ENDURING OAKS ASSISTED LIVING, LLC

Official classification

Type B

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464(f)(1) Basic Services. (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as R1 was not being repositioned as recommended which posed a potential health and personal rights risk to persons in care.

Official plan of correction

Administrator has agreed to submit a Statement of Understanding explaining the steps the facility will follow to avoid similar issues from happening again regarding meeting basic care needs of the residents and submit to CCL by 03/01/2023.

Deadline recorded: Mar 1, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

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 at 12:37PM the water temperature in the resident restroom measured at 125.4 degrees Fahrenheit which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 10/26/2022 Plan of Correction Licensee turned down the hot water heater during today's visit. Licensee will record daily water temperatures for a week and submit to CCL by 10/26/2022.

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 pursuant to Health and Safety Code Section 1569.17(b) 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: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in Staff #1 (S1) has been employed by the facility for over 6 months and Guardian review revealed S1 did not have a clearance transfer, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 10/18/2022 Plan of Correction S1 was removed from the facility during the visit. S1 was taken and fingerprinted again during today's visit. Licensee will ensure S1 is associated in Guardian prior to returning to the facility.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia(f)(1) The following shall be stored inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Based on LPA's observations and record review, the licensee did not comply with the section cited above as knives and scissors were observed accessible to residents which posed an immediate safety risk to persons in care.

Official plan of correction

Administrator and staff placed knives and scissors in a locked dining room drawer during facility visit. Administrator stated that they will provide documentation staff training regarding regulation 87705(f)(1) to CCL by 2/14/22.

Deadline recorded: Feb 2, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (f)(2) The following shall be stored inaccessible to residents with dementia: Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Based on LPA's observations and record review, the licensee did not comply with the section cited above as toxic substances were observed accessible to residents which posed an immediate health risk to persons in care.

Official plan of correction

Administrator locked garage room door and placed dish soap in an inaccessible location during facility visit. Administrator stated that they will provide documentation staff training regarding regulation 87705(f)(2) to CCL by 2/14/22.

Deadline recorded: Feb 2, 2022. A deadline is not proof that correction was completed.