Resident rightsType B
- Official classification
- Type B
- Official code
- 87468(b)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
(b) At the time the admission agreement is signed, a resident and the resident's representative shall be personally advised of and given a copy of: (1) The personal rights of residents specified in Sections 87468.1, Personal Rights of Residents in All Facilities and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities, as applicable to the facility. (A) The licensee shall have each resident and the resident's representative sign a copy of these rights, and the signed copy shall be included in the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation & record review, the licensee did not comply with the section cited above in that two (2) of four (4) resident files (for residents R2 & R4) were observed not to have signed LIC 613C Personal Rights documents which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2026 Plan of Correction Licensee will submit signed LIC 613C Personal Rights documents for residents R2 and R4 to Community Care Licensing (CCL) by POC due date of 6/26/2026.
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation & record review, the licensee did not comply with the section cited above in that two (2) of four (4) resident files (for residents R1 & R3) were observed not to have current LIC 625 Appraisal/Needs and Services Plan which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2026 Plan of Correction Licensee to submit updated LIC 625 Appraisal/Needs and Services Plans for residents R1 & R3 to CCL by POC due date of 6/26/2026.
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 interview and express admission, the licensee did not comply with the section cited above in that the facility has not conducted any fire and emergency drills in 2026 which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2026 Plan of Correction Licensee to submit a fire and emergency drill log as proof that a fire and emergency drill has been conducted after 6/5/2026. Additionally, Licensee to submit an LIC 9098 Self Certification stating that fire and emergency drills will be conducted quarterly going forward. Both Items to be submitted to Community Care Licensing by POC due date of 6/26/2026.