OAKMONT GARDENS

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in that disinfectants and cleaning solutions were observed in unlocked cabinet in ancillary Assisted Living Dining room, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/12/2025 Plan of Correction Facility Head of Maintenance immediately removed all toxins and disinfectants while LPA present. Deficiency cleared.

Official classification

Type A

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in that S5 and S6 did not have 1st Aid certificates on file, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/12/2025 Plan of Correction Facility to submit plan to have S5 and S6 complete First Aid training by plan of corerction due date. Facility to submit 1st Aid certification for S5 and S6 by no later than 12/22/25.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in that all seven (7) staff did not have Health Screens on file, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/01/2026 Plan of Correction Facility to submit Health Screens for S1, S2, S3, S4, S5, S6 and S7 by plan of correction due date

Official classification

Type B

Official code

87555(b)(23)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (23) All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in that food items such as ice cream, bread, rice, tortillas, chopped onions, chopped tomatoes, prepared steaks, and chopped greens were all found uncovered and/or in open unsealed bags/bins, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/25/2025 Plan of Correction Facility to conduct in-service training for all kitchen staff on proper storage of food by plan of correction due date.

Official classification

Type B

Official code

87555(b)(29)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (29) All equipment, fixed or mobile, and dishes, shall be kept clean and maintained in good repair and free of breaks, open seams, cracks or chips. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in that Main kitchen disposal sink has an active leak and hot box door does not properly latch or seal shut, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/01/2026 Plan of Correction Facility to submit pictures/video of repaired sink and hot box door or proof of purchase of replacement hot box by plan of correction due date.

Official classification

Type B

Official code

87463(h)(1)

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. (1) Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in that R1, R2, R3, and R4 do not have current physician's reports on file, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/01/2026 Plan of Correction Facility to submit current physician's report for R1, R2, R3, and R4 by plan of correction due date.

Official classification

Type A

Official code

87465(h)(5)

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 (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement not met by licensee as evidenced by: Based on LPA and HWD interview, staff are pre-pouring medications, resulting in medication errors, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Facility to submit plan to conduct in-service training on pre-pouring medication by plan of correction due date 9/5/25. In-service training to be coinducted no later than 9/18/25. Additionally, facility to submit written procedure plan to conduct daily audit of medication closet and medication cart to ensure staff are not pre-pouring medications, by no later than 9/18/25.

Deadline recorded: Sep 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed...(4) The licensee shall assist residents with self-administered medications as needed. This requirement not met by licensee as evidenced by: residents R1, R2, R3, R4, R5, R6, and R7 were each administered the wrong medication, which poses an immediate health, safety or personal rights risk to persons in care

Official plan of correction

Facility to submit plan to conduct 4 hours of medication training via their chosen vendor, Relias by plan of correction due date 9/5/25. Training to be completed by all staff administering medications by no later than 9/18/25.

Deadline recorded: Sep 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.269(a)(6)

Regulation authority

HSC

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: (6) To care, supervision, and services that meet their individual needs... This requirement not met by licensee as evidenced by: R1 waited in excess of 33 minutes for staff response after activating pendant alert for assistance, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Facility will submit plan to CCL to conduct personal rights training and training for all direct care staff on prompt call/pendant repsonse times by plan of correction due date 9/5/25. Training to be conducted through facility's chosen vendor, Relias as well as an in-service training by no later than 9/18/25.

Deadline recorded: Sep 5, 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

(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 not met by licensee as evidenced by: based on LPA observation medication room left unattended, door unlocked, and with medications accessible to residents, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Facility to submit plan to conduct in-service medication training focused on proper storage of medications and ensuring inaccessibility of medication by plan of correction due date 9/5/25. Training to be completed by all staff administering medications by no later than 9/18/25.

Deadline recorded: Sep 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) 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 not met by licensee as evidenced by: Based on LPA observation, black and white fuzzy substance that appears wet and dark in color and has the odor of mildew, found inside exposed walls in hallway by rooms #113-#116, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Facility to submit written plan of how facility will ensure the health and safety of residents that are exposed to hallway that has exposed inner parts of wall that has black and white fuzzy substance that appears wet and dark in color and has the odor of mildew, by plan of correctiond due date. LPA will review plan and if plan is in compliance with regulation, then facility will implement plan and have plan completed no later than 9/18/25

Deadline recorded: Sep 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(5)

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 (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement not met by licensee as evidenced by: Based on LPA and HWD interview, staff are pre-pouring medications, resulting in medication errors, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Facility to submit plan to conduct in-service training on pre-pouring medication by plan of correction due date. In-service training to be coinducted no later than 8/7/25. Additinally, facility to submit written procedure plan to coinduct daily audit of meication closet and medication cart to ensure staff are not pre-pouring medications, by no later than 8/7/25.

