REGENCY PALMS OXNARD

Official classification

Type A

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities (b) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature... This requirement is not met as evidenced by: Based on interviews, the Licensee did not comply with the section cited above as, R1 was handled in a rough manner by Individual #1 which poses an immediate health and safety risk to resident in care.

Official plan of correction

Interim ED stated that an inservice will be held regarding the regulation. Civil Penalty issued for the amount of $250 for repeat violation.

Deadline recorded: Apr 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1(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...This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above, as S1 did not treat R1 with dignity and respect which poses an immediate health and safety risk to residents in care.

Official plan of correction

Interim ED stated that an inservice will be held regarding the regulation. Civil Penalty issued for the amount of $250 for repeat violation.

Deadline recorded: Apr 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports...(1) A written report shall be submitted to the licensing agency...within seven days of the occurrence... This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as the ED at the time, did not report to the Department R1’s fall which poses a potential health, safety, and personal rights risk to persons in care.

Official plan of correction

Interim ED stated that she will submit a statement of understanding regarding the regulation.

Deadline recorded: Apr 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

87468.1(a) (3)Personal Rights of Residents in All Facilities(a)Residents in all residential care facilities... (3)To be free from punishment, humiliation... 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 the facility staff did ensure that residents were free from humiliation as an outside vendor posted videos of the residents online which poses a potential health and safety risk to residents in care.

Official plan of correction

The AD will submit a statement of understanding and ensure that all activities and entertainment are appropriate.

Deadline recorded: Apr 10, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87613(a)(2)

Regulation authority

CCR

What the official deficiency says

87613(a)(2)General Requirements for Restricted Health Conditions (2)Ensure that facility staff complete training provided by a licensed professional…training shall be completed prior to the staff providing services to the resident. This requirement was not met as evidenced by: Based on record review and interviews, the licensee did not comply with the section cited above as staff assist residents with a hoyer lift prior to getting training by a skilled professional, which poses a potential health and safety risk to persons in care.

Official plan of correction

The Interim ED stated that the facility is no longer accepting residents who require a hoyer lift. Currently no residents require a hoyer lift.

Deadline recorded: Apr 10, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1(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...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 S1 was observed to be rude or aggressive towards residents which poses an immediate health and safety risk to residents in care.

Official plan of correction

The interim ED stated that S1 was terminated on 03/16/2026. Additionally the interim ED conducted an Inservice regarding reporting requirements and personal rights.

Deadline recorded: Apr 10, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87625(b)(2)

Regulation authority

CCR

What the official deficiency says

87625(b)(2) Managed Incontinence...the licensee shall be responsible for the following: Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. 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 they did not ensure R1’s incontinence was properly managed, which poses an immediate health and safety risk to residents in care.

Official plan of correction

The Interim ED will conduct an in-service training with all staff regarding regulation 87625 Managed Incontinence. Submit proof to the LPA.

Deadline recorded: Mar 27, 2026. 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)A plan for incidental medical and dental care shall be developed…(1) The licensee shall arrange...medical and dental care appropriate to the conditions & needs of residents.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above as the Licensee failed to seek medical attention in a timely manner to R1 which posed an immediate health and safety risk to residents in care.

Official plan of correction

The Interim ED will conduct an in-service training with all staff regarding regulation Submit proof to the LPA.

Deadline recorded: Mar 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87464(f)(4)

Regulation authority

CCR

What the official deficiency says

(f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident...indicated in the pre-admission appraisal, with those activities of daily living such as dressing,... bathing... This requirement is not met as evidenced by Based on interviews, licensee did not comply with the above section by not providing R1 basic services such as bathing and grooming which poses potential health and safety risk to residents in care.

Official plan of correction

The Interim ED will conduct an in-service training with all staff regarding regulation. Submit proof to the LPA.

Deadline recorded: Mar 27, 2026. 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

87465(a)(4) Incidental Medical & 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 observations, the licensee did not comply with the section cited above, as the facility staff did not properly assist with R1 self-administered medications per physician’s order which poses an immediate health and safety risk to residents in care.

