EASTLAKE VILLA HOME CARE

Official classification

Type B

Official code

87465(h)(6)(A)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: (A) The name of the resident for whom prescribed. (B) The name of the prescribing physician. (C) The drug name, strength and quantity. (D) The date filled. (E) The prescription number and the name of the issuing pharmacy. (F) Instructions, if any, regarding control and custody of the medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on review of 5 out of 5 resident Centrally Stored Medication and Destruction Records (CSMDR), Licensee did not ensure that resident R1 did not have one medication missing from the Centrally Stored Medication and Destruction Records (CSMDR) and R2 did not have two medications missing from the CSMDR, which poses a potential health risk to residents in care. *A civil penalty of $250 was assessed today for a repeated violation*

Official plan of correction

POC Due Date: 01/13/2026 Plan of Correction Licensee agrees to conduct conduct an in-service training with staff to ensure that staff are entering all resident medication information into the Centrally Stored Medication and Destruction Record. Once training is complete, the licensee agrees to submit copies of straff training records to the department by 01/13/2026, including names of staff trained, dates of training, training topics, and names and qualifications of trainers.

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by: Licensee did not ensure that resident R1 left the facility unassisted, which poses an immediate safety risk to residents in care.

Official plan of correction

Licensee agrees to submit a Plan of Correction by POC date detailing how the facility will ensure that residents, particularly resident R1, does not leave the facility unassisted. The plan should include how the facility will communicate with the taxi company that R1 is unable to leave the facility unassisted, reminding R1 that he/she is unable to leave the facility unassisted, coordinating with R1 to have a staff take R1 to the post office, and instructing staff on what to do if a taxi comes to pick up a resident with dementia.

Deadline recorded: Apr 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(6)(A)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: (A) The name of the resident for whom prescribed. (B) The name of the prescribing physician. (C) The drug name, strength and quantity. (D) The date filled. (E) The prescription number and the name of the issuing pharmacy. (F) Instructions, if any, regarding control and custody of the medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on review of 5 out of 5 resident Centrally Stored Medication and Destruction Records (CSMDR), Licensee did not ensure that resident R3 did not have two medications missing from the Centrally Stored Medication and Destruction Records (CSMDR) and R4 did not have one medication missing from the CSMDR, which poses a potential health risk to residents in care.

Official plan of correction

POC Due Date: 01/31/2025 Plan of Correction Licensee agrees to audit and update all resident Centrally Stored Medication and Destruction Records (CSMDR) and provide in-service training to staff to ensure staff know how to record all required information for all resident prescription medications in the CSMDR. Once training is completed, the Licensee shall submit copies of staff training records, including names of staff trained, training dates, training topics, and names and qualifications of trainers.