Deadline recorded: Jul 18, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed...(4) The licensee shall assist residents with self-administered medications as needed. This requirement not met by licensee as evidenced by: residents R1, R2, R3, R4, R5, R6, and R7 were each administered the wrong medication, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Facility to submit plan to conduct medication training via their chosen vendor, Relias by plan of correction due date. Training to be completed by all staff administering medications by no later than 8/7/25.

Deadline recorded: Jul 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(d)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement... This requriement not met by licensee as evidenced by: R1 eloped from facility and was found alone outside of facility property, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Facility to submit plan to conduct in-service staff training on elopment prevention and procedures. In-service training to be conducted for all direct care staff by no later than 7/1/25.

Deadline recorded: Jun 11, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87412(a)(13)(B)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (13) For employees that are required to be fingerprinted pursuant to Section 87355, Criminal Record Clearance: (B) Documentation of either a criminal record clearance or a criminal record exemption as required by Section 87355(e). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that S1 and S2 did not have fingerprint clearance on file and were not associated to the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/15/2025 Plan of Correction Facility to submit LIC9098 by plan of correction due date self-certifying that S1 and S2 will not be present at the facility in any capacity until such time that their fingerprint clearance is granted and they are associated to the facility.

Official classification

Type B

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA and Admin observation, the licensee did not comply with the section cited above in that disinfectants and cleaning solutions were observed in unlocked cabinet in ancillary Assisted Living Dining room, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/21/2025 Plan of Correction Facility immediately removed all disinfectants and cleaning solutions that were observed in unlocked cabinet in ancillary Assisted Living Dining room. Facility to submit LIC9098 self-certifying that the cabinet will either remain locked or that no disinfectants and cleaning solutions will be stored in cabinet, by plan of correction due date.

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 and Admin observation and record review, the licensee did not comply with the section cited above in that S3, S4, S5, and S6 did not have 1st Aid/CPR on file, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/04/2025 Plan of Correction Facility to submit current 1st Aid/CPR cards for S3, S4, S5, and S6 by plan of correction due date.

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 Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that S3, S4, S5, S6, and S7 did not have the required hours of training completed, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/04/2025 Plan of Correction Facility to submit training logs for S6 in the amount of no less than 13.5 hours, and for S7 in the amount of 40 hours by plan of correction due date. Facility to submit training logs for S3 in the amount of no less than 5.75 hours, for S4 in the amount of no less than 40 hours, and for S5 in the amount of no less than 8 hours by plan of correction due date. S3, S4, and S5 must have all required medication training hours.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care 87465(a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement not met by licensee as evidenced by: Based on facility's submitted incident report reporting medication error, which poses an immediate health, safety or personal rights risk to persons in care

Official plan of correction

Facility terminated S1. Facility conducted staff training. Deficiency cleared.

Deadline recorded: Aug 19, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA, HWD, and Med Tech observation and record review, resident R2 missed two [2] doses of Acetaminophen 325mg, Amlodipine 2.5 mg, and Furosemide 20 mg, respectively. Doses present in bubble packs, but documented as given to R2. Therefore, the licensee did not comply with the section cited above in [1] out of [5] residents reviewed which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/05/2024 Plan of Correction Facility to submit LIC9098 self-certifying facility conducted staff training on how to properly assist residents with self-administered medication. In addition to LIC9098, facility to submit training record showing name of trainer(s), number of hours of training, and name of training course completed, signed by all required attendees. Training record and LIC9098 due by plan of correction due date 02/05/2024.

Official classification

Type B

Official code

87412(c)(2)(D)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. (2) Documentation of staff training shall include: (D) Number of training hours per subject. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and record review, as well as interview with ED, the licensee did not comply with the section cited above in [5] out of [5] staff files reviewed. Five [5] out of five [5] staff files either were missing the training log entirely, or the training log present did not show the number of training hours completed, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/29/2024 Plan of Correction Facility to submit plan of how, going forward, facility will ensure all required staff complete training requirements per regulation 87412(c), as well as how facility will maintain documentation of staff training as required and outlined per regulation 87412(c) by plan of correction due date 1/29/2024.

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA interview with HWD and Med Tech, the licensee did not comply with the section cited above as facility is currently pre-pouring medications, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/29/2024 Plan of Correction Facility to submit LIC9098 self-certifying facility has immediately stopped pre-pouring medications as well as submit a plan of how facility will deliver medications to residents by live-pouring.

Official classification

Type B

Official code

87633(a)(4)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility, when all of the following conditions are met: (4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident's hospice agency and agreed to by the licensee and the resident, or prospective resident, or the resident's or prospective resident's Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and record review, as well as interview with HWD, the licensee did not comply with the section cited above in [1] out of [1] resident (R1) on hospice. R1 has been on hospice beginning 11/20/2023 but did not have a Hospice care plan on file, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/18/2024 Plan of Correction On initial annual inspection conducted on 1/11/2024, facility did not have hospice care plan for R1. On 1/12/2024 facility received hospice care plan for R1 and provided to CCL. Deficeincy cleared.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and record review, the licensee did not comply with the section cited above in [1] out of [1] resident (R4) with a diagnosis of dementia, LIC602 Physican's Report for R4 dated 2021,which poses a potential health, safety or personal rights risk to person in care.

