Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(5)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Slip-resistant mats, strips, or flooring shall be used in all bathtub and shower floors. This requirement is not met as evidenced by: Deficient Practice Statement Per LPA's observation, residents' private bathrooms, six (6), with shower heads for bathing, all lack slip-resistant mats, strips, or flooring for residents use when bathing. Per staff interview, residents’ use their private bathrooms for bathing, the licensee did not comply with the section cited above in [6] out of [6] private bathing/shower bathrooms, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/13/2025 Plan of Correction Licensee to ensure that the facility provides each resident's private bathroom with a slip-resistant mat and/or strips for the shower room floor for residents' use. Provide written self certification of providing the required non-slip mats/strips for each bathroom (6) and receipt of purchase. POC due 10/13/25.
Fire safety and emergency preparednessType B
- 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 record review. facility missed the third (3rd) emergency disaster drill of facility's required quarterly drills , 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: 10/17/2025 Plan of Correction Licensee to ensure all required emergency disaster quarterly drills are completed and documented as required. Licensee to submit written plan of facility's future compliance regarding the required emergency drills, to be held quarterly. Facility is conducting an October drill per record review, please ensure all staff attend, it is held on all shifts as required, and drills are documented as required. Submit POC by 10/17/2025.