ATRIA LAS POSAS

Official classification

Type B

Official code

87312

Regulation authority

CCR

What the official deficiency says

87312 Motor Vehicles Used in Transporting Residents Only drivers licensed for the type of vehicle operated shall be permitted to transport residents. The rated seating capacity of the vehicles shall not be exceeded. Any vehicle used by the facility to transport residents shall be maintained in a safe operating condition. 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 as the facilitys' vehicles used to transport residents were not covered by automobile liability insurance (expired on 06/01/2026) while being operated on public roads which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/12/2026 Plan of Correction ED agreed to provide current liability insurance for the Ford Flex and facility's bus.

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. 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 as their business liability insurance had expired on 06/01/2026 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/12/2026 Plan of Correction ED agreed to provide current liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. prior to POC due date.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. 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 as some of the medications on hand compared to the Centrally Stored Medication and Destruction Record (LIC 622) were not listed on the LIC 622 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/23/2026 Plan of Correction ED agreed to provide an in-service training to all MedTechs regarding medication documentation requirements, ensure that all current LIC 622 are accurately complete and implement disciplinary action, if applicable, for staff found to be noncompliant with facility policies and procedures. Proof of in-service training and other documentation will be provided to LPA prior to POC due date.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

Criminal Record Clearance. (e) All individuals subject to a criminal record review ... shall prior to working, residing, or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance...This requirement is not met as evidenced by: Based on record review, and interviews, licensee did not comply with the above section by not ensuring the new Administrator had fingerprint association transferred to the facility prior working, which poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee agreed to update the Guardian System associating the new administrator to this facility and submit proof by POC due date.

Deadline recorded: Oct 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(i)(1)(B)

Regulation authority

CCR

What the official deficiency says

(i) Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: (B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having mulfuntioning pagers in the memory care unit in use which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/19/2025 Plan of Correction During today's visit, pagers were replaced. POC Cleared.

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 LPA's observations and record review, the licensee did not comply with the section cited above as S2's medication and S1's contact lens drops were accessible to residents which poses an immediate health risk to persons in care.

Official plan of correction

POC Due Date: 06/16/2022 Plan of Correction Administrator locked S1 and S2's doors during facility visit. Administrator stated that they will provide documentation of staff inservice regarding regulation 87309(a) to CCL by 6/24/22.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observations and record review, the licensee did not comply with the section cited above tools and scissors were accessible to residents which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/17/2022 Plan of Correction Staff placed maintenance cart in an inaccessible location during facility visit, Administrator locked S1 and S2's offices during facility visit. Administrator stated that they will provide documentation of staff inservice regarding regulation 87705(f)(1) to CCL by 6/24/22.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observations and record review, the licensee did not comply with the section cited above as alcohol and toxic substances were accessible to residents which poses an immediate health risk to persons in care.

Official plan of correction

POC Due Date: 06/17/2022 Plan of Correction Staff placed toxic items in an inaccessible location during facility visit. Administrator stated that they will have staff remove alcohol from Happy Hour Cafe and will submit documentation to CCL by 6/17/22. Administrator stated that they will provide documentation of staff inservice regarding regulation 87705(f)(2) to CCL by 6/24/22.