HORIZON ET AL, LLC

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

87202(a) Fire Clearance (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 was not met as evidenced by: Based on observation of the room located behind the laundry room on July 16, 2024, LPA observed a bed inside the room which was not observed on the original STD 850. The Local Fire Jurisdiction inspected the bedroom and notated on the STD Fire Safety Inspection Request Report that the room is not to be used for sleeping. Furthermore, the STD 850 Fire Safety Inspection Request Report summarized that the room does not meet requirements for a bedroom. This is an immediate health, safety and personal rights risk to the residents in care.

Official plan of correction

Facility to submit an LIC 9098 understanding of the regulation. In addition, Licensee shall submit a plan for future compliance. POC Due Date: September 11, 2024

Deadline recorded: Sep 11, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

87465(c)(2) Incidental Medical and Dental Care (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Based on LPA observation on July 9, 2024, LPA observed that a resident was prescribed a medication order for 4:00 PM daily. However, during the Medication Administration Review review, LPA observed that the medication was being administered at 08:00 PM instead of what the medication order indicated which presents an immediate health, safety and personal rights risk to the residents in care.

Official plan of correction

Licensee to submit an LIC 9098 understanding of the regulation. Furthermore, Licensee shall conduct staff training and provide a statement on how future compliance will be met. POC due by: September XX, 2024

Deadline recorded: Aug 28, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.2(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.2(a)(1) 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: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement was not met as evidenced by: During a tour of the facility on July 29, 2024, Licensing Program Analysts (LPAs) Farhaan Sarangi and Sarah Benson observed an audio/child monitoring device in Resident #1’s room which presents an immediate health, safety and personal rights risk to the residents in care.

Official plan of correction

Licensee to submit an LIC 9098 understanding of the regulation. Furthermore, Licensee shall conduct staff training and provide a statement on how future compliance will be met. POC due by: September 02, 2024

Deadline recorded: Aug 28, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(a)

Regulation authority

CCR

What the official deficiency says

87355(a) Criminal Record Clearance (a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve or deny a facility license, or employment, residence, or presence in the facility, based upon the results of such review. This requirement was not met as evidenced by: Based on observation of facility records which included the Guardian on July 10, 2024, LPA observed that Caregiver #1 has not been background cleared and is currently “In Process” which presents an immediate health, safety and personal rights risk to the residents in care.

Official plan of correction

Licensee shall submit an LIC 9098 understanding of the regulation and a plan for future compliance. In addition, Licensee shall ensure that ALL staff members are associated to the facility with an “Eligible/Cleared” designation on the Guardian system before providing Care and Supervision to residents in a Residential Care for the Elderly (RCFE). POC due: September 02, 2024.

Deadline recorded: Aug 28, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87761(b)

Regulation authority

CCR

What the official deficiency says

87761(b) (b) Notwithstanding Section 87761(a) above, an immediate penalty of $100 per cited violation per day for a maximum of five (5) days shall be assessed if any individual required to be fingerprinted under Health and Safety Code Section 1569.17(b) has not obtained a California clearance or a criminal record exemption, requested a transfer of a criminal record clearance or requested and be approved for a transfer of an exemption as specified in Section 87355(e) prior to working, residing or volunteering in the facility. Civil Penalty assessed in the amount of $100.00

Deadline recorded: Aug 28, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review the licensee did not comply with the section cited above in 3 out of 3 persons did not have 1st aid training which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/22/2024 Plan of Correction To have all staff receive 1st aid training. Administrator will email LPA with verification of staff 1st aid training. Administrator will keep record of 1st aid training in staff files.

Official classification

Type A

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review the licensee did not comply with the section cited above in one out of one medication was not labled with required information of resident name, physician, pharmacy or directions which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/18/2024 Plan of Correction Administrator is destroy unmarked medication. Administrator will contact pharmacy for refill of resident medication. Administrator will consult with pharmaist for medication training. Administrator will email LPA when complete.

Official classification

Type B

Official code

87412(a)

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: This requirement is not met as evidenced by: Deficient Practice Statement Based on obervation interview and record review the licensee did not comply with the section cited above in three out of three staff files were not maintained which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/29/2024 Plan of Correction Administrator will maintain staff files. Administrator will have all required documents in staff files. Administrator will email LPA when complete.

Official classification

Type B

Official code

87355(e)(3)

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: (3) 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 comply with the section cited above in two out of two staff are not associated with the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/29/2024 Plan of Correction Administrator will associated all staff to facility. Administrator will email LPA when complete. Administrator will take Guardian training on 3-27-24.

Official classification

Type B

Official code

1569.69(e)(3)(C)

Regulation authority

HSC

What the official deficiency says

(e) Each person who provides employee training under this section shall meet the following education and experience requirements: (3) The licensed residential care facility for the elderly shall maintain the following documentation on each person who provides employee training under this section: (C) The times, dates, and hours of training provided. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review the licensee did not comply with the section cited above in three out of three staff files did not have record of training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/15/2024 Plan of Correction Administrator will keep all training records in staff files. Administrator provided staff training and placed in staff files during LPA visit.

Official classification

Type B

Official code

87465(a)(8)(A)

Regulation authority

CCR

What the official deficiency says

(8) If a facility has no medical unit on the grounds, a complete first aid kit shall be maintained and be readily available in a specific location in the facility. The kit shall be a general type approved by the American Red Cross, or shall contain at least the following: (A) A current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record reveiw the licensee did not comply with the section cited above in one out of one counts no first aid manual was present at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/29/2024 Plan of Correction Administrator will obtain a first aid manual approbed by the american red cross. Administrator will email LPA when obtained.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidence by: Based on observation of the doorknob being covered with a cover to prevent resident from getting out and it is a designated exit which poses an immediate Health and Safety, and Personal Rights risk to persons in care.

Official plan of correction

By 02/24/2024 doorknob covers will be removed and a picture of the doorknobs will be emailed to LPA Avila. ***$500.00 Immediate Civil Penalties issued today. *** Doorknob covered was removed during visit***

Deadline recorded: Jan 24, 2024. A deadline is not proof that correction was completed.