PETIT OASIS

Official classification

Type A

Official code

87628(a)

Regulation authority

CCR

What the official deficiency says

The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing… or has it administered by an appropriately skilled professional. Based on interviews, the Licensee did not comply with the section cited above as facility staff are performing the glucose testing for R1, which poses an immediate health, safety, or personal rights risk to residents in care.

Official plan of correction

The Licensee will review Regulation 87628 and submit a statement of understanding to CCL no later than POC due date.

Deadline recorded: Jun 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)

Regulation authority

CCR

What the official deficiency says

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 evidenced by: Based on record review and interviews, the Licensee did not comply with the section cited above as facility staff are not ensuring residents receive the refills on time resulting in missed dosages, which poses an immediate health, safety, or personal rights risk to residents in care.

Official plan of correction

The Licensee will review Regulation 87465 and submit a statement of understanding to CCL no later than POC due date. Civil Penalty assesed due to repeat violation.

Deadline recorded: Jun 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)

Regulation authority

CCR

What the official deficiency says

Personal Accommodations and Services (a) ...The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility...This requirement is not met as evidenced by: Based on LPA observation and interviews, the Licensee did not comply with the section cited above as staff occasionally sleeps in bedroom #2 with R1 and R2, which poses a potential health, safety, or personal rights risk to residents in care.

Official plan of correction

The Licensee will remove staff used bed in bedroom #2 and submit proof to CCL no later than POC due date.

Deadline recorded: May 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87308(c)

Regulation authority

CCR

What the official deficiency says

General storage space shall be maintained for equipment and supplies as necessary to ensure that space used to meet other requirements of these regulations is not also used for storage. This requirement is not met as evidenced by: Based on LPA observation, the Licensee did not comply with the section cited above as bedroom #2 was observed with a total of five (5) bed which exceeds the limit of two (2) bed, as staff stated beds are temporarily being stored there, which poses a potential health, safety, or personal rights risk to residents in care.

Official plan of correction

The Licensee will remove stored beds and place in storage area and submit proof to CCL no later than POC due date.

Deadline recorded: May 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

Postural supports may be used under the following conditions. A written order from a physician... shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as R1 has bed rails and an approved physician’s order is not on file, which poses an immediate health, safety, or personal rights risk to residents in care.

Official plan of correction

The Licensee will remove bed rails from resident's bed or obtain a physician’s order for bed rails and submit proof to CCL no later than POC due date.

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

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

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 evidenced by: Based on record review and interviews, the Licensee did not comply with the section cited above as facility staff are not ensuring resident is given medications as prescribed by their doctor resulting in missed dosages, which poses an immediate health, safety, or personal rights risk to residents in care.

Official plan of correction

The Licensee will review all residents’ medications and CSMDR to ensure all prescribed medications are available and submit proof to CCL no later than POC due date.

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

Official classification

Type A

Official code

Not listed

Regulation authority

Not listed

What the official deficiency says

A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical care and provide for assistance in obtaining such care... the licensee shall provide assistance in meeting necessary medical and dental needs. This requirement is not met as evidenced by: Based on record review and interviews, the Licensee did not comply with the section cited above as staff are not checking resident’s blood sugar levels and documenting twice a day as stated per doctor’s orders, which poses an immediate health, safety, or personal rights risk to residents in care.

Official plan of correction

The Licensee will submit a plan on how the facility will ensure all doctor’s orders are followed and submit proof to CCL no later than POC due date.

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

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

Training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626 and subdivision (a) of Section 1569.696. This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as staff has not completed the required 20 hours annual training or recorded accordingly, which poses a potential health, safety, or personal rights risk to residents in care.

Official plan of correction

The Licensee has submitted proof that staff has completed the 20 hours training since the last visit. POC has been met.

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

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 training binder has not been updated and LPA is unable to determine hours completed by staff, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/30/2024 Plan of Correction The Licensee Representative will conduct and update all staff training and submit proof to CCL on or before POC due date.

Official classification

Type B

Official code

87465(e)

Regulation authority

CCR

What the official deficiency says

(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and LPA observation, the licensee did not comply with the section cited above as 2 out of 2 residents are taking over-the-counter medications without having doctors orders on file, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/30/2024 Plan of Correction The Licensee Representative will obtain doctor's orders for over-the-counter medications and submit proof to CCL on or 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...shall prior to working, residing or volunteering 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 observation and interview, the licensee did not comply with the above cited section, as S1 has been employed beginning last night and S2 has been employed since 07/06/2023 and neither S1 nor S2 were associated to the facility, which poses an immediate safety risk to persons in care.

Official plan of correction

During today's visit, LPA verified staffs' identification and associated both S1 and S2 to the facility in Guardian. Licensee indicated Administrator will fax over the transfer forms for S1 and S2 to be associated to the licensee's other facilities on 07/13/2023.

Deadline recorded: Jul 12, 2023. A deadline is not proof that correction was completed.

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...shall prior to working, residing or volunteering 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 observation and interview, the licensee did not comply with the above cited section, as S1 has been employed beginning today and S2 has been employed for at least 2 weeks and neither S1 nor S2 were associated to the facility, which poses an immediate safety risk to persons in care.

Official plan of correction

During today's visit, LPA transferred both S1 and S2's background clearances to the facility. POC cleared. LPA spoke with Licensee about utilizing Guardian or sending documents to the Regional Office when needed.

Deadline recorded: May 3, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309 Storage Space (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: Based on observation, the licensee did not comply with the above cited section, as Clorox wipes were on the dining table and cleaning supplies were observed in the resident restroom, which poses an immediate safety risk to residents in care.

Official plan of correction

During today's visit, Licensee ensured the cleaning items were locked. POC cleared.

Deadline recorded: May 3, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the above cited section, as medications were observed in an unlocked box inside the refrigerator, which poses an immediate health and safety risk to persons in care.

Official plan of correction

Licensee stated they will obtain a lock for the box of medications that are stored in the refrigerator and ensure all other medications remain locked. Proof of locked medications will be sent to CCL by POC due date.

Deadline recorded: May 4, 2023. A deadline is not proof that correction was completed.