Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
06/15/2022
Section Cited
CCR
87465(g) | 1
2
3
4
5
6
7 | The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement is not met as evidenced by: | 1
2
3
4
5
6
7 | Licensee/Administrator will submit a written statement notifying the Department what steps will be taken to prevent a repeat of such incidents. |
 | 8
9
10
11
12
13
14 | Based on IB investigation record review and interview, the licensee/administrator, facility staff failed to call 9-1-1 after the initial fall of R1 which resulted in R1's injuries, which poses an immediate health, safety, and personal rights risk to residents in care. | 8
9
10
11
12
13
14 |  |
Type A
06/15/2022
Section Cited
CCR
87466 | 1
2
3
4
5
6
7 | The licensee shall ensure that residents are regularly observed for changes in physical, ..functioning & ...assistance is provided ...When changes such as... physical health condition are observed, the licensee shall ensure that such changes are ...brought to the attention of the resident's physician & resident's responsible person, if any. | 1
2
3
4
5
6
7 | Licensee/Administrator will submit a written statement notifying the Department what steps will be taken to prevent a repeat of such incidents. |
 | 8
9
10
11
12
13
14 | Based on IB investigation record review and interview, the licensee/administrator, facility staff failed to failed to contact the family members regarding R1's fall and injuries which poses an immediate health, safety, and personal rights risk to residents in care. | 8
9
10
11
12
13
14 |  |