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25 | Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver findings and issue related citations for (2) deficiencies found during the investigation. LPA met with Donald Stamets, Administrator, and explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols, contacted the facility to confirm there are currently no positive Covid-19 diagnoses, completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical Mask.
Staff training records were reviewed for (1) caregiver (S2) and (2) med-techs (S3/S4) who regularly assisted resident, including on 5/26/2020, with care and/or administering medication. Record review showed there was no documentation that S2, S3 and S4 had received training on the effects of medications given to treat behaviors associated with Dementia. LPA also reviewed training documentation, provided in March 2021, for caregiver (S1) who works in assisted living, which showed that caregiver last received training in psychotropic medications in December 2019.
Resident's (R1s) most recent care plan was dated 3/18/2020. Resident was scheduled to have a quarterly assessment on 6/18/2020 but moved out at the end of May 2020. Facility did not update resident's care plan on/around May 2020 when it was observed that there was a clear pattern to the frequency and/or severity of the falls resident incurred, while taking medications with a side effect warning of dizziness and drowsiness.
Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following (2) deficiencies are cited on LIC809D.
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Exit interview. Copy of report and appeal rights provided. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
07/09/2021
Section Cited
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7 | §1569.625 Staff training; legislative findings; contents (c) The training shall include, but not be limited to, all of the following:(7) Dementia care, including the use and misuse of antipsychotics, the interaction of drugs commonly used by the elderly, and the adverse effects of psychotropic drugs for use in controlling the behavior of persons with dementia. This requirement is not met as evidenced by: |  | |
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14 | Based on record review, there was no documentation that S2, S3 and S4 had received training on the effects of medications given to treat behaviors associated with Dementia, which posed a potential healtha nd safety risk to resident in care. | 8
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14 | Documentation to be provided to the department by 7/9/2021 by fax or email. |
Type B
07/09/2021
Section Cited
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7 | 87463 Reappraisals (c) The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any, when there is significant change in the resident’s condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement is nto met as evidenced by: | | |
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14 | Based on record review, resident's most recent care plan was dated 3/18/2020 and facility did not update resident's care plan on/around May 2020 when it was observed that there was a clear pattern to the frequency and/or severity of the falls resident incurred, while taking medications with a side effect warning of dizziness and drowsiness, which posed a potential health and safety risk to resident in care.
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14 | Documentation of care plan meeting held for the next two weeks to be provided to the department by 7/9/2021 by fax or email. |