MOUNTAIN VISTA OF OJAI

Official classification

Type B

Official code

87555(b)(21)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (21) Freezers of adequate size shall be maintained at a temperature of 0 degree F (-17.7 degree C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degree F. (4 degree C). They shall be kept clean and food stored to enable adequate air circulation to maintain the above temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above in one refrigerated that was observed with the temperature of 49*F, upon observation administrator attempted to fix the temperature however temperature was still over 40*F which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/16/2026 Plan of Correction The Adminsitrator agrees to move all food out of the refrigerator and fix the refrigerator temperature. Will submit proof to the LPA by 1/16/26.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. 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 1 of 5 resident medications reviewed contained inconsistencies with their medication amounts remaining and quanties on the prescription labels which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/20/2024 Plan of Correction Administrator agreed to do a complete medication audit for the facility and training for all medication staff and submit documentation to CCL by POC due date.

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 and interviews, the licensee did not comply with the section cited above in three out of five staff files indicate staff did not complete annual required training which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/29/2024 Plan of Correction Licensee has agreed to ensure that all three staff complete annual training and send sign-in sheets to CCL by due date.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. 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 in four (4) residents as they are missing the Consent for Emergency medical treatment form,(LIC 627C) which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/29/2024 Plan of Correction Licensee will submit the completed LIC 627C,to LPA by POC date and will make sure all residents in the facility has the forms as well.

Official classification

Type A

Official code

87464(f)(1)(c)

Regulation authority

CCR

What the official deficiency says

87464 Basic services (f)(1)(c) " Care and supervision " means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. 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 left the facility unassisted which poses an immediate health and safety risk to persons in care.

Official plan of correction

Administrator stated that they will provide documentation of staff training regarding safety and elopement protocols to CCL by 10/30/21.

Deadline recorded: Oct 29, 2021. 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, the licensee did not comply with the section cited above as over-the-counter medication, cleaning supplies and toxic substances were accessible to residents which poses an immediate health and safety risk to persons in care.

Official plan of correction

Staff placed items in an inaccessible location during facility visit. Administrator stated that they will provide documentation of staff training regarding regulation 87705(f)(2) by 11/8/21.

Deadline recorded: Oct 29, 2021. A deadline is not proof that correction was completed.

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 a razor and scissors were observed accessible to residents which posed an immediate health and safety risk to persons in care.

Official plan of correction

Staff locked kitchen door and placed razor in an inaccessible location during facility visit. Administrator stated that they will provide documentation of staff training regarding regulation 87705(f)(1) to CCL by 11/8/21.

Deadline recorded: Oct 29, 2021. A deadline is not proof that correction was completed.