Official plan of correction

Pharmacy will audit medications, as well at the Interim ED. The Interim ED will send proof of audit. Civil Penalty issued for the amount of $250 for repeat violation.

Deadline recorded: Mar 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87464(f)(4)

Regulation authority

CCR

What the official deficiency says

(f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident...indicated in the pre-admission appraisal, with those activities of daily living such as dressing,... bathing... This requirement is not met as evidenced by: Based on interviews, licensee did not comply with the above section by not providing R1 basic services such as bathing and grooming which poses potential health and safety risk to residents in care.

Official plan of correction

ED stated that he will conduct an in-service training regarding the above regulation.

Deadline recorded: Feb 6, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303(a) Maintenance and Operation - The facility shall be clean, safe, sanitary and in good repair at all times...safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on interviews and records review, the licensee failed to comply with the section cited above as bed bugs were observed in two (2) resident rooms, which poses an immediate health and safety risk to residents in care.

Official plan of correction

On 11/10/25, the pest control company treated the rooms. The ED provided the invoice to the LPA. Plan of correction met. The ED stated that he will follow up and ensure that the bed bugs do not spread to other rooms.

Deadline recorded: Nov 14, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(4)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services (f) (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance...This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the above cited section as staff did not properly assist R1 while dressing which resulted in R1 falling, and sustaining injury which posed an immediate health and safety risk to persons in care.

Official plan of correction

The ED stated that staff will be retrained on ADLs and will send proof. The ED will notify the LPA within 24 hours of when training will be completed.

Deadline recorded: Aug 15, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

87463 Reappraisals (a) The pre-admission appraisal...shall be updated in writing as frequently as necessary... whichever occurs first...appraisal shall be referred to as the reappraisal.This requirement is not met as evidenced by: Based on record review and observation, the licensee did not comply with the above cited section, as R1’s care plan was not updated as necessary after significant change in condition which poses a potential health and safety risk to persons in care.

Official plan of correction

The ED stated that the Wellness Director and Designee will be trained on reassessments and reappraisals and will send proof to the LPA.

Deadline recorded: Aug 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(6)

Regulation authority

CCR

What the official deficiency says

87468.1 (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights:(6)To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night.... This requirement is not met as evidenced by: Based on observations, the Licensee did not comply with the section cited above when a resident was locked out in the memory care courtyard which posed a potential personal rights risk to residents in care.

Official plan of correction

Doors were unlucked and fixed on 05/12/24. Sales Director agrees to submit a statement of understanding on regulation 87468.1(a)(6) and ensure doors will remain unlocked. Submit letter by 05/23/25.

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

Official classification

Type B

Official code

87625(b)(2)

Regulation authority

CCR

What the official deficiency says

87625 Managed Incontinence (b) In addition to Section 87611, ... the licensee shall be responsible for ... (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, ...This requirement is not met as evidenced by: Based on observations and staff interviews, the Licensee did not comply with the section cited above when R1 who is an incontince resident was not checked/changed for over two hours.which posed a potential health risk to residents in care.

Official plan of correction

The administrator shall submit a plan on how he will ensure residents are receiving incontinence care in a timely manner and proof staff have received training on this plan to CCLD by 06/04/2025..

Deadline recorded: Jun 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87216(a)(1)

Regulation authority

CCR

What the official deficiency says

87216 (a)(1) Bonding (a)Each licensee..., who is entrusted to safeguard resident cash resources, shall file or have on file with the licensing agency a copy of a bond issued by a surety company... (1) The amount of the bond shall be… 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 the facility did not obtained a surety bond in order to safeguard R1’s cash resources which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

The ED stated that the facility will no longer safeguard R1’s cash resources, as R1 will safeguard their own cash resources. The ED will send proof of the safe containing R1’s cash in R1’s room.

Deadline recorded: May 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(d)(2)

Regulation authority

CCR

What the official deficiency says

87405 (d)(2) Administrator -Qualifications and Duties (d) The administrator shall have the qualifications specified...(2) Knowledge of and ability to conform to the applicable laws, rules and regulations.This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above as the ED/ Administrator did not demonstrate knowledge nor comply with Title 22 Regulations which posed a potential health and safety risk to residents in care.

