NAVITA RESIDENCES EDGEMONT

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as the fire door was prompt open with a door stopper when LPA enter the facility to conduct the annual visit which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/19/2026 Plan of Correction Staff present closed the door during today's visit. Administrator and staff understands the importance of keeping this fire door closed at all times. Administrator stated that a handyman will come an install a magnet devise that connects to the smoke alarms to automatically shut the door in case of an emergency.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as three (3) resident's medication had discrepancies on the documentation and on the on hand medication which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/19/2026 Plan of Correction Administrator agreed to hire a third-party vendor approved by the department to train staff on how to documentation, administratrion, re-filling medication, storing extra medication supply, and destruction of medication.

Official classification

Type B

Official code

87470(d)(6)

Regulation authority

CCR

What the official deficiency says

Infection Control Requirements 87470(d)(6) The Emergency Infection Control Plan shall be reviewed and updated as necessary or whenever new infection control measures are recommended by the federal, state, and local government public health authorities, or as determined by the Department, until the proclaimed or declared state of emergency is no longer in effect. Any updates to the plan shall be made available to staff, residents and if applicable, each resident’s representative, and submitted to the Department. This requirement is not met as evidenced by: Deficient Practice Statement LPA is issuing a citation after giving a technical violation on last year's annual. Administrator agreed to review and to update, if necessary, both plans and send a copy to LPA before POC due date. Administrator will also write a statement of understanding regarding this regulation.

Official plan of correction

POC Due Date: 09/01/2026 Plan of Correction Administrator agreed to write a statement of understanding regarding this regulation and update/review Infection control plan and submit a copy to LPA before POC due date.

Official classification

Type B

Official code

87463(i)

Regulation authority

CCR

What the official deficiency says

(i) When there is significant change in condition... or once every 12 months, whichever occurs first, the licensee shall arrange an in-person... to share the reappraisal with the resident, the resident's representative... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by having R1's appraisal/needs and services plans not updated which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator will assess the resident and complete a new needs and services plan for R1 and submit new needs and service plan to LPA before POC due date.

Deadline recorded: Nov 26, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)(3)(A)

Regulation authority

CCR

What the official deficiency says

(A) A bed for each resident, except that married couples may be provided with one appropriate sized bed. Each bed shall be equipped with good springs... This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not applying for an exception for resident 2, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator agreed to submit an exception for R2 before POC due date.

Deadline recorded: Nov 26, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: 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 the fire door open at all time which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/13/2024 Plan of Correction Licensee closed fire door and stated that fire door will remain closed at all times. Licensee will provide a statement of understanding on fire clearance.

Official classification

Type A

Official code

87458(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude care of the person by the facility. 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 in 2 out of 5 residents did not have TB test on their file which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/20/2024 Plan of Correction Licensee will have TB test results for both residnets before the POC due date.

Official classification

Type B

Official code

87470(a)(2)(D)

Regulation authority

CCR

What the official deficiency says

(a) A licensee shall ensure that infection control practices are maintained as follows: (2) Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: (D) Facility items that cannot be disinfected shall be discarded immediately in an appropriate waste receptacle with a tight-fitting cover or otherwise made inaccessible to human contact or transmission. 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 all rooms except the kitche without an appropriate waste receptacle with a tight-fitting cover which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/27/2024 Plan of Correction Licensee will replace all open waste containers with an appropriate waste receptacle with a tight-fitting cover by POC due date.

Official classification

Type B

Official code

87463(c)

Regulation authority

CCR

What the official deficiency says

(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. 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 in 5 out of 5 resident files did not have a Needs and Service plan, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/27/2024 Plan of Correction Licensee will provide all 5 Needs and service plan for all residents at Navita by the POC due date.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: 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 facility has a fire clearance for 1 bedridden resident, however 2 residents' physician's reports and needs and service appraisals indicate bedridden status, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 08/03/2023 Plan of Correction Administrator agreed to contact Resident #1 (R1)'s physician to clarify bedridden status and update CCL on the status by POC due date. Plan of correction will be revisited based on response from R1's physician.

Official classification

Type A

Official code

87705(l)

Regulation authority

CCR

What the official deficiency says

(l) The following initial and continuing requirements shall be met for the licensee to lock exterior doors or perimeter fence gates: 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 as the facility's exit gate was observed to be locked which poses an immediate safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/02/2023 Plan of Correction Lock was removed during today's visit. POC cleared.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as water temperature in all 3 bathrooms measured below 105 degrees, both in the morning and afternoon, which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 08/16/2023 Plan of Correction Administrator contacted the facility's maintenance person during today's visit. Hot water heater will be looked at and temperature adjusted to the required temperature. Administrator will the record water temperatures at various times of the day over the course of a 7 day period and log the temperature readings. Log will be provided to CCL by POC due date.