Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
05/22/2024
Section Cited
CCR
87464(a) | 1
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5
6
7 | Basic Services-87464(d): (a)The services provided by the facility shall be conducted so as to continue and promote, to the extent possible, independence and self-direction for all persons accepted for care. ..This requirement was not CONT | 1
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5
6
7 | L/AD Dao will read and understand CCR 87464, provide inservice training to staff identified on LIC 500 and update needs and services plans for all residents residing at the facility by POC due date of 5/22/2024.(CIVIL PENALTY ASSESSED) |
 | 8
9
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11
12
13
14 | met as evidenced by: On 1/22/2024, on or about 11:40am LPA Quiroz observed Resident 3 (R3) to be unkept with maladorous scent noted and unkept, long toe nails and finger nails. This was verified with Caregiver 1. Witness indicated "The Administrator never CONTINUED... | 8
9
10
11
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14 | comes and they never listen about the resident's needs. They ignore our needs." This poses a potential risk to residents in care. |
Type B
05/22/2024
Section Cited
CCR
87625(b)(3) | 1
2
3
4
5
6
7 | 87625 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.CONT | 1
2
3
4
5
6
7 | L/AD Dao will read and understand CCR 87625, provide inservice training to staff identified on LIC 500 and develop log for routinely incontinence care by POC due date of 5/22/2024.(CIVIL PENALTY ASSESSED) |
| 8
9
10
11
12
13
14 | This requirement was not met as evidenced by:On 1/22/24 or about 11:58am, LPA Quiroz observed Resident 5 (R5) to have soiled diaper. Witness indicated alerting staff of soiled diaper and request to change diaper and that request was ignored. CONTINUED... | 8
9
10
11
12
13
14 | Witness stated, "Last changed long time ago, and staff never returned after request was made." This poses a potential risk to residents in care (CIVIL PENALTY ASSESSED) |
NARRATIVE |
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32 | CONTINUED...LPA Quiroz was not able to interview Resident 1 (R1), due to R1 passing away.
During inspection visit conducted on 1/22/2024, on or about 11:40am LPA Quiroz observed Resident 3 (R3) to be unkept with maladorous scent noted and unkept, long toe nails and finger nails. This was verified with Caregiver 1. Witness indicated "The Administrator never comes and they never listen about the resident's needs. They ignore our needs."
On or about 11:58am, LPA Quiroz observed Resident 5 (R5) to have soiled diaper. Witness indicated alerting staff of soiled diaper and request to change diaper and that request was ignored. Witness stated, "Last changed long time ago, and staff never returned after request was made."
Therefore, based on evidence through records reviewed and interviews conducted the allegations
that "Resident's hygiene needs are not being met," "Resident left in soiled diaper/linens for an extended period of time," and "Staff does not meet resident's needs" are determined to be SUBSTANTIATED, meaning the complaint allegations are valid and that a violation has occurred. (SEE LIC 9099-D)
The following is being cited per California Code of Regulations Title 22 Division 6 Chapter 8. Civil penalties area assessed due to repeated violations within 12 months. (SEE CIVIL PENALTY-LIC 421IM)
An exit interview was conducted with (L/AD) Brevet Dao via telephone and with CG1 at the facility, and a copy of this report, Appeal rights, LIC 9099-D page, LIC 421 IM and LIC 811- Confidential names were provided at exit. |