MAGGIE'S CARE HOME

Official classification

Type A

Official code

1569.269(a)(1)

Regulation authority

CCR

What the official deficiency says

§1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement has not been met as evidence by: Based on LPA’s/Licensee’s observations and interviews with staff and residents in care, the licensee did not ensure that residents’ personal rights were not violated by yelling at staff while residents are present or could listen to the yelling, which poses an immediate risk to the health and safety of residents in care.

Official plan of correction

The Licensee agrees to take training from an outside source regarding personal rights to learn how to control their anger. The Licensee to ensure residents rights are not violated. Licensee will submit proof of enrollment to a personal rights training provider to clear the citation by POC due date 05/09/26. The Department will be reviewing to determine if further actions are needed.

Deadline recorded: May 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

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: (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 has not been met as evidence by: Based on LPA’s/Licensee observations, records review and interviews, the facility did not comply with the above section by failing to keep all resident’s medications locked and inaccessible to residents in care, which poses an immediate risk to the health and safety of residents in care.

Official plan of correction

Licensee agrees to conduct a staff training regarding medication and submit training date to CCL by POC due date 5/9/26 The Department will be reviewing to determine if further actions are needed.

Deadline recorded: May 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)

Regulation authority

CCR

What the official deficiency says

Type A - 87465 (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...the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Based on records review and interviews with Licensee, there is a written order from a physician dated 5/30/25 increasing Olanzapine 5mg order to take two tablets daily at bedtime was decreased given urinary retention to Olanzapine 2.5mg to take 3 tablets by mouth daily at bedtime, but it was revealed that no adjustments were performed by the Licensee, which poses an immediate risk to the health and safety of clients in care.

Official plan of correction

The facility have conducted all staff training regarding the medication changes. The Licensee will review regulation and will submit self-certification LIC9098 to CCL by POC due date.

Deadline recorded: Sep 19, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465(h)(2) Incidental Medical and Dental Care-The following requirements shall apply to medications which are centrally stored: 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 LPA observed resident medications stored in open area on two refrigerator shelves, allowing the medications to be accessible to others/residents; Licensee/Administrator Heherson Garcia stated they were injectable medications/medications of a resident (resident (R1) LPA observed the kitchen cabinet where all other resident medications were being stored was observed to have a lock hanging off it but not secured closed/locked, allowing all medications to be accessible to all others/residents, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/17/2024 Plan of Correction POC CLEARED BY THE FOLLOWING: Licensee/Administrator went and bought a locking medication box, and put all the refrigerated medications into it, locking it up. Licensee/Administrator locked the medication cabinet, after the LPA requested them to do it during the inspection. Licensee to ensure all medications are centrally stored,locked and inaccessible at all times as required by regulation.

Official classification

Type B

Official code

87625(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

Managed Incontinence 87625(a)(1)(D) The licensee shall be permitted to accept or retain a resident who has a manageable bowel and/or bladder incontinence condition under the following circumstances: The condition can be managed with any of the following: The use of incontinent care products. This requirement is not met as evidenced by: Deficient Practice Statement LPA observed that a residents room had a pad that had been used, it had dried urine stains visible on it. and it was folded up and in the the bathroom cubby,the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/20/2024 Plan of Correction Licensee/Administrator to ensure all residents that are incontinent are kept clean and dry, and that incontinent care products, including pads used, are clean and sanitary at all times for the residents use. All used and soiled pads are to be discarded and not used again. Administrator discarded the soiled pad. Ensure the facility is free from urine and feces orders; Ensure the facility is using sanitary incontinent products. Submit plan of ensuring compliance with this regulation. POC due 9/20/24.

