ROYAL OAKS INN

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: 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 one (1) staff member did not have a criminal record clearance which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/09/2025 Plan of Correction Administrator stated that staff will obtain a criminal record clearance and will not be scheduled to work until it is obtained. Administrator will provide proof of criminal record clearance to CCL by the due date.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (c) Licensees who accept...residents with dementia shall be...ensuring the following: (5) Each resident with dementia shall have an annual medical assessment...and a reappraisal done at least annually... This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as R1 and R2 have dementia and did not have an annual medical assessment and reappraisal which poses a potential health, safety, or personal rights risk to persons in care.

Official plan of correction

Licensee and Administrator stated they will obtain current medical assessments and reappraisals for R1 and R2 and submit proof to CCL by 12/23/2024.

Deadline recorded: Dec 23, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

87355Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement was not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above as S1 did not have a criminal record exemption and S2 did not have a transfer of criminal record clearance which poses an immediate health, safety, or personal rights risk to persons in care.

Official plan of correction

The licensee stated that S1 will submit a new livescan by tomorrow and obtain a criminal record exemption and that S2 will be associated to the facility. Licensee will submit proof to CCL by 11/19/2024.

Deadline recorded: Nov 19, 2024. A deadline is not proof that correction was completed.

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 in that two food items were expired, one can was dented, multiple food items were not labeled or dated, and meats in the freezer had freezer burn, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 10/02/2024 Plan of Correction Staff discared expired items and dented can immediately. Staff will discard freezer burn items and unlabeled and undated items. Administrator agrees to provide an in-service training on food safety and storage and ensures that food items will be labeled and dated. Administrator will submit proof of in-service training to CCL by 10/02/2024.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

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, the licensee did not comply with the section cited above in that three resident bedrooms contained stained carpets and one bedroom contained a broken dresser and a hole in the bathroom door which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/15/2024 Plan of Correction Staff immediately replaced the broken dresser. Administrator agreed to contact a repair person to fix the door and will have a carpet cleaning service for resident rooms. Administrator will submit invoive, receipt, or photographic proof to CCL by 10/15/2024.

Official classification

Type A

Official code

87705(g)

Regulation authority

CCR

What the official deficiency says

(g) As required by Section 87468(a)(12), residents with dementia shall be allowed to keep personal grooming and hygiene items in their own possession, unless there is evidence to substantiate that the resident cannot safely manage the items. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and records review the licensee did not comply with the section cited above as personal hygenie items were found to be easily accessible to residents in care in rooms #16 and #49, based on records review R1 and R2 are at risk if allowed to have access to personal grooming and hygeiene items, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 10/23/2023 Plan of Correction Licensee immediatley made items inaccessible. Licensee also agreed to review section cited and provide a statment of understanding and provide to CCL via email be EOD 10/23/2023.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

87705(f)(2) Care of Persons with Dementia: The following shall be stored inaccessible to residents with dementia: Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. 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 licensee did not ensure that chemicals and cleaning supplies were inaccessible to residents with dementia, which poses an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 09/13/2021 Plan of Correction The Administrator has agreed to do the following: 1. Items secured during today’s visit. Plan of correction met.