SABILE HOUSE OF CARE

Official classification

Type B

Official code

87463(h)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 2 out of 3 residents (R1 and R2) have not received an annual routine visit with a licensed medical professional in the last twelve months which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/09/2025 Plan of Correction Administrator shall provide an updated Medical Assessment for both R1 and R2 and self certify that they understand that all residents must receive an annual routine visit with a licensed medical professional once every twelve months. POC to be submitted to CCL by 12/09/2025

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

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: Deficient Practice Statement Based on LPA's/Licensee observation, interview and record review, the licensee did not comply with the section cited above in one out of three sinks in the main bathroom located in the hallway had a sign of " out of order " . Also, garbage cans located in the bathrooms did not have tight-fitting covers in the containers, some deck boards needed to be replaced which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/20/2024 Plan of Correction Licensee agreed to perform repair needed and will submit pictures of repaired items by POC due date to clear the citation.

Official classification

Type B

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 LPA's/Licensee observation, interview and record review, the licensee did not comply with the section cited above in two out of three staff do not have a current CPR/1st aid certificate which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/20/2024 Plan of Correction Licensee will ensure that staff received CPR/1st aid training and will submit LIC9098 self-certification form to CCL by POC due date to clear the citation.

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 LPA's/Licensee observation, interview and record review, the licensee did not comply with the section cited above by not conducting a disaster drill within the last quarter which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/20/2024 Plan of Correction Licensee agreed to perform a disaster drill and will send LIC9098 self-certification form to CCL to clear the citation by POC due date.

Official classification

Type B

Official code

87156(b)(1)(F)

Regulation authority

CCR

What the official deficiency says

Licensing Fees. In addition to fee set forth in subdivision (a), the department shall charge the following fees: A late fee that represents an additional 50 percent of the established annual fee when any licensee fails to pay the annual licensing fee on or before the due date as indicated by postmark on the payment. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs/Licensee observation, interview and record review, the licensee did not comply with the section cited above by not paying their licensing fees in the amount of $495 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/20/2024 Plan of Correction Licensee agreed to submit payment to CCL by POC due date.

Official classification

Type B

Official code

87156(b)(1)(F)

Regulation authority

CCR

What the official deficiency says

Licensing Fees. In addition to fee set forth in subdivision (a), the department shall charge the following fees: A late fee that represents an additional 50 percent of the established annual fee when any licensee fails to pay the annual licensing fee on or before the due date as indicated by postmark on the payment. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in not paying the annual fee which as of 12/28/2023 equals a total of $1237.00, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/12/2024 Plan of Correction The licensee shall pay the annual fee and then submit in writing how they shall ensure the annual fees are paid by the annual due date.

Official classification

Type B

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in four staff records were found with the most recent training of November 2022, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/26/2024 Plan of Correction By 01/26/2024, the licensee shall ensure all staff have annual training logs updated and current by the annual due dates of the training that are available for review by Community Care Licensing Division.

Official classification

Type A

Official code

87464(f)

Regulation authority

CCR

What the official deficiency says

87464(f) - Basic services shall at a minimum include care and supervision as described in Health and Safety Code section 1569.2(c). These requirements were not met as evidenced by: Based on a review of records, it is not indicated that R1 requires the use of continence care items. Based on observations, interviews with residents, staff and outside parties, it was found that the facility uses disposable briefs and pads for R1 without documentation of needed use or care plan. In addition, outside parties had observed R1 left in soiled disposable briefs, pads and bedding on multiple occasions. This serves as an immediate health, safety or personal rights risk to residents in care.

Official plan of correction

Licensee agrees to conduct in-service training for all staff to follow facility care protocols to meet the residents care needs and supervision to change linens and continence care products. In addition, Licensee agrees to update resident R1's Physician's Report and Needs & Service Plan to clearly indicate the use of continence care products for R1. Signed training and updated Physician's Report and Needs & Service Plan are to be submitted to CCLD by POC date 8/10/2023. Completed training signed by staff to be sumbitted by POC date 8/4/2023.

Deadline recorded: Aug 10, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87466

Regulation authority

CCR

What the official deficiency says

87466: Observation of the Resident. Licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional & social functioning & appropriate assistance is provided when such observation reveals unmet needs. When changes such as...deterioration of mental ability or a physical health condition are observed, Licensee shall ensure that such changes are documented & brought to the attention of the resident's physician & the resident's responsible person, if any. Requirement is not met as evidenced by: Based on Department investigation, resident (R1) sustained mulitple pressure injuries and severe injury resulting in amputation which poses an immediate health and safety risk to residents.

Official plan of correction

Administrator agrees to schedule training with an approved outside vendor for all care staff with for all staff regarding observation of a residents. Plan for training to be submitted to CCL by POC due date. Proof of training including trainer, topics covered, date and time spent and attendees to be submitted by 8/11/ 2023. Additionally, Administrator will provide company protocol outlining how residents are observed for changes and how those changes are reported to management. Writtten plan to be submitted by POC date 7/29/2023. “An immediate civil penalty in the amount of $500.00 is issued today for the violation of a regulation resulting in bodily injury or illness of a person in care. As a result of client’s injury, the violation warrants a civil penalty assessment based on Health and Safety Code 1569.49(f). At this time, the civil penalty assessment is under review.”

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

Official classification

Type A

Official code

87608(a)(1)

Regulation authority

CCR

What the official deficiency says

87608(a)(1) Postural Supports. Postural supports may be used to achieve proper body position and balance, improve mobility and independent functioning or to position rather than restrict movement. This requirement is not met as evidenced by** Based on interviews with Licensee and observations; LPA found that facility utilizes waist strap/harness for resident (R1) without physician's orders. This poses an immediate Health, Safety or Personal Rights risk to Clients in care.

Official plan of correction

Licensee agrees to contact R1's physician and obtain orders for use of waist strap/belt. Once received, Licensee to submit exception request to CCLD. LIC9098 form is to be submitted to CCLD by 3/15/2023 confirming contact with physician. Lastly, Licensee is to conduct a review of all residents' care needs and update Needs & Service Plans. Updated plans to be submitted to CCLD by POC date 3/24/2023.

Deadline recorded: Mar 15, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above from observations of 2 bottles of bleach, and garage contaning additional potentially dangerous substances accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/24/2022 Plan of Correction Licensee failed to ensure cleaning supplies and toxic substances were stored inaccessible to residents in care with dementia. Licensee immediately locked the substances in designated cabinets. In addition, Licensee is to ensure garage is kept secured and submit a LIC9098 Proof of Corrections form to CCLD by POC due date 11/24/2022.

Official classification

Type B

Official code

87705(j)

Regulation authority

CCR

What the official deficiency says

(j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. 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 1 out of 6 auditory alarms which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/30/2022 Plan of Correction Licensee failed to ensure all auditory alarms installed at faciltiy exits were in operating order. Licensee agrees to repair the 1 non-functioning auditory alarm and submit a LIC9098 Proof of Corrections for to CCLD by POC due date 11/30/2022.