A LOVING HEART SENIOR CARE

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) 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 by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in one (1) out of two (2) bathroom sinks does not drain properly which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/13/2025 Plan of Correction LPA was advised by the Manager and Administrator that they are in the process of scheduling a plumber and the work should be complated by next week. The sink is still functional however not properly draining.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. 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 three (3) condiment items ketchup, relish, lime juice five (5) cans including soup, beans and vegetables were all expired in 2023-2024 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/13/2025 Plan of Correction The Licensee agreed to the following: 1. To dispose of all expired food items. Plan of correction met. 2. Conduct a full audit of all food items and provide proof to CCL no later than POC due date 10/13/2025.

Official classification

Type A

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. 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 multiple food items were observed to be expired ranging from milk, vegetables and canned goods which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 10/27/2023 Plan of Correction The Licensee agreed to the follwoing: 1. To dispose of all expired food items. Plan of correction met. 2. Conduct a full audit of all food items and provide proof to CCL no later than 11/3/2023.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 refrigerated prescription medication was observed to be unlocked and accessible in the kitchen refrigerator which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 10/27/2023 Plan of Correction Licensee agreed to the following: 1. Immediatley lock all accessible medications. Plan of correction met at the time of the visit.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (2) 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: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as cleaning supplies were abserved to be accessible in bathroom located in room #1 and under the kictchen sink which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 10/27/2023 Plan of Correction Licensee agreed to the following: 1. To immediatley lock any accessible cleaning supplies. Plan of correction met at the time of the visit.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211(a)(1)(D) Reporting Requirements. A written report shall be submitted to the licensing agency ... within seven days of the occurrence: Any incident which threatens the welfare, safety, or health of any resident. This requirement is not met as evidenced by: Based on interviews and documents received, the licensee did not comply with the section cited above as one (1) incident report was never received and two (2) other incident reports were not received by CCL within 7 days of occurrence, which poses a potential health and safety risk to residents in care.

Official plan of correction

The Administrator has agreed to submit a Statement of Understanding, detailing how the facility will maintain compliance of Regulation 87211 and submit to CCL by 4/29/2022.

Deadline recorded: Apr 29, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87615(a)(1)

Regulation authority

CCR

What the official deficiency says

87615(a)(1)Prohibited Health Conditions Persons who require health services 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: Stage 3 and 4 pressure sores (dermal ulcers). This requirement is not met as evidenced by: Based on interviews and record reviews, the licensee did not comply with the section cited above as R1 developed an unstageable pressure injury and was retained at the facility without being under hospice care, which poses an immediate health and safety risk to residents in care.

Official plan of correction

The Administrator has agreed to the following: 1.) Do an in-house training with staff on Regulation 87615 and submit proof to CCL by 4/29/2022. 2.) Submit a Statement of Understanding, detailing how the facility will maintain compliance of Regulation 87615 and submit to CCL by 4/29/2022.

Deadline recorded: Apr 14, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87668.2(a)(19)

Regulation authority

CCR

What the official deficiency says

87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning… changes are documented and brought to the attention of the resident's physician and the resident's responsible person. 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 the facility did not properly report or document R1’s change in health condition with both R1’s PCP and POA, which poses an immediate health and safety risk to residents in care.

Official plan of correction

The Administrator has agreed to submit a Statement of Understanding, detailing how the facility will maintain compliance of Regulation 87466 and submit to CCL by 4/29/2022.

Deadline recorded: Apr 14, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(19)

Regulation authority

CCR

What the official deficiency says

87468.2(a)(19) Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately... (19) To have prompt access to review all of their… records shall be provided within two (2) business days… This requirement was not met as evidenced by: Based on interviews, and record review, the licensee did not comply with the section cited above as they failed to produce requested records to POA within the time allotted by regulation of two (2) business days, which poses a potential risk to the personal rights of residents in care.

Official plan of correction

The Administrator has agreed to submit a Statement of Understanding, detailing how the facility will maintain compliance of Regulation 87468.1 and submit to CCL by 4/29/2022.

Deadline recorded: Apr 29, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(c)

Regulation authority

CCR

What the official deficiency says

87463(c) Reappraisals. (c)The licensee shall arrange a meeting with the resident, the resident’s representative and a representative of the resident’s HH when there is significant change in the resident’s condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. 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 the licensee did not inform R1’s POA about the change in R1’s condition, which poses an immediate health and safety risk to residents in care.

Official plan of correction

POC: The Administrator has agreed to submit a Statement of Understanding, detailing how the facility will maintain compliance of Regulation 87463 and submit to CCL by 4/29/2022.

Deadline recorded: Apr 29, 2022. A deadline is not proof that correction was completed.