DIYA SENIOR CARE CORPORATION

Official classification

Type A

Official code

87623(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall be permitted to accept or retain a resident who requires the use of an indwelling catheter under the following circumstances: (1) If the resident is physically and mentally capable of caring for all aspects of the condition except insertion and irrigation. This requirement was not met as evidenced by: License did not ensure that R1 had an exception request for his/her Foley Catheter prior to being admitted to the facility, which poses an immediate safety risk to residents in care.

Official plan of correction

Licensee agrees to submit a plan of correction by 03/14/2026 stating how the licensee will ensure that the facility will not accept or retain a resident who requires the use of an indwelling catheter unless the resident is physically and mentally capable of caring for all aspects of the condition except insertion and irrigation. The plan must include how the licensee will ensure that all necessary documents for R1’s Exception Request for a Foley Catheter are submitted.

Deadline recorded: Mar 14, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

(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: (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 Based on observation, interviews, record review, the staff files were not placed in the fascility, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/19/2023 Plan of Correction Administrator stated to submit a plan of correction by the POC due date to maintain complete staff files in the facility.

Official classification

Type B

Official code

87355(k)(1)

Regulation authority

CCR

What the official deficiency says

(k) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of volunteers that require fingerprinting and non-client adults residing in the facility. (k) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of volunteers that require fingerprinting and non-client adults residing in the facility. (1) Documentation shall be available at the facility for inspection by the Department. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the facility resident files were not maintained at the facility, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/19/2023 Plan of Correction Administrator stated to submit a plan of correction by the POC due date to maintain complete resident files in the facility.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation (a) The facility shall be clean, sanitary and in good repair at all times. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the window screens in 2 resident bedroom were observed god in good repair, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/19/2023 Plan of Correction Administrator stated to submit a plan of correction by the POC due date to fix the window screens.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, 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, the closet under the sink in kitchen where detergents was placed was observed unlocked, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/13/2023 Plan of Correction Administrator stated he/she will submit a plan of correction by the POC due date to add a lock to the closet under the sink in the kitchen.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to: This requirement is not met as evidenced by: Based on record review and interview, the licensee did not ensure to update the resident’s appraisal/needs and services plan to reflect a plan to address R1’s behavior of elopement which poses a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

Licensee stated to ensure to update the appraisal/needs and services plan annually and upon change of condition. Licensee will submit a plan in writing to ensure compliance of Section 87463 to LPA Dolores via email by POC due date 07/26/2023

Deadline recorded: Jul 26, 2023. 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

(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: Based on observation, interview, and record review, the facility’s fence was in disrepair by missing slats of wood which poses a potential health, safety, and personal rights risks to persons in care.

Official plan of correction

Licensee has corrected the deficiency prior to visit by repairing the fence. POC Cleared.

Deadline recorded: Jul 19, 2023. A deadline is not proof that correction was completed.