OAKMONT OF RIVERPARK

Official classification

Type B

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

Personal Rights. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff,. This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above when 6 out of 10 staff are voicing concerns regarding the treatment of the residents by staff which poses an immediate personal rights risk to residents in care.

Official plan of correction

ED agreed to ensure all memory care staff attend a training focused on Resident Personal Rights. Facility will provide CCL with copy of training agenda as well as a sign in sheet for all staff who attended the training by 01/03/2025.

Deadline recorded: Jan 3, 2025. A deadline is not proof that correction was completed.

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 four out of ten locked resident rooms had disinfectants and or cleaning solutions available within those residents rooms, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 10/25/2023 Plan of Correction Administrator immediately removed the items from the rooms and agreed to submit a plan to CCL on how they will ensure all rooms don't have disinfectants and cleaning solutions by 10/25/23.

Official classification

Type A

Official code

87412(a)(13)(B)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (13) For employees that are required to be fingerprinted pursuant to Section 87355, Criminal Record Clearance: (B) Documentation of either a criminal record clearance or a criminal record exemption as required by Section 87355(e). 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 staff did not have a criminal record clearance, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 10/24/2023 Plan of Correction Administrator immediately a took the 1 staff without criminal record clearance off the schedule. POC is cleared during the visit.

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. Residents ... shall have all of the following personal rights: 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 and records review, the licensee did not comply with the section cited above, as S1 restricted R1's movement by pressing their body against R1, which poses a potential personal rights risk to residents in care.

Official plan of correction

The Executive Director has agreed to do the following: 1. Management will complete an in-service training with staff, speaking to the approved guidelines staff will implement in supporting challenging behavior. The first round of training must take place in the next two days, with all staff having received the in-service training by 2/24/2023. Submit sign-in sheet and supporting documents to CCLD.

Deadline recorded: Feb 24, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions.(5)Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet.(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.

Official plan of correction

Licensee will submit a written action plan regarding proper use of bed rails and other postural supports to CCL by 12/02/2022. Based on interviews and records review, the licensee did not comply with the section cited above. Staff used a full length wooden backrest in place of full bed rails prior to R1 being placed on hospice which resulted in R1 sustaining multiple bruises, which posed an immediate health and safety risk to residents in care.

Deadline recorded: Dec 2, 2022. 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

(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 in 4 (four) of 10 (ten) water temperature readings taken throughout the building were above the required range reading at 121.7, 123.8, 124.4, and 123.0 degrees Fahrenheit, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2022 Plan of Correction Executive Director contacted the Maintenance Department, who is adjusting the water temperature today. Water temperatures will be taken daily for a week, recorded on a log and sent to LPA by POC due date.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

(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) or 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 Staff #1 (S1) has been employed and working in the facility since 11/10/2021 and S1's fingerprint clearance was not associated to the facility, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 10/27/2022 Plan of Correction During today's visit, Executive Director provided LPA with the transfer form and identification for S1 and LPA was able to transfer the employee's clearance in Guardian. POC cleared.

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 S1's medication was observed accessible to residents which poses an immediate health risk to persons in care.

Official plan of correction

Staff locked S1's office door during facility visit. Staff stated that they will provide documentation of scheduled staff training regarding regulation 87705(f)(1) to CCL by 4/15/22.

Deadline recorded: Apr 15, 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 poses an immediate health risk to persons in care.

Official plan of correction

Staff locked S1's office door and mechanical room door during facility visit. Staff stated that they will provide documentation of scheduled staff training regarding regulation 87705(f)(2) to CCL by 4/15/22.

Deadline recorded: Apr 15, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

1569.695 Emergency Plans (c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an... 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 quarterly disaster drills were not documented for each shift which posed a potential safety risk to persons in care.

Official plan of correction

Staff stated that they will provide documentation of quarterly disaster plans for each shift to CCL by 4/25/22.

Deadline recorded: Apr 25, 2022. A deadline is not proof that correction was completed.

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 a wanderguard was placed on R1 and family members will be notified in writing tomorrow not to let anyone follow them out of the memory care area. Administrator stated that they will provide documentation of staff training regarding safety and elopement protocols to CCL by 12/3/21.

Deadline recorded: Nov 30, 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 laundry detergent was accessible to residents which poses an immediate health and safety risk to persons in care.

Official plan of correction

Administrator placed laundry detergent in a locked laundry room during facility visit. Administrator stated that they will notify all residents that they cannot leave laundry detergent and supplies in the laundry room.

Deadline recorded: Nov 30, 2021. A deadline is not proof that correction was completed.