GRANNYS HOME

Official classification

Type B

Official code

87463(h)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. 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 three out of five residents that did not have receive annual routine visits with a licesensed medical professional in the last 12 months which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/29/2025 Plan of Correction Licensee agrees to have all three residents receive an annual routine visit with a licensed professional and submit LIC602 to licensing or written documentation of resident and/or their representative refusal.

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 in two staff were missing annual training and one staff was miising postural supports, restricted health conditons and hospice training which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/29/2025 Plan of Correction Licensee agrees to have all three staff receive the required missing training and submit proof by POC due date.

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 interview and record review, the licensee did not comply with the section cited above as Administrator stated they administered a night time medication to one resident in the morning in error which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/21/2025 Plan of Correction Licensee agrees to notify the resident's physician about the error, and the Administrator will reeive medication training by thirf party and submit proof by 7/21/25.

Official classification

Type A

Official code

87468.1(a)(6)

Regulation authority

CCR

What the official deficiency says

87468.1(a)(6) Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following...(6) To leave or depart the facility at any time and to not be locked into any..., building...This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, as the front door had two chain locks which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC has been met. Door locks were removed during today's visit.

Deadline recorded: Dec 3, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(B)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a)(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days...(B) Any serious injury...under facility supervision. This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above as they did not submit an incident report when R1 was diagnosed at St. John’s Medical Center Hospital on 04/09/2024 with a Urinary Tract Infection (UTI), which posed a potential health and safety risk to residents in care.

Official plan of correction

The licensee will submit a plan describing how you will ensure reporting requirements are followed. Submit proof to CCL by 12/05/2024.

Deadline recorded: Dec 5, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

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 record review, the licensee did not comply with the section cited above as the facility retains 2 (two) residents that are identified by their physicians as total care which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/24/2024 Plan of Correction Licensee will contact CCL to obtain a waiver to retain total care residents and licensee will contact resident's physicians to provide an updated health screening identifying the resident's capabilities. Licensee will submit documentation to CCL no later than POC due date

Official classification

Type A

Official code

1569.312(a)

Regulation authority

HSC

What the official deficiency says

§1569.312(a) Basic Services Requirements. Basic services shall at a minimum include: (a) Care and supervision as defined in Section 1569.2. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above. Facility staff failed to supervise R1 while they ate which resulted in R1 spilling coffee and sustaining a second-degree burn, which posed an immediate health and safety risk to residents in care.

Official plan of correction

POC: Licensee will submit a plan how they will ensure 24-hour care and supervision to meet the needs of the residents. Submit to CCL by 08/22/2023. A $500 immediate civil penalty is assessed today.

Deadline recorded: Aug 22, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

87465(a)(1) Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above. Facility staff failed to seek

Official plan of correction

POC: Licensee will submit a plan how they will ensure residents will receive medical attention in a timely manner. Submit to CCL by 08/22/2023. medical attention in a timely manner when R1 spilled coffee and sustained a second-degree burn, which posed an immediate health and safety risk to residents in care.

Deadline recorded: Aug 22, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87211(a)(1)(B)

Regulation authority

CCR

What the official deficiency says

87211(a)(1)(B) Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below… (B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision.

Official plan of correction

POC: Licensee will submit a plan on how to meet Reporting Requirements and train caregivers to report incidents immediately to administrator. Submit to CCL by 8/22/2023. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above. Facility staff failed to report R1’s burn injuries to R1’s resident representative and hospice agency, which posed an immediate health and safety risk to residents in care.

Deadline recorded: Aug 22, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above. Facility staff was observed yelling and scolding R1, which posed a potential health, safety and personal rights risk to residents in care.

Official plan of correction

POC: Licensee will conduct personal rights training with all staff and submit evidence of this training to CCL by 8/22/2023.

Deadline recorded: Aug 22, 2023. A deadline is not proof that correction was completed.