Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(6)(A)
- 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: (A) The name of the resident for whom prescribed. (B) The name of the prescribing physician. (C) The drug name, strength and quantity. (D) The date filled. (E) The prescription number and the name of the issuing pharmacy. (F) Instructions, if any, regarding control and custody of the medication. This requirement is not met as evidenced by: Deficient Practice Statement During review of 6 resident records, 2 out of 6 resident records each had one prescription medication missing from the Centrally Stored Medication and Destruction Record, which poses a potential safety risk to residents in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction Licensee agrees to conduct in-service training on ensuring that there is a record of all centrally stored prescription medications with staff by Plan of Correction Due date of 09/29/2025. Once training is completed, the licensee will submit copies of training records, including names of staff trained, training dates, training topics, and names and qualifications of trainers.
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)(11)
- Regulation authority
- CCR
What the official deficiency says
87412 Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement During review of 6 staff records, LPA observed 1 out of 6 staff records was missing an LIC503 Health Screening form, which poses a potential safety risk to residents in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction Licensee shall submit a copy of staff S2’s LIC503 Health Screening form by Plan of Correction Due Date of 09/29/2025.
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements – General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (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 This requirement was not met as evidenced by: During review of 6 staff records, LPA Marrufo observed 2 out of 6 staff did not have current first aid certifications, which poses a potential safety risk to residents in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction Licensee shall submit current first aid certifications for staff S1 and S2 to the department by Plan of Correction Due Date of 09/29/2025.