HAPPY HOME CARE

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (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: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above, as multiple bubble packs for Resident #1 (R1) were observed out of the locked medication cabinet on top of the desk and more bubble packs containing medications were observed in a basket under the desk, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/04/2026 Plan of Correction Medications were removed from the desk and basket underneath the desk during the visit. Staff took the medications to the locked garage area. Staff stated they understand medications need to remain locked and apologized for leaving them out. POC cleared.

Official classification

Type B

Official code

87507(c)

Regulation authority

CCR

What the official deficiency says

87507(c) Admission Agreements(c) Admission agreements shall be signed and dated, ... or the resident's representative,... & the licensee...no later than seven daysfollowing admission...This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above as R1 admissions agreement was not signed and completed within the required time frame which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

The Administrator stated that she will submit a statement of understanding and a plan on how the facility will be in compliance with the above regulation by due date.

Deadline recorded: Aug 23, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.655(a)

Regulation authority

HSC

What the official deficiency says

1569.655 (a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents...the licensee shall provide no less than 60 days' prior written notice...the amount of the increase...This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section as the licensee did not provide R2’s representative a proper 60 day notice in writing including the amount of the increase, which poses a potential personal rights risk to residents in care.

Official plan of correction

The Administrator stated that she will submit a statement of understanding and a plan on how the facility will be in compliance with the above regulation by due date.

Deadline recorded: Aug 23, 2024. 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 as smoke detectors located in the main hallway leading to resident rooms had been removed during facility painting which occurred mid-May and had yet to be reinstalled, as well as at least 1 (one) sprinkler had paint on it and the front door latches into the floor, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/05/2024 Plan of Correction During today's visit, facility maintenance person reinstalled the smoke detectors. Smoke detectors were tested during the visit and functioned. Assistant Administrator indicated they will remove additional sprinkler covers to ensure no other sprinklers were accidently painted. Assistant Administrator will ensure all damaged sprinklers are replaced and the front door latch is removed and will send proof to CCL by POC due date.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(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 degrees C) and not more than 120 degree F (49 degrees 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 the 1 (one) useable handwashing sink for residents was observed with a water temperature of 129.4 degrees Fahrenheit, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 06/13/2024 Plan of Correction Assistant Administrator had maintenance person lower the hot water heater during today's visit. Assistant Administrator will test the water temperature at various times of the day over the course of a 7-day period, complete a log of these recorded temperatures and will submit the temperature log to CCL by POC due date.

Official classification

Type A

Official code

87204(a)

Regulation authority

CCR

What the official deficiency says

(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity. 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 2 (two) residents were observed to be admitted to hospice care, however, the facility only has an approved hospice waiver for 1 (one) resident, which poses an immediate health and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/05/2024 Plan of Correction Assistant Administrator intends to submit a request to increase the total hospice waiver. This increase request will be submitted to CCL by POC due date. Alternatively, proof of discharge from hospice care for one of the residents or an exception request may be submitted to CCL by POC due date if the licensee so chooses in lieu of the request to increase the number of residents approved on the hospice care waiver.

Official classification

Type A

Official code

87307(d)(6)

Regulation authority

CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. 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 dining room exit, living room exit, as well as the exits from all 4 (four) of 4 (four) resident rooms were observed to be blocked and/or locked, as well as the exit path leading to the exit gate was observed to be narrowed by placing a table in the walkway and unable for a wheelchair or walker to pass through, which poses an immediate safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/05/2024 Plan of Correction Assistant Administrator agreed to remove all items blocking doorways, and to unlock all resident bedroom outside exit doors and to provide proof to CCL by POC due date.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. 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 multiple expired foods were observed in the facility refrigerator, including mayonnaise, eggs, applesauce, grapes, and vegetables and additional leftover items were stored covered but not labeled, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 06/11/2024 Plan of Correction Assistant Administrator agreed to audit the remaining items in the refrigerator and ensure no additional items are beyond their expiration dates and agreed to throw away any unlabeled items and ensure all other items are labeled in compliance. Assistant Administrator will send proof to CCL of completed audit and labeled items by POC due date.

Official classification

Type A

Official code

87615(a)(5)

Regulation authority

CCR

What the official deficiency says

Persons who require health services for or have a health condition…shall not be admitted or retained in a residential care facility for the elderly: (5) Residents who depend on others to perform all activities of daily living for them as set forth in Section 87459, Functional Capabilities. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee retained R1 who had no capacity for self-care and no record of an exception is on file, which poses an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 05/18/2023 Plan of Correction Administrator will submit memo of understanding that you have read and will comply with Title 22 Regulation 87615 Prohibited Health Conditions and 87616 Exceptions for Health Conditions and submit to CCL by 5/22/2023.

Official classification

Type B

Official code

87203

Regulation authority

CCR

What the official deficiency says

Fire Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. 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 fire extinguisher was noted with a purchased date on 05/10/2022, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/19/2023 Plan of Correction The Administrator had a new fire extinguisher purchased at the time of visit. POC has been met.