy as documented on facility resident admission agreement. Evidence will be provided to LPA by 10/21/2024.

Deadline recorded: Oct 21, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(8)

Regulation authority

CCR

What the official deficiency says

Personal Rights...(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement is not met as evidenced by: Based on interviews and records review, licensee did not comply with section cited above by failing to report an incident and change of condition to a resident’s responsible party, which posed a potential health and safety risk to residents in care.

Official plan of correction

Licensee will provide all Staff with Personal Rights training regarding residents in care at the facility. Training will include personal rights training for all deficiencies cited, including the informing of responsible parties when a resident has a change in condition.

Deadline recorded: Oct 21, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities ...To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not ensure staff were wearing face masks in the facility, which poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

POC Due Date: 02/23/2023 Plan of Correction Administrator has agreed to immediately notify all staff to wear masks at all times in the facility. Administrator agreed to hold training with all staff about proper mask-wearing and and provide training records to CCL by 2/23/23

Official classification

Type A

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 Based on observation and interview, LPA observed service tag of November 16, 2018 on the fire extinguisher. The licensee did not comply with the section cited above in 1 count which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/19/2022 Plan of Correction Facility contacted service company same day and had it serviced in the presence of LPA.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement 87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). Based on observation and interview, LPA observed an open container with knives on top of the refridgerator. The licensee did not comply with the section cited above in 28 counts which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/19/2022 Plan of Correction Staff locked knives in the garage. Administrator states that cooking is performed by adjacent facility ran by administrator. Administrator stated that knives will remain locked.