Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
06/13/2023
Section Cited
CCR
87615(a)(1)
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7 | 87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. | 1
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7 | Plan of Correction POC Licensee agrees to find appropriate care for R1 by POC due date 06/13/23. |
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14 | This requirement was not met as evidenced by: Licensee retrained a resident (R1) with a prohibited health condition (unstagable wound), which poses an immediate health, safety, and/or personal rights risk to residents in care. | 8
9
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14 | |
Type B
06/16/2023
Section Cited
CCR87616(a)(b)(1)(2)
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7 | 87616 Exceptions for Health Conditions (a) As specified in Section 87209, Program Flexibility, the licensee may submit a written exception request if he/she agrees that the resident has a prohibited and/or restrictive health condition but believes that the intent of the law can be met through alternative means. (b) Written requests shall include, but are not limited to the following:
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7 | Plan of Correction POC Licensee agrees to submit in writing clear of this regulation and how it will be met in the future by POC due date.
Repeat violation Civil Penalties issued. |
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14 | (1) Documentation of the resident's current health condition including updated medical reports, other documentation of the current health, prognosis, and expected duration of condition. (2) The licensee's plan for ensuring that the resident's health related needs can be met by the facility. This requirement was not met as evidenced by Licensee did not have or submit a restricted/prohibited health care plan to licensing for approval for R1's prohibited health condition which poses a potential Health, Safety or personal rights risk to the residents in care. | 8
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14 | |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
06/12/2023
Section Cited
CCR
87629(b)(1)
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7 | 87629 Injections (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensees who admit or retain residents who require injections shall be responsible for the following: (1) Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance.
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7 | Plan of Correction. Licensee agrees to submit in writing the understanding of this regulation. |
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14 | This requirement was not met as evidenced by: Licensee's staff which are not skilled professionals were administering injections for R1's restricted health condition which poses an immediate health, safety and/or personal rights risk to residents in care. | 8
9
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11
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14 | |
Type B
06/16/2023
Section Cited
CCR87405(d)(2)
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7 |
87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations.
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7 | Plan of Correction POC Administrator agrees to review Title 22 regulations regarding all restrictive/prohibited health conditions and when to obtain an exception and will submit in writing the understanding of these regulations and the improtance of understanding Title 22 by POC due date 06/16/23 |
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14 | This requirement was not met as evidence by:
Administrator has recieved several citations under Title 22, with repeat violations which poses a potential health safety and/or personal rights risk to residents in care. | 8
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14 | |