Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
07/30/2024
Section Cited
CCR
87468.1(a)(3)
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7 | 87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, | 1
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7 | Licensee agrees to submit a Plan of Correction to CCL by POC date explaining how the Licensee shall train staff on ensuring the personal rights of residents in care are protected, including when a resident is being abused by a private duty care giver. Once training is complete, the Licensee shall submit |
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14 | intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by: Licensee did not ensure that resident R1 was free from abuse and initimidation from R1's Private Duty Care Giver, which poses an immediate safety risk to residents in care. | 8
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14 | copies of training logs to CCL, including names of staff trained, training topics, and name(s) and qualifications of trainer(s). |
Type B
08/06/2024
Section Cited
CCR87211(a)(1)(D)
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7 | 87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and | 1
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7 | Licensee agrees to submit a Plan of Correction by POC date stating how the licensee shall ensure that incidents involving abuse of residents will be reporting to the Department with an LIC624 Unusual Incident/Injury Report within 7 days of the incident occuring. |
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14 | to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by: Licensee did not ensure that a LIC624 Unusual Incident/Injury Report was submitted to CCL with 7 days of the incident involving resident R1's private duty care giver verbally and physically abusing R1 on 06/30/2024, which poses a potential safety risk to residents in care. | 8
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