OAK PLACE RESIDENTIAL CARE

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411(a) Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by. Based on a telephone call with S1 there was an absence of supervision of C1 when S1 abandoned client at the medical facility during an appoinment resulting in an immediate threat to the health and safety of residents in care.

Official plan of correction

Staff #1 was immediately removed from their position and placed on suspension pending further administrative review. The administrator agreed to submit a written statement to the Dept. outlining corrective measures to prevent recurrence of similar incidents. Also, Administrator will notify the LPA of the final employment action taken regarding Staff #1 (rehire, reassignment, or termination) before POC due date .

Deadline recorded: Nov 7, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87405(h)(2)

Regulation authority

CCR

What the official deficiency says

87405(h)(2) Administrator Qualifications and Duties (h) The administrator shall have the responsibility to:(2) ...report to the licensee on the operation of the facility, and provide the licensee...standards of care and supervision. This requirement was not met as evidenced by. Based on statements the administrator did not comply with the regulation cited above by not protecting the client's personal rights resulting in an immediate threat to the health and safety of residents in care

Official plan of correction

Administrator agreed to submit a written statement of understanding acknowledging the regulation cited and the importance to protect resident's personal right and report incident and ensure continued compliance to LPA before POC due date.

Deadline recorded: Nov 7, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.695(e)(3)

Regulation authority

HSC

What the official deficiency says

(e) A facility shall have all of the following information readily available to facility staff during an emergency: (3) A resident medication list for residents with centrally stored medications. 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 not having a current medication list for multiple residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/10/2025 Plan of Correction Staff in charge of the medication room and storage of medication will audit the centrally stored medication log and update it. Facility administrator will have an in-service training will all staff in charge of medication documentation and submit to LPA before POC due date.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review...(b) shall prior to working...in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) This requirement is not met as evidenced by: Based on file review and interview, Staff #1 has been employed at the facility since 12/17/2021 and does not have a criminal record clearance transfer to this facility, which poses an immediate safety hazard to resident is care.

Official plan of correction

Facility Designee agreed to send the forms to CCLD Regional Office today to transfer Staff #1's fingerprints to the facility. Designee understands that Staff #1 cannot work until they are associated to the facility.

Deadline recorded: Feb 22, 2022. A deadline is not proof that correction was completed.