Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Request Denied
Type A
10/30/2020
Section Cited
CCR
87625(a)(b) | 1
2
3
4
5
6
7 | 87625 (a)(b) Managed Incontinence -The licensee shall be permitted to accept or retain a resident who has a manageable bowel and/or bladder incontinence condition in compliance with this regulation as listed in (a) as well as in (b). This requirement has not been met as evidenced by: | 1
2
3
4
5
6
7 | Administrator/Manager to ensure resident incontinent needs are met. Manager/Administrator agrees to submit incontinent care plan for incontinent care, procedures regarding managed incontinence, and facility's plan of future compliance with this regulation by POC due date 11/2/2020. |
 | 8
9
10
11
12
13
14 | Based on LPA interview, observation and record review, residents were not toileted and/or transferred by staff as needed. Licensee/Administrator failed to ensure managed incontinence for residents.as required. This poses an immediate health & safety risk to resident(s) in care.
| 8
9
10
11
12
13
14 |  |
Type B
10/30/2020
Section Cited
CCR
87303(a) | 1
2
3
4
5
6
7 | 87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by:
| 1
2
3
4
5
6
7 | Administrator/Manager agrees to design plan with specific duties of housekeeping with essential working equipment to assist with keeping the facility sanitary for residents, employees and visitors by POC due date of 11/2/2020. |
 | 8
9
10
11
12
13
14 | Based on LPA observation, interview and record review, the Administrator/Manager did not ensure working equipment and staff were available to maintain a clean, safe and sanitary facility environment which is a potential risk to the health, safety and personal rights of residents in care. | 8
9
10
11
12
13
14 |  |