Official plan of correction

The ED stated that he will submit a Statement of understanding regarding the following regulations: 87216 Bonding and 87405 Administrator - Qualifications and Duties.

Deadline recorded: May 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(f)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. This requirement is not met as evidenced by: Based on interviews, and file review the licensee did not comply with the section cited above when staff did not provide stand by assist showers to R1 as per the admission agreement, which posed a potential health and safety risk to residents in care.

Official plan of correction

Sales Director agreed they will develop a plan on how they will ensure they comply with all terms of Admission Agreements when residents get placed on Hospice/Home Health. Plan will be submitted by 05/23/25.

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

Official classification

Type B

Official code

1569.153

Regulation authority

HSC

What the official deficiency says

1569.153 Theft and loss program; standards, property inventories... A theft and loss program shall be implemented by the residential care facilities for the elderly within 90 days...The program shall include all of the following: This requirement is not met as evidenced by: Based on interview, and file review the licensee failed to make reasonable efforts to safeguard R1’s cash resources and did not follow Theft and Loss Policy, which posed a potential personal rights risk to residents in care.

Official plan of correction

The ED stated that he will do the following: 1. Have an in-service training with all staff, including the ED regarding the facility’s theft and loss policy. Submit training documentation to CCL by due date.

Deadline recorded: May 30, 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

87465(a)(4) 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, the licensee did not comply with the section cited above, as the facility staff did not properly assist R1’s medications per physician’s order which poses an immediate health and safety risk to residents in care.

Official plan of correction

Within 24 hours, the ED will notify the LPA when medication training will be completed. Civil Penalty issued for the amount of $250 for repeat violation.

Deadline recorded: May 16, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(f)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section by not ensuring R1 and/or R1's authorized person recieved refund which posed a potential health, safety, and personal rights risk for residents in care

Official plan of correction

The ED agreed to write a self-certification letter that they will follow up with coorperate/management company in regards to R1's refund, and issue refund to R1 and/or their authorized person. Submit proof by 02/28/2025.

Deadline recorded: Feb 28, 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

87465(a)(4) 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 observations, the licensee did not comply with the section cited above, as the facility staff did not properly assist with R1’s, R2’s, R3’s and R4’s self-administered medications per physician’s order which poses an immediate health and safety risk to residents in care.

Official plan of correction

Within 24 hours, the Administrator will notify the LPA when medication training will be completed. Administrator stated a medication audit for the facility and training for all medication staff and submit documentation to CCL by 12/31/2024.

Deadline recorded: Dec 19, 2024. 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

(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 record review, the licensee did not comply with the section cited above as one out of five residents did not get their medication as prescribed which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 01/25/2024 Plan of Correction Administrator agreed to conduct medication training for all MedTechs and subit to LPA by no later than end of day 1/25/24.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. 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 staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2024 Plan of Correction The Administrator has agreed to the following: 1. Submit the completed first aid certification for all three staff by POC due date.

Official classification

Type B

Official code

1569.696(a)

Regulation authority

HSC

What the official deficiency says

(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following: 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 out of five staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2024 Plan of Correction The Administrator has agreed to the following: 1. Conduct restricted health conditon training for S1 and S2 and submit proof to LPA by 2/2/24.

Official classification

Type B

Official code

1569.69(b)

Regulation authority

HSC

What the official deficiency says

(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. 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 out of five staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/22/2024 Plan of Correction The Administrator has agreed to the following: 1. Conduct 8 hrs of medication training for S1 and S2 and submit proof to LPA by 2/2/24.

