BALANCED LIVING BOARD AND CARE

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 observation, medication audit / review, the licensee did not comply with the section cited above in two (2) out of two (2) residents medications were not properly documented on the centrally stored medications and destruction record with start dates 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 Licensee agrees to provide training from an RN to staff who administer medication and conduct a full audit on all medication for both residents to ensure all medications are accounted for and accurately recorded on the centrally stored medication record log. Submit self certification letter and copy of training to CCL by POC due date.

Official classification

Type B

Official code

87208(a)(5)

Regulation authority

CCR

What the official deficiency says

87208(a)(5)(a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall... Any significant changes in the plan of operation... (5) Staffing plan, qualifications and duties.This requirement is not met as evidenced by… Based on observation, and interviews, licensee did not comply with the above section by not ensuring plan of operation documentation is being kept readily avaailable to licensing departments which poses a potential health, safety and personal rights risk to resident in care.

Official plan of correction

Administrator shall complete a LIC 500 and post it at the facility or have it readily available for when licensing department request it. LPA expects administrator to have updated LIC 500 before POC due date. Administrator shall complete a resident roster form, post it at the facility or have it readily available for when licensing department request it. LPA expects administrator to have updated form before POC due date.

Deadline recorded: Jul 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87508(b)

Regulation authority

CCR

What the official deficiency says

87508 Register of Residents (b) Registers of residents shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours... This requirement is not met as evidenced by…

Deadline recorded: Jul 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(d)(3)

Regulation authority

CCR

What the official deficiency says

87411(d)(3) Personnel Requirements: All personnel shal... This training and/or related experience shall provide knowledge of and skill in the following... (3) Skill... including the ability to communicate with residents. This requirement is not met as evidenced by… Based on observation, and interviews, licensee did not comply with the above section by not ensuring Staff #1 (S1) is able to communicate with facility residents and other parties, which poses a potential health, safety and personal rights risk to resident in care.

Official plan of correction

Administrator is looking for a new staff member that speak English. Rabbit devise was purchased to facilitate communication. A in-job-trainig log will be provided by POC due date on how to use devise.

Deadline recorded: Jul 15, 2024. A deadline is not proof that correction was completed.