MAYFLOWER CARE HOME

Official classification

Type A

Official code

87464(d)

Regulation authority

CCR

What the official deficiency says

A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-Admission Appraisal and providing the other basic services specified below, either directly or through outside resources. This facility was found to be deficient as evidenced by the issuance of (3) eviction notices to a resident, and their responsible family and friends, citing issues with a higher level of care and care needs that were already made aware to this facility upon admission which poses an immediate threat to the Health, Safety, and Personal Rights to residents in care.

Official plan of correction

The facility designated Administrator stated that she will undergo training, for no less than one hour in duration, on the subject matter of facility residents rights and proper eviction procedures and how to properly maintain them at all times. A statement of correction, along with copies of the updated training, will will be completed and submitted into CCL by the due date. Proof of completed training will involve the topic of training, name of the vendorized trainer, and list of attendee(s).

Deadline recorded: Mar 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview the licensee did not comply with the section cited above. LPAs observed a trash can and a recycling can obstructing the passageway in the backyard outside of bedroom #1. This passageway is part of the emergency evacuation plan which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/11/2024 Plan of Correction ADM removed the trash and recyling cans during visit. ADM will submit a letter of understanding of the regulation and send to LPA by POC due date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. 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. LPAs observed chemicals/detergents accessible to residents in care in bathroom #3, in the passageway outside of the garage exit door, and a hallway linen closet next to bedroom #3. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/11/2024 Plan of Correction ADM removed chemicals and storage in a locked storage area during visit. ADM states she conduct a training regarding storage of chemicals/detergents and send documenation to LPA. ADM will also submit a letter of understanding of regulation to LPA by POC due date.

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 observation and interview the licensee did not comply with the section cited. The licensee stated the facility is conduction drills, but the drills are not documented, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/17/2024 Plan of Correction ADM stated she will conduct a drill and send documentation that a drill has taken place. ADM will also send a statement of understanding of the regulation to LPA by POC due date.

Official classification

Type B

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213 - Finances - The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement was not met as evidenced by: Based on records review, the facility did not have adequate cash reserves to meet 1 month's average operating costs. This posed a potential threat to the health and safety of residents in care.

Official plan of correction

Facility to provide quarterly financial statements for the year 2022 to licensing by the POC due date.

Deadline recorded: Nov 2, 2022. A deadline is not proof that correction was completed.