REGAL CARE

Official classification

Type B

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 medication review, the licensee did not comply with the section cited above as CSMDR does not have start states for medications, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/01/2025 Plan of Correction The Administrator has agreed to review medications and CSMDR and fill in start dates and send proof to CCL no later than POC due date.

Official classification

Type A

Official code

87355(e)(3)

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: (3) 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 record review the licensee did not comply with the section cited above as S1 did not have their clearance transferred to this facility which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/08/2024 Plan of Correction Licensee agreed to submit a transfer of a criminal record clearance for all staff not associated to the facility by 07/08/2024. Licensee will submit proof of clearance to LPA via email by eod 07/08/2024.

Official classification

Type B

Official code

87405(d)

Regulation authority

CCR

What the official deficiency says

(d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. 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 Administrator file did not have file to review on site, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/12/2024 Plan of Correction Licensee agreed to maintain full Administrator file in the facility. Licensee also agreed to submit proof of understanding and submit to LPA via email by EOD 07/12/2024

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 as staff training files were not kept current, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/12/2024 Plan of Correction Licensee agreed to maintain full updated staff trainining file in the facility. Licensee also agreed to submit proof of understanding and submit to LPA via email by EOD 07/12/2024

Official classification

Type A

Official code

87615(a)(5)

Regulation authority

CCR

What the official deficiency says

(a) Persons who require health services for or have a health condition including, but not limited to, those specified below 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 did not comply with the section cited above as R2 has no capacity for self-care and is not on hospice, nor does the facility have an exception on file, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/21/2023 Plan of Correction The Licensee locked items at the time of visit. The Licensee will review Regulation 87615 and submit statement of understanding to CCL by 07/31/2023.

Official classification

Type A

Official code

87705(g)

Regulation authority

CCR

What the official deficiency says

(g) As required by Section 87468(a)(12), residents with dementia shall be allowed to keep personal grooming and hygiene items in their own possession, unless there is evidence to substantiate that the resident cannot safely manage the items. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above as items such as shampoo, conditioner, body wash, and medication was accesible to resident in care, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/21/2023 Plan of Correction The Licensee will review Regulation 87705 and submit statement of understanding to CCL by 07/31/2023.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Observation, the licensee did not comply with the section cited above as R2's last Physician's Report was condcuted in 2020, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/31/2023 Plan of Correction The Licensee has agreed to have Physician's Report updated for R2 and submit proof to CCL by 07/31/2023.

Official classification

Type A

Official code

87202

Regulation authority

CCR

What the official deficiency says

87202 Fire Clearance 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...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. Based on documents gathered, interviews and observations the licensee did not comly with the section cited above as the facility exceeded fire clearance limitations which poses an immiedate health, safety and personal right violation to persons in care.

Official plan of correction

Licensee will remove resident from room and will find appropriate housing for resident. Licensee will provide photographic or statement proof of resident not resident in Bedroom #2.

Deadline recorded: Nov 6, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87158(a)

Regulation authority

CCR

What the official deficiency says

87158 Capacity (a) A license shall be issued for a specific capacity which shall be the maximum number of residents which can be provided care at any given time. The capacity shall be exclusive of any members of the licensee's own family who reside at the facility... ensure the provision of adequate care and supervision for the residents. Based on documents gathered, interviews and observations the licensee did not comly with the section cited above as the facility exceeded capacity limits of 7 out 6 residents which poses an immiedate health, safety and personal right violation to persons in care.

Official plan of correction

Admin will assist in relocation of R7 with in 24 hours. Admin will provide a photograph or statement of proof of R7's relocation to LPA via email @ angel.ascencio@dss.ca.gov

Deadline recorded: Nov 6, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a)(1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. Based on documents, interviews and observations the licensee did not comly with the section cited above as the licensee accepted and provided care and supevision to a 7th resident thus taking away care needs of those who have a rental agreement and care plans which poses a potential health, safety and personal right violation to persons in care.

Official plan of correction

Admin will provide training to all staff via outside agency regarding personal rights and will submit proof of training material and attendees to LPA via email at: angel.ascencio@dss.ca.gov

Deadline recorded: Nov 19, 2021. A deadline is not proof that correction was completed.