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32 | There is an allegation staff are sleeping in common area. LPA obtained information during this investigation that staff were sleeping in the common area (photos obtained). Based on LPA's observations and interviews which were conducted and document review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED.
There is an allegation facility does not have enough staff to meet resident needs. On 2/18/2020, 3/8/2020, 3/10/2020, 3/20/2020, 5/14/2020, 5/27/2020 LPA obtained seven staff interviews which revealed concluding information that the facility doesn’t have enough staff to meet resident’s needs. LPA obtained information that cook, housekeeper and volunteer were called upon to assist with resident care needs. On LPA’s visit, when touring with the Administrator, Rhon Franco, LPA observed R2 undressed/unsupervised and not being assisted due to staff being pulled away to assist other residents. Based on LPA review of staffing schedules and resident care need documentation, it was confirmed facility does not have enough staff to meet the care needs of the residents. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED.
Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties.
(See 9099-D)
Signature on file. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
10/30/2020
Section Cited
HSC
1569.269(a) | 1
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7 | §1569.269 Enumerated rights; severability
(a) Residents of residential care facilities for the elderly shall have all of the following rights:
(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: | 1
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7 | POC Manager/Administrator to ensure that client rights are not violated by any staff at any time. Manager/Administrator agrees provide training to staff regarding resident "Personal Rights". Manager/Administrator to submit date for training no later than COB 11/2/2020, and proof staff training with written plan of ensuring |
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14 | Based on LPA observation, interview and record review the facility did not ensure client's personal rights were not violated. This is an immediate risk to the health,
safety, and personal rights of the residents in care.
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14 | facility's future compliance with this regulation by POC due date of 11/13/2020. |
Type A
10/30/2020
Section Cited
CCR
87411(a) | 1
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7 | 87411(a) Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: | 1
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7 | POC Licensee to ensure staff are sufficient in numbers to meet the needs of residents. Licensee agrees to submit updated staffing schedule, showing 24 hour coverage to meet the needs of residents. Updated staffing schedule to be submitted to CCL by POC date of COB 11/2/2020. |
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14 | Based on LPA record review, observations and interviews conducted, Licensee did not ensure sufficient staff were present to meet the care needs of residents. There are several residents requiring assistance, and at times 2 caregivers working a shift at the facility. This poses an Immediate Health and Safety risk to residents in care. | 8
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