Official classification

Type B

Official code

87307(a)(3)(C)

Regulation authority

CCR

What the official deficiency says

87307(a)(3)(C) Personal Accommodations and Services -The following provisions shall apply, The use of common wash cloths and towels shall be prohibited. This requirement is not met as evidenced by: Deficient Practice Statement LPA observed that washcloths were hanging on the bathroom towel bars for resident use in two resident bathrooms that are shared; LPA observed two showering scrubbers in the shower caddy, both were well worn, for resident use. LPA discussed having sufficient supply of washcloths/linens that can be used and put to wash to ensure sanitary conditions for residents and their hygiene care at all times. LPA observed that the bathrooms didn’t have paper towels for resident use to help ensure sanitary hygiene care for all residents. Administrator put paper towels in the bathrooms, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/20/2024 Plan of Correction Licensee/Administrator to ensure paper towels are made available in the bathrooms so hand twoels and/or wash cloths are not used to dry hands as this is not sanitary. Ensure that wash cloths/towels/hand towels are used for residents as needed, and all residents individual towels are all washed and kept clean and sanitary. Submit how the facility will remain in compliance with this regulation and ensure residents have bathing/hygiene linens that are clean and sanitary, including when washing and drying their hands. POC due 9/20/24.

Official classification

Type B

Official code

1569.625(b)(1)(1)

Regulation authority

HSC

What the official deficiency says

HSC 1569.625(b)(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's file review staff S3 lacks proof of Health & Safety Code required training-RCFE. lacks 40 hour initial training, and proof of 20 hour annual training, the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/16/2024 Plan of Correction Licensee to ensure all staff obtain and complete required forty (40) hour training/ twenty (20) hour required training, per health and safety code. Submit proof of staff having completed all training by POC due date of 10/16/24.

Official classification

Type A

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211(a)(1)(D) - Reporting Requirements - A written report shall be submitted to the licensing agency ...within 7 days of the occurrence of any of the events specified in (A) - (D). (D)Any incident which threatens the welfare, safety or health of any resident...This requirement was not met as evidenced by: Based on LPA’s records review and interviews conducted Licensee did not ensure that CCL was notified of R1’s AWOL incident on 5/9/222 which poses an immediate health & safety risk to residents in care.

Official plan of correction

Licensee to ensure all incidents that threaten the safety of residents are reported to CCL per regulation. Licensee agrees to sent a statement that regulation has been reviewed & state how the regulation will be complied with in the future; and send to CCL along with form LIC9098 by POC due date

Deadline recorded: May 21, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)

Regulation authority

HSC

What the official deficiency says

HSC §1569.625(b) Staff training; legislative findings…This requirement is not met as evidenced by: Based on records review & interviews with Licensee, the facility did not ensure that staff (S1) had required staff training prior to provide care and supervision to residents in care which poses a potential risk to the health and safety of the residents.

Official plan of correction

Licensee will ensure ALL staff will have training as required by Health & Safety Code. Licensee to submit LIC 9098 self-certification that all staff have been trained according to Health & Safety Code annually, and/or initial training to CCL by POC date.

Deadline recorded: Jun 3, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

Type A: 87411(a) Personnel Requirements-Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement has not been met as evidenced by: Based on records review, observations and interviews conducted with facility staff, Licensee did not ensure that staff (S1) was competent to provide services resulting in R1 wandered away from facility on 5/8/22 which poses an immediate risk to the health and safety of residents in care.

Official plan of correction

Licensee to ensure that R1’s care plan is updated including wandering behaviors and all staff are trained in dementia care-specifically elopement procedures and policy including response to auditory alarms. Licensee agreed to provide scheduled dates for all staff trainings to CCL by POC due date.

Deadline recorded: May 21, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (e)All individuals... shall prior to working, residing or volunteering in a licensed facility: (1)Obtain a California clearance or a criminal record exemption as required by the Dpt... This Based on LPA observation, record review and interview with Licensee did not ensure to obtain a criminal record clearance for individual (I1) prior to work, reside or provide care to residents in care which poses an immediate health, safety and personal rights risk to residents in care. ***Civil Penalty is being assesed for the amount of $100 per day.

Official plan of correction

Licensee must remove individual (I1) from the work schedule until I1 has a clearance as required by law. Licensee will submit a written plan to ensure that regulation was understood along with self-certification that I1 was removed from facility to CCL by POC due date.

Deadline recorded: May 11, 2022. A deadline is not proof that correction was completed.