BERNADETTE HOME CARE 1

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. 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 missing dosage for two medications were observed and one medication depleted two days ago and a refill was not ordered which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/05/2026 Plan of Correction Administrator contacted the hospice nurse during today's visit to reorder missing medication and they will conduct training with all current staff on how to properly administer medications to residents in care.

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 record review, the licensee did not comply with the section cited above as Staff 1 did not have a completed health screening on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/05/2026 Plan of Correction During today's visit staff 1 went to get a health screening form filled out. Administrator will submit a copy of the form as soon as it is available.

Official classification

Type B

Official code

1569.625(b)(1)

Regulation authority

HSC

What the official deficiency says

(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on interviews and record review, the licensee did not comply with the section cited above as recently hired staff 1 and staff 2 did not not have documentation of the required twenty (20) hours of training completed prior to working independently with residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/13/2026 Plan of Correction Administrator will train and submit training documentation to LPA before POC due date,

Official classification

Type B

Official code

87555(b)(9)

Regulation authority

CCR

What the official deficiency says

87555 General Food Service Requirements (b) The following food service requirements shall apply: (9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirement is not met as evidenced by: Based on observation, during facility tour, LPA observed meats in the freezer, which were bagged, but not labeled with contents or date, LPA also observed expired food, and leftover food in the refrigerator that was unlabeled and improperly stored, which poses a potential risk to the health and safety to residents in care.

Official plan of correction

Administrator/Licensee agreed to conduct a full food audit in the facility kitchen to ensure all expired foods are disposed of and all food remaining in the facility is properly labeled, covered, and stored by POC due date. Photos of covered and labeled food will be provided to CCL by POC due date

Deadline recorded: Sep 7, 2021. A deadline is not proof that correction was completed.