AVANA HOME OF CAMARILLO

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 observation and record review, the licensee did not comply with the section cited above by having two staff members without CPR training which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2024 Plan of Correction Administrator will have both staff member trained by POC due date.

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 observation and interviews, the licensee did not comply with the section cited above by having unlocked knives in the dishwasher and in a kitchen drawer which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/06/2024 Plan of Correction Administrator stored knives inside locked medication cabinet during today's visit.

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 by having S1 and S2 working without a health screening as specified in section 87411 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/20/2024 Plan of Correction Administrator will have both staff get a health screening before POC due date.

Official classification

Type B

Official code

87465(a)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility....(4)The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidence by: Based on observation, records review and interviews, licensee did not comply with above. Former staff did not assist residents with self-administering medications as needed and did not handle resident medication properly. This poses a potintal health and safety risk to residents in care.

Official plan of correction

Licensee terminated staff and is currently handling the medication for resident(s).

Deadline recorded: Aug 21, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements: (a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted... persons responsible for resident.. This requirement is not met as evidence by: Basd on records review and interviews licensee did not comply with the above. Former staff and Licensee/Administrator did not report 1's injuries/incident to R1's responsible person.

Official plan of correction

Licensee terminated staff envolved. Licensee will submit self certification letter to state understanding reporting requirements; will follow requirement and also provide proof of in-service for staff.

Deadline recorded: Aug 22, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(f)

Regulation authority

CCR

What the official deficiency says

Admission Agreements (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. This requirement is not met as evidence by: Based on interviews and records reviewed License did not comply with above section cited. Licensee did not adhere to refund policy and did not provide refund to R1 and issued excessive charges with no invoice or record.

Official plan of correction

Licensee refunded monies owed to responsible person for resident #1. Submit confirmation to LPA by 08/22/2024.

Deadline recorded: Aug 22, 2024. A deadline is not proof that correction was completed.