GOLDEN AGE VII

Official classification

Type A

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in not ensuring that there was a sufficient amount of one week nonperishable food supply and a minumum of two day perishable food supply was maintained on the premsises. LPA observed around 31 cans of food including but not limited to, tuna, fruit, vegetable, and pastas. In addition, it was observed that the refrigerator had one jug of milk, a jug apple juice and prune juice. This poses an immediate health, safety and personal rights risks to persons in care.

Official plan of correction

POC Due Date: 05/06/2024 Plan of Correction The licensee shall ensure that there is a sufficient amount of food supply at all times. Licensee stated a food order will be sent to the facility by the end of day. A copy of the food receipt as well as a photo of food supply shall be sent to the LPA by the POC date.

Official classification

Type B

Official code

87465(e)

Regulation authority

CCR

What the official deficiency says

(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. This requirement is not met as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review, and interview, the licesee did not comply with the section cited above but not ensuring that 4 out 4 residents did not have a prescription label or doctors orders for their over-the-counter medication. This poses a potential health, safety, or personal rights risks to persons in care.

Official plan of correction

POC Due Date: 06/07/2024 Plan of Correction Licensee shall ensure that all over-the-counter medication has prescription or doctor's orders. A statement of acknowledgement and correction shall be sent to the LPA by the POC Date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309(a) Storage Space 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 was not met as evidence by based on observation Licensee did not ensure toxins were accesible to residents in care. LPAs observed toxins unlocked in laundry room. This posed an immediate health and safety risk for residents in care.

Official plan of correction

Licensee agrees to lock laundry room and made toxins inaccesible to the residents in care. POC was cleared at the time of visit.

Deadline recorded: Jul 12, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.50(a)(3)

Regulation authority

HSC

What the official deficiency says

Health and Safety Code 1569.50(a)(3) Conduct Inimical: Conduct which is inimical to health, morals, welfare or safety of either an individual in, or receiving services from the facility or the people of the State of California. This requirement was not met as evidenced by based on observation the facility did not implement mask mandate for both staff and visitors. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Facility Staff agrees to: to train all staff on covid-19 precautionary measures by POC Date 07/12/2022.

Deadline recorded: Jul 12, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

8088(b)

Regulation authority

HSC

What the official deficiency says

(b) All window screens shall be in good repair and be free of insects, dirt and other debris. This requirement is not met as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited since the window screens were not present and residents may not open their windows without pests entering the facility, which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/29/2022 Plan of Correction Licensee agreed to purchase a window screen and send the receipt and picture into the LPA's email by 6/29/2022.

Official classification

Type B

Official code

87303(a)

Regulation authority

HSC

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 is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with repairing the toilet which does not flush at the time of the visit and residents may not use it, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/29/2022 Plan of Correction Licensee agrees to get the toilet fixed and send in a work order of services rendered by 06/29/2022.

Official classification

Type B

Official code

87755(c)

Regulation authority

CCR

What the official deficiency says

The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the requirements in Sections 87412(f), 87506(d), and 87508(b). This requirement is not met as evidenced by: The Department requested paperwork from the license by 10/15/21 and did not receive paperwork . This posed a potential health and safety risk to residents in care.

Official plan of correction

Licesnsee will turn requested paperwork by 2/2/2022

Deadline recorded: Feb 2, 2022. A deadline is not proof that correction was completed.