REDWOOD VISTA RESIDENTIAL CARE HOME

Official classification

Type B

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 observation and record review, the licensee did not comply with the section cited above in that one (1) of four (4) staff members (for staff member S1) did not have current First Aid certification which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/23/2025 Plan of Correction Licensee to provide valid First Aid certification for staff member S1 to Community Care Licensing by POC due date of 12/23/2025.

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 observation, interview and record review, the licensee did not comply with the section cited above in the facility is not conducting quarterly Emergency Disaster drills which poses a potential health, safety or personal rights risk to persons in care. As this is the second (2) time this violation occurred in under a year, a Civil Penalty of $250 is be issued.

Official plan of correction

POC Due Date: 12/23/2025 Plan of Correction Licensee to provide an Emergency Disaster Drill log for a drill having been conducted on or after 12/2/2025. Additionally, Licensee to provide an LIC 9098 Self Certification that moving forward, Emergency Disaster Drills will be conducted quarterly. Both Items to be submitted to Community Care Licensing by POC due date of 12/23/2025.

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 Per review of records, there was no documentation showing proof of having conducted required emergency disaster quarterly drills; Administrator was not able to show proof of quarterly drills having been conducted, 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: 12/20/2024 Plan of Correction Licensee/Administrator to submit plan in how the facility will ensure to conduct " quarterly " emergency disaster drills as required. Conduct an emergency disaster drill, and document it as required. Submit the plan, and emergency disaster drill conducted, by POC due date of 12/20/24.

Official classification

Type B

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

1569.618(c)(3) Other Provisions Section – Other Provisions Section – Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and staff have 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 Per record reviews, S1, S2, lacked CPR certification, and S3 lacked first aid and CPR certifications. Administrator was not able to show proof of staff having the training listed, 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: 12/11/2024 Plan of Correction Licensee/Administrator to ensure that staff, S1, S2, S3, and S4, obtain the required First Aid and/or CPR ;isted above as required. Submit proof of trainings having been obtained and completed by POC due date of 12/11/24.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(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 observation, the licensee did not comply with the section cited above in 2 out of 2 locations, under unlocked kitchen sink was cleaning solutions & in unlocked cabinet in garage disinfectants & cleaning supplies as bleach, etc which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/17/2023 Plan of Correction Licensee will submit a written plan to CCL outlining their protocol to keep items that pose a risk to residents in care inaccessible no later than POC due date, 11/17/2023.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465(h)(2) 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 is not met as evidenced by: Deficient Practice Statement Based on observation by LPA (see pic) medications were in unlocked kitchen cabinet. The medication shoud be centrally stored as required by regulations. This is a health & safety risk and/or a personal rights risk to residents in care.

Official plan of correction

POC Due Date: 11/17/2023 Plan of Correction Administrator to submit documentation they understand regulation by POC due date of 11/17/2023 & then documentation of staff training on regulation 87465(h)(2) with date, time, subject, duration, staff names and signatures of attendance. POC due date 11/21/2023 to Community Care Licensing to clear the citation.

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 LPA observed all residents medications had been prepoured into plastic containers, in both kithen cabinet and outside office (see pics), which were to be given to the residents as stated. Medications are to remain in original containers. This is a potenitial risk to health & safety and/or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 11/24/2023 Plan of Correction Licensee to submit policy and procedures regarding storage of medications, submit plan of correction by 11/19/23. Facility to ensure that medications are not transferred between containers at any time, per egulation medications are to remain in origianl containers. Licensee to ensure all staff are retrained in medication procedures, submit proof of training by 11/24/23.

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 and interviews conducted, the licensee informed drills were only conducted every six months and the last one had not been conducted in over a year per records, and did not comply with the section cited above per regulation, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/24/2023 Plan of Correction Licensee to submit written plan, outlining how facility will conduct required drills per regulation. Licensee will also conduct a drill and submit written evidence of completed drill to CCL by POC date of 11/24/2023

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

87411(c )(1) Personnel Requirements – General 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 is not met as evidenced by: Deficient Practice Statement Based on LPA's record review and interview with Licensee, six out of six staff lacked required first aid certification, the licensee did not comply with the section cited above in 6 out of 6]staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/30/2023 Plan of Correction Licensee/Administrator to ensure all staff have required first aid certification training. Submit proof of staff's first aid certification by POC due date of 11/30/2023.

Official classification

Type B

Official code

1569.269

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:…(8) To make choices concerning their daily life in the facility. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above by caregiver attempting to make a resident go to bed by removing their book despite resident verbalizing that they did not want to go to bed, which poses a potential personal rights risk to persons in care.

Official plan of correction

Licensee agrees to contact the Long Term Care Ombudsman and set an appointment for an in-service training for all staff regarding Personal Rights. Licensee to submit planned date ot training to CCL no later than, 5/4/2022,

Deadline recorded: May 4, 2022. A deadline is not proof that correction was completed.