OUR HOUSE

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 & interview, the licensee did not comply with the section cited above in 3 out of 5 staff (S1, S2, & S3) trainings on Postural supports, restricted condictions and health services & hospice care was not conducted for 2023, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/08/2024 Plan of Correction Licensee to submit reviewed written plan for staff training and how LPA will be able to verify training for all staff ; licensee to ensure that all staff receive required initial & ongoing training required by Health & Safety Code. Licensee to submit reviewed written plan for staff training, and how LPA will verify training to CCL by POC date of 3/8/2024

Official classification

Type B

Official code

87705(c)(3)(A)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (3) In addition to the on-the-job training requirements in Section 87411(d), staff who provide direct care to residents with dementia shall receive the following training as appropriate for the job assigned and as evidenced by safe and effective job performance: (A) Dementia care including, but not limited to, knowledge about hydration, skin care, communication, therapeutic activities, behavioral challenges, the environment, and assisting with activities of daily living; This requirement is not met as evidenced by: Deficient Practice Statement Based on record review & interview, the licensee did not comply with the section cited above in 3 out of 5 staff (S1, S2 & S3) did not have required dementia training per regulations, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/08/2024 Plan of Correction Licensee to submit LIC9098 Proof of correction that staff S1, S2, & S3 have dementia training as required annualy to CCL by POC due date of 3/8/2024.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

87411(c)(1)PERSONNEL REQUIREMENTS GENERAL; Staff shall receive first aid training from persons qualified by such agencies as the American Red Cross. This requirment is not met as evidenced by: Deficient Practice Statement *Based on staff file review & interview the licensee failed to ensure that all staff has a current 1st aid certification in 3 of 5 staff which poses a potential Health & Safety to residents in care. On 2/26/2024 LPA reviewed staff files, & interview ass administrator, LPA learned that staff S1 S2, & S3 have either not renewed 1st Aid or there is NO 1st aid certification at this time.

Official plan of correction

POC Due Date: 03/08/2024 Plan of Correction Licensee to ensure that all staff have current first aid certifications at all times & at least one staff with CPR; Licensee to ensure that S1, S2, or S3 is not the only staff on duty or is a direct care staff until obtaining required 1st aid certification. Licensee to submit proof of 1st Aid Certif. for S1, S2 & S3. by POC due date 3/8/2024.

Official classification

Type B

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465(h)(2) Incidental Medical and Dental Care: Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees... : This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observed unlocked kitchen medication cupboard containing 2 residents diarrhetic medications (see pic). housing centrally stored medications was left unlocked, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/08/2024 Plan of Correction Licensee to administer staff training to ensure that staff know how to properly store centrally stored medication per regulation 87465(h)(2). Admin to submit LIC9098 self-certifying training completed. Admin to submit LIC9098 by Plan of correction due date of March 8, 2024 to CCL..

Official classification

Type A

Official code

87465(a)(5)

Regulation authority

CCR

What the official deficiency says

87465(a)(5) Incidental Medical and Dental Care. A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: The licensee shall assist residents with self-administered medications as needed Based off self-reported incident report and interview with consulting Administrator and Licensee on 5/30/2023, the care staff over medicated the resident on pain medications that were, as needed but prepoured with regular medications. This is an immediate health, safety, and personal rights risk to residents in care.

Official plan of correction

Licensee to submit plan of correction for medication training to CCL by 5/31/2023. Licensee to submitt signed and dated training with all staff that pass medication by 6/9/2023.

Deadline recorded: May 30, 2023. A deadline is not proof that correction was completed.