OLGA'S CARE HOME FOR THE ELDERLY

Official classification

Type A

Official code

87555(b)(21)

Regulation authority

CCR

What the official deficiency says

87555 General Food Service Requirements (b) The following food service requirements shall apply: (21) Freezers of adequate size shall be maintained at a temperature of 0 degrees F (-17.7 degrees C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degrees F (4 degrees C). They shall be kept clean and food stored to enable adequate air circulation to maintain the above temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above, the freezer temperature was not maintained at 0 degree F (-17.7 degrees C). The refrigerator has a built in digital thermostat and a manual thermostat inside was placed. Both were observed to have the same temperature reading 22 degrees F. Which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/24/2024 Plan of Correction LIC/ADM stated that if the freezer temperature does not regulate within the next 24 hours after removing some of the frozen products, the refrigerator will be replaced. LIC/ADM stated she will submit a written plan action on how the facility will ensure the freezer is maintained at a temperature of 0 degrees F (-17.7 degrees C). ADM stated the POC will be submitted by the due date.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211(a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by; Based on interview with ADM. ADM stated he/she did not report when R1 told ADM about the alleged abuse. ADM stated he/she did not report to licensing. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

LPA discussed Reporting requirements and SOC341 with ADM. ADM stated she would send letter of understanding regarding regulation. ADM stated she would send letter by POC date, January 26, 2024.

Deadline recorded: Jan 26, 2024. 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

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, the licensee did not comply with the section cited above. Based on LPA's observation, the facility garage door, connected directly to the kitchen gets jammed and is difficult to close. LPA also observed bedroom #3's screen door screen is missing. ADM stated the screen was removed because it was broken. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/20/2024 Plan of Correction ADM stated she will send a plan of action on how the facility will ensure the home is in good repair at all times. ADM stated she will send plan of correction to LPA by POC date, 1/20/2024.

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. ADM stated a fire drill was conducted in December 2023, but does not have a log. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/20/2024 Plan of Correction ADM stated she will create a fire drill log. ADM stated she will send LPA documentation that a fire drill has taken place. ADM stated she will send the plan of correction to LPA by POC date, 1/20/2024.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review the licensee did not ensure to transfer S1's criminal record to the Department prior to residing at the facility which poses an immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/21/2022 Plan of Correction Licensee will review and understand section 87355. Licensee will send the Department via fax S1's LIC9182 and copy of their ID/DL by 10/20/2022. Licensee will send S1 for a live scan, ASAP and send proof to LPA and LPM by POC due date.