A HEAVENLY 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 failed to provide a copy of their TB results during the inspection, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/04/2025 Plan of Correction Licensee/Administrator to provide a copy of TB results to the Department by the Plan of Correction due date.

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a)(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by; Based on observation, resident bedroom #3 private bath does not have a door. Based on observation, the curtains do not obscure the inside of the bathroom when in use. This poses an immideate health, safety or personal rights risk to persons in care.

Official plan of correction

ADM stated she will send a written plan of action on how she will ensure residents who use the private bathroom, in bedroom #3 are accorded privacy and dignity. ADM stated she will send this written plan of action to LPA by POC date February 1, 2025.

Deadline recorded: Feb 1, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times... safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by; Based on observation and interview, LPA observed 12 pieces of bread, with mold in the backyard, directly across from exit #2. FD stated the staff put the bread there to feed the birds. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Staff S1 disposed of the molded bread during visit. ADM stated she will send a letter of understanding regarding the regulation, and the importance of ensuring the facility remains clean, safe, sanitary and in good repair at all times. ADM stated she will send this written plan of action to LPA by POC date February 7, 2025.

Deadline recorded: Feb 7, 2025. A deadline is not proof that correction was completed.