Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
03/06/2025
Section Cited
CCR
87412(d)
| 1
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5
6
7 | PERSONNEL RECORDS
The licensee shall maintain documentation that an administrator has met... recertification requirements in Section 87407, Administrator Recertification Requirements.
This requirement is not met, as there is no evidence that administrator has met the | 1
2
3
4
5
6
7 | Proof that there is a certified RCFE administrator overseeing facility operations will be sent to CCLD BY DUE DATE |
 | 8
9
10
11
12
13
14 | RCFE administrator recertification requirements. Licensee failed to ensure that there is certified RCFE administrator overseeing facility operations, which poses an immediate health, safety or personal rights risk to clients in care. | 8
9
10
11
12
13
14 | |
Type A
03/06/2025
Section Cited
HSC1569.695(c)
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2
3
4
5
6
7 | HEALTH AND SAFETY CODE
A facility shall conduct a drill at least quarterly for each shift... type of emergency covered in a drill shall vary... taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an | 1
2
3
4
5
6
7 | Plan for implementation and performance of quarterly disaster drills will be sent to CCLD BY DUE DATE.
In addition, upon completion of emergency disaster drill, documentation to be submitted to CCLD. |
| 8
9
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12
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14 | opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, type of emergency ... names of staff participating in the drill. This requirement was not met, as there is no record that facility has conducted emergency disaster drills. | 8
9
10
11
12
13
14 | |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
03/19/2025
Section Cited
HSC
1569.69(b)
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2
3
4
5
6
7 | HEALTH AND SAFETY CODE
Each employee who received training and ...who continues to assist with the self-administration of medicines, shall also complete 8 hours of in-service training on medication-related issues in each succeeding 12-month period. | 1
2
3
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5
6
7 | staff will receive at least 8 hours of annual training on medications.
Proof of corrction to be sent to CCLD BY DUE DATE. |
| 8
9
10
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12
13
14 | This requirement is not met, as there is no evidence that staff have received 8 hours of annual medication training. Licensee failed to ensure that staff who manage clients' medications received annual medication training, which poses a potential health, safety or personal rights risk to clients in care. | 8
9
10
11
12
13
14 | |
Type B
03/19/2025
Section Cited
HSC1569.605
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2
3
4
5
6
7 | HEALTH AND SAFETY CODE
...after July 1, 2015, all RCFEs... shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, | 1
2
3
4
5
6
7 | Proof of required liability insurance coverage --including policy dates--will be sent to CCLD BY DUE DATE |
| 8
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12
13
14 | caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees.This requirement is not met, as there is no evidence that facility maintains liability insurance, as required. Licensee failed to maintain required liability insurance coverage, which poses a potential health, safety or personal rights risk to clients. | 8
9
10
11
12
13
14 | |