Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
11/15/2024
Section Cited
CCR
87411(g)
| 1
2
3
4
5
6
7 | Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall:
(1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations or:
This facility was found to be deficient as | 1
2
3
4
5
6
7 | This facility representative stated that all facility staff will always be fingerprint cleared and properly associated prior to employment. A statement of correction, along with updated LIC 500, will be completed and submitted into CCL by the due date. |
 | 8
9
10
11
12
13
14 | evidenced by the allowance of an individual to be present and employed at this facility prior to obtaining the required criminal clearance. This posed an immediate threat to the Health, Safety, and Personal Rights of residents in care. | 8
9
10
11
12
13
14 | |
Type A
11/15/2024
Section Cited
CCR87202(a)(2)
| 1
2
3
4
5
6
7 | 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 | 1
2
3
4
5
6
7 | This facility representative stated that this facility will notify the local fire department about the number of Bedridden residents present in care at this time. In addition, this facility will submit all of the required forms and documents related to care and supervision being provided to residents |
| 8
9
10
11
12
13
14 | 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 facility was found to be deficient as evidenced by the allowance of facility residents deemed to be Bedridden to be present receiving care and supervision without the proper issuance of a bedridden fire clearance. This posed an immediate threat to the Health, Safety, and Personal Rights of residents in care. | 8
9
10
11
12
13
14 | deemed as Bedridden.
A statement of correction, along with all required forms and documents for Bedridden Care, will be completed and submitted into CCL by the due date. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
11/15/2024
Section Cited
CCR
87705(c)(5)
| 1
2
3
4
5
6
7 | Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs.
This facility was found to be deficient as | 1
2
3
4
5
6
7 | This facility representative stated that all residents diagnosed with dementia will be reviewed to make sure that all medical assessments have been updated to address any changes in care and supervisory needs. A statement of correction, along with a copy of the updated medical assessment, will be |
| 8
9
10
11
12
13
14 | based on a records review conducted, 1 out of 6 residents, was found to be diagnosed with dementia and did not have an updated medical assessment on file. This posed an immediate threat to the Health, Safety, and Personal Rights of residents in care. | 8
9
10
11
12
13
14 | completed and submitted into CCL by the due date. |
| 1
2
3
4
5
6
7 | | 1
2
3
4
5
6
7 | |
| 1
2
3
4
5
6
7 | | 1
2
3
4
5
6
7 | |