CARMEL HOME

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care. The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above as C1 and C2 were not administered medications as prescribed, which posed an immediate health and safety risk to residents in care.

Official plan of correction

Administrator stated staff have been retrained and will continue to follow protocols, with additional measures. Administrator also agreed to review reg cited and submit a written plan to ensure future compliance then send to LPA by close of business on 04/24/2026

Deadline recorded: Apr 24, 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

Incidental Medical and Dental Care. The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above as C1 and C2 were not administered medications as prescribed, which posed an immediate health and safety risk to residents in care.

Official plan of correction

Administrator stated staff have been retrained and they have implemented new protocols to ensure future compliance. Administrator agreed to review regulation cited and provide a statement of understanding to LPA via email by 04/08/2025 COB.

Deadline recorded: Apr 8, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

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 3 out of 5 records reviewed did not have the required LIC 508 Criminal Record Statement and 5 out 5 did not have the LIC 501 and LIC 9052 in the individual's personnel file which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 06/09/2023 Plan of Correction The Licensee agrees to do the following: Audit all staff files and ensure that all files have a completed LIC 508, LIC 501 and LIC 9052. Provide proof to CCL no later than the end of day 6/9/2023.

Official classification

Type A

Official code

87355(e)(4)

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: (4) Request and be approved for a transfer of a criminal record exemption, as specified in Section 87356(r), unless, upon request for a transfer, the Department permits the individual to be employed, reside or be present at the facility. 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 Staff #5 (S5) was found not to be associated to the facility which poses an immediate health and safetyrisk to persons in care.

Official plan of correction

POC Due Date: 06/06/2023 Plan of Correction The Licensee agreed to do the following: Immediatley associate staff #5 to the facility. Plan of correction met at the time of the visit. Civil penalty assessed.