VALLEY ROYALE HOME CARE

Official classification

Type A

Official code

80065(i)(5)

Regulation authority

CCR

What the official deficiency says

80065 Personnel Requirements (i) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations This requirement was not met as evidenced by: administrator interview where it was described that an employee does not have thier fingerprinting done, the LPA observed this employee in the facility on 2 seperate visits. Not following this requirement poses an immediate risk to the clients health, saftey, and personal rights

Official plan of correction

LPA is asking a staff should be asked to leave, not permitted to work a shift until the finger printing is completed. Licensee should send either confirmation of the fingerprinting completion or confirmation of dismissal of the employee. The fingerprinting process might take a few days, Licensee should provide an update weekly until its done.

Deadline recorded: Apr 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(d)(3)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (3) Ability to maintain or supervise the maintenance of financial and other records. This requirement was not met as evidenced by: in a record review of 4 of 4 staff records reviewed have employees with no method of identity verification (social sequrity number). Not following this requirement posed a potential risk to the clients health, saftey, and personal rights

Official plan of correction

Licensing is asking for an form of identiity verification for each employee, including but not limited to a photocopy of a drivers license picture ID with name and age, or a Passport photo with name and age or a social security number

Deadline recorded: Apr 24, 2026. A deadline is not proof that correction was completed.

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 observation of containers of detergent stored openly outside which is accessible by 2 doors residents might use, the licensee did not comply with the section cited above in 2 out of 2 containers which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/28/2026 Plan of Correction LPA Proposes Putting the containers of detergent in existing lockable storage or aquiring more lockable storage, Licensee agrees. Licensee should send photos of the stored detergents by the POC date, to the LPA(619-323-4509)

Official classification

Type A

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 record review, the licensee did not comply with the section cited above in 5 out of 5 staff records which nobody possesses an active cpr/first aid training certification from the last 2 years, presenting an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/28/2026 Plan of Correction LPA proposes get the staff immediately signed up for first aid training, licensee agrees. Licensee should send certificates of completion to the LPA(noel.wolfpetersen@dss.ca.gov) for the staff by the poc date.

Official classification

Type B

Official code

87468(c)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. This requirement is not met as evidenced by: Deficient Practice Statement Based on Observation by the LPA, the licensee did not comply with the section cited above in not having the personal rights posted, which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/31/2026 Plan of Correction LPA proposes Print out the personal rights or make a copy from the client binders, and tape it to the wall. Licensee agrees, and adds to get the additional postings of the facility sketch with evacuation route and federal workers rights posters up as well. Licensee should send a photo of the required posters by the poc date to the LPA(619-323-4509)

Official classification

Type B

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 5 out of 5 personel records that did not have a record of yearly training for the last year, in the topics of dementia or specific restricted health conditions present in the facility or the emergency preparedness/disaster response which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/31/2026 Plan of Correction LPA proposes getting a schedule to the LPA of the training by the poc date, the Administrator agrees and expresses concern about the cost of the training, LPA points to the hospice care nurse to provide free training in the hospice specific and getting signed up to the Technical Support Program offered by CCLD to get more resources in training for the basic topics to reduce cost. Licensee should send the schedule to the the LPA by the POC date(noel.wolfpetersen@dss.ca.gov)