SUNSHINE HEALTH PLACE

Official classification

Type A

Official code

87202(a)(1)

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: (1) Nonambulatory persons. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above . Resident #6 is non-ambulatory and in room #6 which is cleared for ambulatory room only. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/09/2026 Plan of Correction Licensee stated that she will provide 24 hour awake supervision for resident #6 in room #6 pending communication with responsible person for resident #1 who is currently ambulatory and in a non-ambulatory room. Licensee submit the paper work to initiate the fire inspection for an updated fireclearance for the facility.

Official classification

Type A

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above. Full bedrail observed on the bed of resident #1. Resident #1 is not currently on hospice. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/09/2026 Plan of Correction Licensee had staff remove the bed rail during the visit today. Licensee explained that the resident does not need the rail and was just for safety per resident request. Licensee acknowledged understanding full rails is a form of restraint and not allowed.

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview,record review, the licensee did not comply with the section cited above. All residents medication observed set-up for more than 24 hours. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/12/2026 Plan of Correction Licensee conducted in-service with staff. Staff acknowledged understanding the residents medications cannot be set-up for more than 24 hours in advance; medications need to be in its orginal container/bubble pack and not pre set for more than 24 hours.

Official classification

Type A

Official code

87202(a)(1)

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: (1) Nonambulatory persons. 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: Non ambulatory resident residing in room fire cleared for only ambulatory. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/27/2025 Plan of Correction Licensee agreed to move resident immediately until proper fire clearance is obtained for room 6 (six). Submit written plan of correction and photos of room unoccupied by POC due date.

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 observation, the licensee did not comply with the section cited above, as the water temperature measured between 124 degrees F, which poses an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 12/06/2022 Plan of Correction The Administrator agreed to do the following: 1. Adjust the water tank within the next 24 hours 2. After adjusting the water, keep a five day temperature log and submit to CCL within the next seven days.

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 there were chemicals and medications accessible, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/05/2022 Plan of Correction The Administrator agreed to do the following: 1. The items were locked upon observation. Plan of Correction met.

Official classification

Type A

Official code

87705(e)

Regulation authority

CCR

What the official deficiency says

87705(e) Care of Persons with Dementia. (e) Swimming pools and other bodies of water shall be fenced and in compliance with state and local building codes. 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 gate leading to the swimming pool was not locked, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/10/2022 Plan of Correction The Administrator agreed to do the following: The Administrator ensured that the gate was locked. Plan of Correction met. Zero Tolerance violation; a civil penalty was assessed during today's visit.

Official classification

Type A

Official code

87465(a)

Regulation authority

CCR

What the official deficiency says

87465(a)(5) Incidental Medical and Dental Care. (5) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above regarding R1’s evening dosage of Quetiapine or Atorvastatin, which poses an immediate health and safety risk to residents in care.

Official plan of correction

The Administrator agreed to the following: 1. Submit a Statement of Understanding, noting how the facility will maintain compliance with Regulation 87465. Submit statement to CCL by POC date. 2. Complete an in-service medication training for staff. Be sure to discuss protocol for administering medications and documenting refusals. Submit proof of completion to CCL by POC due date.

Deadline recorded: Jan 17, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(i)

Regulation authority

CCR

What the official deficiency says

87465(i) Incidental Medical and Dental Care. Prescription medications which are not taken with the resident ... which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above, as staff admitted to improperly disposing of R1’s medications in the trash can, which poses a potential health and safety risk to residents in care.

Official plan of correction

The Administrator has agreed to do the following: Complete an in-service medication training for staff. Be sure to discuss protocol for administering medications and documenting refusals. Submit proof of completion to CCL by POC due date.

Deadline recorded: Jan 17, 2022. A deadline is not proof that correction was completed.