RESIDENTIAL FIRST CARE, LLC

Official classification

Type B

Official code

87463(i)

Regulation authority

CCR

What the official deficiency says

(i) When there is significant change in condition, as defined in Section 87101, Definitions, or once every 12 months, whichever occurs first, the licensee shall arrange an in-person or virtual meeting or conference call to share the reappraisal with the resident, the resident's representative, if applicable, and appropriate facility staff, as specified in Section 87467, Resident Participation in Decision Making. 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, three (3) out of four (4) residents did not have a current Needs and Services Plan on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/22/2026 Plan of Correction Administrator agreed to update all three (3) Needs and Service Plan before POC due date. Due to administrator's personal matters LPA is granting a 30 compliance.

Official classification

Type A

Official code

87464(d)

Regulation authority

CCR

What the official deficiency says

87464(d) Basic Services (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457...This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Staff failed to supervise R1 resulting in R1 sustaining a hip fracture from a fall while in care, which posed an immediate health and safety risk to residents in care.

Official plan of correction

Licensee will submit plan how you will ensure residents will be supervised based on their individual needs. Submit to CCL by 01/22/2024. An immediate civil penalty of $500 is warranted in accordance with California Health and Safety Code Section 1548(c)(1)

Deadline recorded: Jan 19, 2024. 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) Additional Personal Rights of Residents in Privately Operated Facilities. Residents shall have all of the following....: 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 the investigation, the licensee did not comply with the section cited above, as residents are being checked approximately twice per night indicating residents are being left in soiled diapers for a long period of time, which poses a potential health and safety risk to residents in care.

Official plan of correction

The Licensee has agreed to review Regulation 87468.2 and submit a statement of understanding to CCL no later than 01/22/2024.

Deadline recorded: Jan 22, 2024. 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 (f) Admissions Agreements. The licensee shall comply with all applicable terms and conditions set forth in the admission agreement… This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as licensee manually added verbiage after the admissions agreement was signed by R1’s POA which contradicted with the original terms, which poses a potential personal rights violation to residents in care.

Official plan of correction

The Licensee has agreed to review Regulation 87507 on Admissions Agreements and submit a statement of understanding to CCL no later than 01/22/2024.

Deadline recorded: Jan 22, 2024. A deadline is not proof that correction was completed.

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 R1 has no capacitiy for self-care and is neither or hospice nor did the facility submit an exception waiver request to admit or retain R1 at the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/21/2023 Plan of Correction The Licensee has agreed to review Regulation 87616 - Exceptions for Health Conditions and submit an exception for R1 to CCL no later than 01/12/2024.

Official classification

Type B

Official code

87465(h)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: 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 medication was not properly documented on the CSMDR due to prescription number not matching, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/21/2023 Plan of Correction The staff updated the CSMDR with correct prescription number at the time of the visit. POC has been met.

Official classification

Type A

Official code

87355

Regulation authority

CCR

What the official deficiency says

Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working...(2) Request a transfer of a criminal record clearance as specified... This requirement is not met as evidenced by: Based on interview and review of Guardian, Staff #1 has been working in the facility since February 2023, but does not have criminal background clearance and is not associated to this facility, which poses an immediate safety risk to residents in care.

Official plan of correction

Licensee agreed to associate Staff #1 today. Licensee will send proof of S1's association to LPA by POC due date.

Deadline recorded: Aug 15, 2023. 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

Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)..all requirements for an administrator shall apply. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidence by: Based on interviews conducted Administrator did not comply with the request of the LTCO representative who requested to review R1's file to further assist R1 in a specific matter.

Official plan of correction

Administrator eventually provided the records to the Long Term Care Ombudsman (LTCO) representative and resident. Administrator agreed to submit a self-certification letter of understanding that all other agency requirements need to be followed. Submit letter by 03/30/2023.

Deadline recorded: Mar 30, 2023. A deadline is not proof that correction was completed.