Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
06/28/2024
Section Cited
CCR
87465(h)(6)
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7 | 87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes:
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7 | Facility to send in written plan on how they will make sure the centrally store log is being properly documented for all residents. Administrators plan to |
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14 | This requirement was not met as evidenced by: The facility failed to properly document the centrally stored medication log as required for all residents. This is a potential risk to the health & safety of residents in care. | 8
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14 | review an make sure the facility is documenting properly. Plan of correction due by 6/28/2024 attention LPA A Canela |
Type B
06/17/2024
Section Cited
CCR87211(a)(1)(D)
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7 | 87211(a)(1)(D)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 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.
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7 | Facility to send in all missing incident reports that were not submitted regarding resident R1 and any other reportable incidents. Facility to send in written plan on how they |
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14 | This requirement was not met as evidenced by: The facility failed to report several incidents for resident R1. This is a potential risk to the health & safety of residents in care | 8
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14 | will make sure the facility stays in compliance. Plan of correction due by 6/17/2024 attention LPA A Canela |