FAMILYCARE COTTAGE ONE

Official classification

Type B

Official code

1569.652(c)

Regulation authority

HSC

What the official deficiency says

§1569.652 Termination of admission agreement upon death of resident... and refunds (c) A refund of any fees paid in advance...shall be issued...to the resident’s estate, within 15 days after the personal property is removed.This requirement is not met as evidenced by Based on interviews and record review, the facility did not comply with the above cited section, as R1 passed away on 11/08/25, belongings were removed on 11/08/25 and no check has been issued, which poses a potential personal rights risk to persons in care.

Official plan of correction

Licensee representative will issue a refund for the amount of $4,546.66 based on the $6,200 paid montly for room and board by POC due date.

Deadline recorded: Mar 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(1)

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). 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 a knife and a lighter were observed in an unlocked kitchen drawer and accessible to residents with dementia, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 10/23/2024 Plan of Correction Items were secured in the appropriate locked location during today's visit. Administrator spoke with staff regarding safe storage of hazardous items. POC cleared.

Official classification

Type B

Official code

87705(h)

Regulation authority

CCR

What the official deficiency says

(h) Outdoor facility space used for resident recreation and leisure shall be completely enclosed by a fence with self-closing latches and gates, or walls, to protect the safety of residents. 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 the facility's exit gate was observed to not contain a latch and unable to close, which poses a potential safety risk to residents in care.

Official plan of correction

POC Due Date: 11/06/2024 Plan of Correction Administrator took photographs and contacted the facility handyman during today's visit. All repairs will be completed and proof sent to CCL by POC due date.

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 as expired milk and cheese was discovered which poses a potential health and safetys risk to persons in care.

Official plan of correction

POC Due Date: 10/13/2023 Plan of Correction The administrator agreed to the following: 1. Discard of all expired food items immediatley. Plan of correction met at the time of the visit.