Community Care Licensing

Document Has Been Signed on 05/28/2024 12:44 PM - It Cannot Be Edited

FACILITY NAME:	PARADISE GARDENS CARE HOME		FACILITY NUMBER:	075600998
ADMINISTRATOR/ DIRECTOR:	LISING, ARSENIA E.		FACILITY TYPE:	740
ADDRESS:	686 MINERT ROAD		TELEPHONE:	(925) 944-9147
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94598
CAPACITY: 6		CENSUS: 6	DATE:	05/28/2024
TYPE OF VISIT:	Case Management - Annual Continuation	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:00 AM
MET WITH:	Staff Marie Regacho		TIME VISIT/ INSPECTION COMPLETED:	01:15 PM

SUPERVISORS NAME: Harpreet Humpal LICENSING EVALUATOR NAME: James Sampair LICENSING EVALUATOR SIGNATURE: DATE: 05/28/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/28/2024

Link to Parent Document Below:

FACILITY NAME: PARADISE GARDENS CARE HOME	FACILITY NUMBER: 075600998
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/28/2024

Type B

Section Cited

HSC

1569.625(b)(2)

(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
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in 5 out of 5 staff members' training records, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/16/2024
	Plan of Correction
1 2 3 4	On or before the due date, the Licensee shall send to the LPA either: (1) proof that 20 hours of required training was completed within the past year that included 8 hours of dementia care and 4 for postural supports, restricted health conditions, and hospice care OR (2) 20 hours of training has been scheduled for the next 12 months for ALL staff members that includes 8 hours of dementia care and 4 for postural supports, restricted health conditions, and hospice care.

Type B

Section Cited

CCR

87705(c)(3)(A)

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (3) In addition to the on-the-job training requirements in Section 87411(d), staff who provide direct care to residents with dementia shall receive the following training as appropriate for the job assigned and as evidenced by safe and effective job performance: (A) Dementia care including, but not limited to, knowledge about hydration, skin care, communication, therapeutic activities, behavioral challenges, the environment, and assisting with activities of daily living; This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in 5 out of 5 staff members' training records, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/16/2024
	Plan of Correction
1 2 3 4	On or before the due date, the Licensee shall send to the LPA proof that ALL staff who provide direct care to residents with dementia have received the training as appropriate for the job assigned or, if not completed, that staff have completed that training.

SUPERVISOR'S NAME: Harpreet Humpal LICENSING EVALUATOR NAME: James Sampair LICENSING EVALUATOR SIGNATURE: DATE: 05/28/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/28/2024