Official classification

Type B

Official code

87465(h)(6)(A-F)

Regulation authority

CCR

What the official deficiency says

The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year... 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 four medications were not documented on the centrally stored medication and destruction record which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2024 Plan of Correction Administrator has agreed to conduct a medication records audit for MC and submit a self-certification letter to LPA by no latern than 2/2/24.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(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: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as laundry rooms in both MC & AL were left unlocked with chemicals accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/08/2024 Plan of Correction Laundry rooms were locked during the inspection. The Administrator agrees to submit proof of staff training regarding regulation 87309 and submit proof to CCL by 01/08/2023.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (2) 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: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as prescribed and over the counter medication was observed in residents rooms memory care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/08/2024 Plan of Correction Items were secured upon observation. Administrator agreed to provide training regarding regulation 87705(f)(2). Submit sign in sheet no later than 1/08/2023.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464(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 was not met as evidenced by: Based on interviews the licensee did not comply with the regulation above, R1 who is diagnose with dementia was able to leave through the unlocked exit door and walk across the street off the property which poses an immediate health and safety risk to residents in care.

Official plan of correction

The administrator agreed to hold an all memory care staff training for supervision of residents, duties, responsibilities, elopement procedures, and on audible alarm sounds and responses. Provide proof of training with all staff signatures to CCL by 12/13/2023.

Deadline recorded: Dec 13, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on today's observation of R1's room, the licensee did not comply with the section cited above as R1's room was observed to be cluttered with very limited to no path to ambulate. This poses a potential safety risk to resident in care.

Official plan of correction

Wellness Director and Executive Direct informed LPA that they communicated with R1 and agreed to organize and clean room to ensure it is clean, safe and sanitary at all times. Submit photos of room and written self certification letter on how they will ensure compliance with section cited in the future.

Deadline recorded: Jul 26, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2 (a)(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on interviews and record review, the licensee failed to comply with the section cited above as staff did not respond to R1's call for assistance and had to call 911 for them self to obtain assistance which poses a potential health and safety risk to residents in care.

Official plan of correction

The Administrator will conduct an in-service regarding answering call lights promptly, have maintenance check all pendents and call lights to ensure they are working properly and conduct self audits monthly moving forward. Plan and copy of in-service shall be submitted to CCL by 07/21/2023.

Deadline recorded: Jul 21, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213 Finances The licensee shall have a financial plan that conforms to the requirements.. and that assures sufficient resources to meet operating costs for care of residents…..This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the above section. Licensee did not maintain sufficient cash reserves, had an operating loss, did not pay taxes, and filed bankruptcy, which posed a potential health and safety risk to residents in care.

Official plan of correction

The Licensee agrees to the discussed plan of correction listed on the report.

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

Official classification

Type B

Official code

87555(a)

Regulation authority

CCR

What the official deficiency says

87555(a) General Food Service Requirements (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances...This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the above section. Licensee’s monthly food expenses reported were below the USDA guidelines, which posed a potential health and safety risk to residents in care.

Official plan of correction

Licensee will submit plan by 07/21/2023 how they will ensure the USDA food guidelines are followed to meet the needs of the residents.

Deadline recorded: Jul 21, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

87555 General Food Service Requirements (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 the facility had food with past best by dates which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/30/2022 Plan of Correction The expired food items observed were removed during the inspection. The Administrator agreed to submit a written memo of understanding that The Director of Dining Services will go through the entire food supply today and remove any expired items and also submit an additional food order tomorrow and the food will arrive by Friday. The written of memo shall be submitted by 11/30/2022.

Official classification

Type B

Official code

87468.2(a)(19)

Regulation authority

CCR

What the official deficiency says

87468.2 (a) (19)To have prompt access to review all of their records and to purchase photocopies of their records. Photocopied records shall be provided two (2) business days and at a cost that does not exceed the community standard for photocopies. This requirement is not met as evidence by: Based on interviews and record review, the licensee failed to comply with the section cited above, as R1 was not provided copies of their medical records requested within two business days of the request which poses an immediate personal rights violation.

Official plan of correction

The administrator stated they will put in writing that they will be in compliance with regulation 87468.2 and also submit proof they have mailed R1's requested records to them. The plan of correction shall be submitted to CCL by 10/03/2022.

Deadline recorded: Oct 3, 2022. A deadline is not proof that correction was completed.