Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
08/31/2023
Section Cited
CCR
87411(g)(2)
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7 | 87411 Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) This requirement is not met as evidenced by: | 1
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7 | -An office meeting will be held to discuss further measures as this is the second violation within 12 months. Licensee will need to confirm attendance with LPA by 8/31/2023 as Plan of Correction.
-LIC9182 was completed, LPA will associate staff to the facility.
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14 | Based on records review and interview, Licensee did not comply as LPA observed S1 and S2 to be scheduled at the facility, but not associated to the facility via Guardian. Additionally, when asked if Licensee knew that S1 was not associated, Licensee replied "Yes Ms. Cassie." which poses an immediate health and safety risk for residents in care. | 8
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14 | This is a civil penalty of $100 per day up to 5 days per staff. Additionally, a $250 repeated violation civil penalty will be assessed. |
Type B
09/01/2023
Section Cited
CCR87506(a)
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7 | 87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: | 1
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7 | Plan of Correction will be discussed at the office meeting. |
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14 | Based on observation and intevriew, Licensee did not comply as LPA observed only one out of four residents in care to have a file at the facility, which poses a potential health and safety risk for residents in care. | 8
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