HAPPY HOME CARE II

Official classification

Type B

Official code

87470(c)

Regulation authority

CCR

What the official deficiency says

(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. 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 the facility did not have an Infection Control Plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/15/2024 Plan of Correction Licensee agreed to develop and complete an infection control plan and submit the plan to CCL by POC due date.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 three staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/15/2024 Plan of Correction Licensee agreed to provide training for the three staff in the required topics for the 20 hour annual training and submit to CCL by POC due date.

Official classification

Type B

Official code

1569.69(b)

Regulation authority

CCR

What the official deficiency says

(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, the licensee did not comply with the section cited above in three out of five staff which poses a potential health and safety risk to residents in care

Official plan of correction

POC Due Date: 02/15/2024 Plan of Correction The Administrator agreed to do the following: 1. Complete the 8 hours of annual medications training for three staff. Submit proof by POC due date.

Official classification

Type A

Official code

87202(a)(2)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, Intervieew and record review, the licensee did not comply with the section cited above as Per R5’s physician’s report, R5 is identified as bedridden. Per the fire clearance, the facility does not have a bedridden fire clearance at this time which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 01/20/2024 Plan of Correction The Administrator will submit LIC200, LIC850 and copy of facility sketch to CCL to request bedridden fire clearance by the end of business day 01/20/2024. This is a zero-tolerance violation, resulting in a civil penalty in the amount of $500.

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 LPA observed medication in the refrigerator, and paint, nails, and hardarware in the back yard accessible to residents iwhich poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 01/20/2024 Plan of Correction Administrator agreed to do the following: 1.remove all items and lock away by the end of day, and submitt proof to CCL. 2. Provide documentation staff training regarding regulation 87705(f)(1) to CCL by 1/20/24.

Official classification

Type B

Official code

87463(c)

Regulation authority

CCR

What the official deficiency says

(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, 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: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as 2/5 (R1, R2) did not have a pre-placement appraisal (LIC 603), or appraisal/needs and services plan (LIC625). 3/5 (R3,R4,R5) did not have a required updated annual LIC625. which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/02/2024 Plan of Correction The administrator agrees to update all appraisals/needs and services plans for all residents and inform CCL when this has been completed, no later than POC due date.

Official classification

Type B

Official code

87618(b)(3)(B)

Regulation authority

CCR

What the official deficiency says

(3) Ensuring that the use of oxygen equipment meets the following requirements: (B) “No Smoking-Oxygen in Use” signs shall be posted in the appropriate areas. 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 there was no-smoking sign in room#2 where there is use of oxygen equipment and Administrator advised the LPA the fire dept. has not been notified in writting there is Oxygen in use which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 01/22/2024 Plan of Correction Administrator placed sign during the visit and will notify fire dept there is Oxygen in use at the facility by POC due date,

Official classification

Type B

Official code

87211(a)(1)(A)

Regulation authority

CCR

What the official deficiency says

A written report shall be submitted to the licensing agency … for the resident within seven days of the occurrence of any of (A) Death of any resident from any cause regardless of where the death occurred within seven days of the death. This requirement is not met as evidenced by: Based on interviews and record review, the Licensee did not ensure that R1’s death report (LIC 624A) was submitted to CCL within the seven days per regulations, which poses a potential health and safety risk to persons in care.

Official plan of correction

The Administrator will submit death report for R1 and a Statement of Understanding, detailing how the facility will maintain in compliance of Regulation 87211 and submit to CCL by 5/06/2022.

Deadline recorded: May 2, 2022. A deadline is not proof that correction was completed.

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 LPAs observation, the licensee did not comply with the section cited above as two (2) out of two (2) facility restroom faucets delivers hot water measured at 123.8 and 120.2 degrees Fahrenheit, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/04/2022 Plan of Correction The Administrator adjusted the thermostat during time of visit and has agreed to submit a hot water temperature log for seven (7) days to show that the hot water is being maintained between temperatures 105- and 120-degrees Fahrenheit.