SUNSET GARDEN II

Official classification

Type A

Official code

1569.69(a)(2)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Per LPA's file reviews staff, 2, 3, and 4 lacked required medication training, the licensee did not comply with the section cited above in [3] out of [4] staff which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2025 Plan of Correction Licensee to ensure staff,2, 3, and 4 obtain required medication training; Licensee to submit proof of training of staff 2,3, and 4 by 3/24/2025. Licensee to submit plan on how facility will be in future compliance, and ensure staff training is obtained, POC due 3/4/25.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Per LPA's file reviews staff, 2, 3, and 4 lacked required annual training, the licensee did not comply with the section cited above in [3] out of [4] staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/24/2025 Plan of Correction Licensee to ensure staff, 2, 3, and 4, obtain all required annual training hours and topics completed. Licensee to submit proof of training of staff training by 3/24/2025

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care Services Section 87465(h)(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 is not met as evidenced by: Deficient Practice Statement LPA observed a plastic container in the refrigerator with medications unlocked, accessible to residents, and to any others in the facility that don't handle medications. 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: 01/12/2024 Plan of Correction CORRECTED BY LICENSEE PURCHASING A LOCK BOX AT A LOCAL STORE TO CENTRALLY STORE THE RESIDENT MEDICATIONS NEEDING TOBE REFRIGERATED. LICENSEE WILL HOLD AN INSERVICE WITH ALL STAFF ON FACILITY MEDICATION POLICY AND PROCEDURES. SUBMIT PROOF OF TRAINING BY 1/19/2024.

Official classification

Type B

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

Personnel Requirements-General 87411(c)(1) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 . Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement was not met as evidenced by: LPA reviewed staff files, S4 lacked required first aid training/certification. S4's first aid certification expired 8/1/2020. This is a potential risk to of personal rights and/or health and safety to residents in care.

Deadline recorded: Dec 23, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1(a)(2) Personal Rights of Residents in all Facilities. Residents in all residential care facilities for the elderly shall have.. the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. **Based upon interviews conducted and documents reviewed, Licensee did not provide a safe environment for 1 of 4 residents which posed a potential risk to the health and safety of clients in care.

Official plan of correction

Licensee to provide personal rights training for all staff. Licensee has recently provided refresher training for all staff on safe transferring methods for residents. Proof of training to be submitted to CCL by POC date in order to clear the deficiency.

Deadline recorded: Oct 12, 2021. A deadline is not proof that correction was completed.