WESTSIDE ASSISTED LIVING

Official classification

Type B

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that one centrally stored medication was kept in an unlocked refridgerator which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/15/2025 Plan of Correction Licensee/Administrator agrees to purchase and install a lock on medication fridge containing one resident's medication. Licensee/Adminstrator will provide proof of lock installation to Licensing by end of business on 08/15/2025.

Official classification

Type B

Official code

87303(e)(3)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (3) Taps delivering water at 125 degree F (52 degrees C) or above shall be prominently identified by warning signs. 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 in one out of two taps water tem measured at 149 degree F which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/20/2024 Plan of Correction Administrator will advise staff to not put cleaning supplies in hot water closet. Administrator will adjust hot water heater. Administrator will contact LPA when complete.

Official classification

Type A

Official code

87506(d)

Regulation authority

CCR

What the official deficiency says

Resident Records. All resident 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. This requirement was not met as evidenced based by; upon record review and interviews, the records for residents were not made available for an investigator, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

By 12/29/2023, the licensee shall come up with a plan to ensure resident and staff records are available for review by a community care licensing division agent upon request.

Deadline recorded: Dec 29, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.312(e)

Regulation authority

HSC

What the official deficiency says

Basic services requirements. Every facility required to be licensed under this chapter shall provide at least the following basic services: (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This requirement was not met as evidenced based by; upon records reviewed and interviews, R1 developed multiple pressure injuries while in care due to needs not being met by facility staff. This poses an immediate health and safety risk to residents in care.

Official plan of correction

By 12/08/2023, the licensee shall submit in writing a written plan of correction on how they shall ensure residents are monitored. $500.00 immediate civil penalties issued for today's citation.

Deadline recorded: Dec 8, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87305(a)

Regulation authority

CCR

What the official deficiency says

Alterations to Existing Building or New Facilities (a)Prior to construction or alterations, all facilities shall obtain a building permit. This requirement was not met as evidence by: The licensee has made some alterations to the facility and did not seek approval from the licensing agency or the fire marshal, as required. This poses an as a otential health and safety risk to residents in care.

Official plan of correction

Licensee agrees to submit a floor plan to the licensing agency that indicates the physical floor plan changes. Licensee shall submit the floor plan to the licensing agency by 10/01/2021

Deadline recorded: Oct 1, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87202

Regulation authority

CCR

What the official deficiency says

All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department...or the State Fire Marshal. This requirement is not met as evidenced by: Based on LPA observation, licensee did not maintain a fire clearance to the alternations made at the facillity. This poses an as a otential health and safety risk to residents in care

Official plan of correction

Licensee agrees to get Facility renovations cleared by the fire Marshal and provide clearance to LPA by 10/01/2021

Deadline recorded: Oct 1, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87224(a)

Regulation authority

CCR

What the official deficiency says

Eviction Procedures. (a) The licensee may evict a resident for one or more of the reasons listed ... This requirement was not met as evidenced by: all residents were moved during facility alterations and not given an approriate 60 day notice. This posed a potential risk to resident's personal rights.

Official plan of correction

Licensee agrees to submit a statement of understanding of this regulation to LPA by 10/01/2021

Deadline recorded: Oct 1, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(1) A written report shall be submitted to the licensing agency and to the person responsible for the... This requirement has not been met as evidenced that the licensee did not sure that licensee reported alterations done to the facility This is a potential health, safety or personal rights risk to the residents in care.

Official plan of correction

Licensee stated that a written plan will be submitted to Licensing stating how facility can ensure a written report is submitted to Licensing and Responsible Party of residents in the future by 10/01/2021

Deadline recorded: Oct 1, 2021. A deadline is not proof that correction was completed.