Official plan of correction

POC Due Date: 02/05/2024 Plan of Correction Facility to submit to CCL current LIC602 for R4 by plan of correction due date of 2/05/2024.

Official classification

Type A

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

Administrator - Qualifications and Duties(a)All facilities shall have a qualified and currently certified administrator. Licensee did not meet this requirement as evidenced by; LPA interview with ED and record review, facility does not have a currently qualified and certified administrator. This poses an immediate Health, Safety or Personal rights risk to residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview, and record review, 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 Facility to provide plan that specifically addresses how proposed Administrator will meet regulation 87405 Administrator Qualifications and Duties while working eight [8] in-person hours per week as identified in the submitted LIC500 and/or Facility will submit current Adminstrator certificate for ED, Morgan Holien. The aforemtioned documention to be submitted to CCL by plan of correction due date of 1/12/2024. Failure to comply with POC may result in further action.

Official classification

Type A

Official code

87309

Regulation authority

CCR

What the official deficiency says

87309 (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above as toxins accessible to residents in Ancillary Assisted Living Dining Area. Toxins stored in cabinet under/around sink area was not locked. 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 ED to submit plan of how facility will train employees to keep all toxins locked. Once training is completed ED will submit LIC9098 showing completed staff training. ED to complete staff training and submit LIC9098 by 1/18/2024

Official classification

Type B

Official code

87455(c)(3)(B)

Regulation authority

CCR

What the official deficiency says

87455 Acceptance and Retention Limitations (c) No resident shall be accepted or retained if any of the following apply: (3) The resident's primary need for care and supervision results from…: B) Dementia, unless the requirements of Section 87705, Care of Persons with Dementia, are met. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in [1] out of [1] residents. R4 has DX of dementia but facility does not retain residents with dementia and facility does not have a current exception on file to retain resident with DX of demntia, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/29/2024 Plan of Correction Facility to submit exception request to retain resident R4 with dementia by plan of correction due date of 1/29/2024.

Official classification

Type A

Official code

87355(d)

Regulation authority

CCR

What the official deficiency says

Criminal Record Clearance (d) All individuals subject to criminal record review shall be fingerprinted. Licensee did not meet this requirement as evidenced by; based on DOJ database report, Executive Director does not have fingerprint clearance.

Official plan of correction

Executive Director to submit proof of correction indicating she will not be present or working at the facility, and will not return to the facility until after she has: obtained DOJ fingerprint clearance, is associated to facility, and submited proof of required clearance and association to CCL.

Deadline recorded: Nov 6, 2023. 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

Personnel Requirements – General(a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. Licensee did not meet this requirement as evidenced by; elopement of resident. This poses an immediate Health, Safety or Personal rights risk to residents.

Official plan of correction

Facility agrees hourly checks of R1 will be increased to 4 times per AM and PM shift, and 2 times per NOC shift. Facility agrees to update care plan with frequency of hourly checks and submit to CCL LPA by POC due date of 11/06/2023

Deadline recorded: Nov 6, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

Administrator - Qualifications and Duties(a)All facilities shall have a qualified and currently certified administrator. Licensee did not meet this requirement as evidenced by; LPA interview with ED and record review, facility does not have a currently qualified and certified administrator. This poses an immediate Health, Safety or Personal rights risk to residents.

Official plan of correction

Facility to submit written plan indicating plan for implementation and start date of qualified and certified administrator. Plan to be submitted to CCL LPA by POC due date of 11/06/2023

Deadline recorded: Nov 6, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(a)(10)

Regulation authority

CCR

What the official deficiency says

87506(a)(10) Resident Records: (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. (10) Reports of the medical assessment specified in Section 87458, Medical Assessment, and of any special problems or precautions. This requirement was not met as evidenced by: During the course of the complaint investigation, LPA reviewed documents and determined that Resident #1 was missing the most recent LIC 602/Physician Assessment. During the delivery of complaint findings on July 31, 2023, LPA requested to review the most recent LIC 602 for Resident #1. The Administrator disclosed to the LPA that the LIC 602 was unavailable for viewing due to the facility not retaining the updated LIC 602. This is a potential Health, Safety and Personal Rights risk to the residents in care.

Official plan of correction

Plan of Correction shall include Licensee submitting a LIC 9098-Self Certification form and providing a statement on future compliance. In addition, Licensee shall train staff on record keeping.

Deadline recorded: Aug 7, 2023. A deadline is not proof that correction was completed.