PEOPLE'S CARE CHARMIAN

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 reports indicating medication errors for R1, R2, and R3 which pose an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Facility to send copies of disciplinary corrective actions. Facility to submit copies of disciplinary corrective action by plan of correction due date. Additonally, facility to submit written plan idenifying medication administration procedure and medication management program outlining how facility will ensure all residents receive prescribed and PRN medications according to doctor's orders. Copies of disiplinary action forms and written plan due to CCL by plan of correction due date.

Deadline recorded: Jul 17, 2026. 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

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 indicating medication error for R1, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Facility conducted staff training on 5/4/26 for medication management. Per DM, staff responsible for error will receive disciplinary corrective action, actions are pending corporate review and will be administered within 7 days. Facility to send copies of disciplinary corrective action by no later than 5/26/26. Facility to submit plan to submit copies of disciplinary corrective action by plan of correction due date.

Deadline recorded: May 20, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(e)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information.

Official plan of correction

Facility Administrator has sole responsible for ensuring doctor's orders are on file. Facility was in the process of finding an Administrator. As of 5/11/26 an Administrator was hired. LPA discussed medication requirement with Admin. Deficiency cleared.

Deadline recorded: May 20, 2026. 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

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 to submit plan to conduct medication management training for all staff administering medication by plan of correction due date. Training to be completed for a duration of at least 1 hour and completed no later than 5/14/26. Staff disciplinary records to be submitted to CCL by 5/7/26.

Deadline recorded: Apr 30, 2026. 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

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 put in place ordering procedures to mitigate errors in refilling of medications. Facility to submit plan to CCL by plan of correction due date.

Deadline recorded: Mar 13, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87405(d)(a)(1)

Regulation authority

CCR

What the official deficiency says

87405(d)(a) - (d)The administrator shall have the qualifications specified... (1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement is not met as evidenced by: Based on CCL complaint inspection, the licensee did not comply with the section cited above in that facility Administrator did not seek timely medical attention for resident R1, which posed an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

Admin to self-certify on LIC9098 that they have read regulation 87405 and licensee to submit updated protocol procedures including appropriate responses to types of injuries and the related medical response necessary by plan of correction due date.

Deadline recorded: May 30, 2024. 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

87411 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… This requirement was not met by licensee as evidenced by: Based on investigation, interviews, photographic evidence, and observation of R1, due to staff severe neglect, resident sustained a blister on their leg, which posed an immediate health, safety, and personal rights risk to resident in care.

Official plan of correction

Facility to submit detailed and specific plan to CCL indicating the steps that will be taken to assess and how they will address the care needs of residents, medical and otherwise, and how they will properly monitor residents to ensure proper and appropriate care is provided. **An immediate Civil Penalty in the total amount of $500 has been issued for a violation that resulted in the sickness or injury of a resident in care (See LIC-421IM)

Deadline recorded: May 17, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87466

Regulation authority

CCR

What the official deficiency says

87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs… This requirement was not met by licensee as evidenced by: Based on CCL Investigation, R1 was not treated for their burn until four days after it was first discovered by staff and only after the heat blister ruptured.

Official plan of correction

Facility to submit plan to CCL on how they will ensure all residents receive timely care, medical or otherwise, attention to their care needs, and that appropriate assistance and attention is provided at all times.

Deadline recorded: May 17, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

80020(a)

Regulation authority

CCR

What the official deficiency says

80020 (a) All facilities shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the Administrator did not comply with the section cited above in 1 out of 1 fire extinguisher was not serviced since February 2021 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/16/2022 Plan of Correction Administrator will contact the Fire Department to have fire extinguisher serviced. Administrator agreed to submit Proof of Correction (POC) that fire extinguisher have been serviced and charged by a fire extinguisher service company or the Fire Department. POC due date

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care. (c)...(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement had not been met as evidence by: Based on records review of facility self-incident report dated 9/9/22 and interviews conducted with Administrator, the facility staff (S1) on 9/8/22 incorrectly assisted resident (R1) and given an extra dosage of medication Lamotrigine 25mg which poses an immediate risk to the health and safety of the clients in care.

Official plan of correction

Administrator to ensure all residents receive their medication as prescribed by their physician. Administrator terminated staff (S1) effective 10/5/22. Administrator agreed to submit LIC9098 that the staff understand the regulation. ***Civil penalties are issued today in the amount of $250 per repeated violation within 12 months.

Deadline recorded: Oct 7, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care. (c)...(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement had not been met as evidence by: Based on records review of facility self-incident report dated 6/4/22 and interviews conducted with Administrator, the facility staff (S1) on 6/2/22 incorrectly assisted resident (R1) and given an extra dosage of prescribed medication Lamotrigine 25mg which poses an immediate risk to the health and safety of the clients in care.

Official plan of correction

Administrator/Licensee to ensure all residents receive their medication as prescribed by their physician. Administrator to submit a plan of how they will ensure medication is properly given and logged in the future to be in compliance with regulation by POC due date.

Deadline recorded: Jul 8, 2022. A deadline is not proof that correction was completed.