SUNNY ORCHARD PLACE

Official classification

Type B

Official code

1569.696(a)

Regulation authority

HSC

What the official deficiency says

(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not ensure that they had provided training to direct care staff on postural supports, restricted conditions, and hospice care, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/07/2026 Plan of Correction Licensee will conduct a total of 4 hours of training on the subjects of postural supports, hospice, and restricted health conditions and send proof of training to the Department by the POC due date as well as a list of staff attending the training.

Official classification

Type B

Official code

87305(a)

Regulation authority

CCR

What the official deficiency says

87305 Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by: Based on observation, records review, and interview conducted, the licensee did not ensure to get permit/fire clearance for (1) garage alteration by constructing (2) units in the garage, which poses a potential health, safety or personal rights risk to persons in care

Official plan of correction

The Licensee will submit the evidence of building permit or fire clearance for the garage alteration. If neither is obtained, the Licensee will demolish (2) units from the garage and submit photographic evidence to CCLD by 01/17/2025.

Deadline recorded: Jan 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and observation, the licensee did not comply with the section cited above. Staff S1, S2 and S3 acknowledged that staff S2 and S3 sleep in the garage. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/23/2024 Plan of Correction ADM stated she will send a hand written letter plan of action on how she will ensure she is following her fire clearance. ADM stated he/she will send plan of action regarding staff sleeping in the garage. ADM stated he will send his/her written plan of action by POC date, May 23, 2024.

Official classification

Type B

Official code

87412(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above. LPA requested to review staff training records. S1 stated the staff training records are not available and could not be found. S1 stated the training has been completed, but she cannot produce them. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/23/2024 Plan of Correction ADM stated she will send a hand written letter of understanding regarding the regulation. ADM stated she will send the POC letter by poc date, May 23, 2024.

Official classification

Type B

Official code

87506(b)(15)

Regulation authority

CCR

What the official deficiency says

(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above. Residents R1 and R2 did not have a Pre-admission Appraisal in file. S1 stated the forms have not been filled out. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/23/2024 Plan of Correction ADM stated she will send a hand written letter of understanding regarding the regulation. ADM stated she will send the POC letter by poc date, May 23, 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 and record review, the licensee did not comply with the section cited above. LPA requested to review the drills conducted in 2023. S1 stated those drills were conducted, but could not produce the documentation during visit. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/23/2024 Plan of Correction ADM stated she will send a hand written letter of understanding regarding the regulation. ADM stated she will send the POC letter by poc date, May 23, 2024.