GOLDEN ACRES RCFE II

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 LPA observation, the licensee did not comply with the section cited above as three (3) out of three (3) resident bathrooms hot water temperature measured between 127.2 and 136.2 degrees Fahrenheit, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/09/2024 Plan of Correction The Administrator has agreed to the following: 1.) Had water temperature adjusted at the time of the visit. 2.) Will send temperature log for the next five days showing water temperature is between 105 and 120 and send to CCL no later than 2/16/2024.

Official classification

Type A

Official code

87705(f)(1)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). (2) Over-the-counter medication, nutritional supplements......cleaning supplies and disinfectants. This requirement is not met as evidenced Based on observation and interview - facility staff did not comply with above. Cabinets containing cleaning supplies and sharps were observed unlocked accessible to residents in care. This posed an immediate health and safety risk for residents in care.

Official plan of correction

Administrator instructed staff to lock kitchen cabinets storing cleaning supplies and sharps when walking away. In-service provide to staff.

Deadline recorded: Feb 11, 2022. 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

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 Based on observation and interview - facility staff did not comply with above. Kitchen area and cabinets observed with lots of grease stains. This posed a potential health and safety risk for residents in care.

Official plan of correction

Administrator direct staff to clean kitchen area and cabinets. Administrator stated moving forward staff will maintain facility clean and in good repair at all times. Photo submitted. In-services training provided to staff.

Deadline recorded: Feb 11, 2022. A deadline is not proof that correction was completed.