Follow-up on corrections·May 31, 2025

Citations

4 citations recorded^*CCLD

• 87202(a)Type A

  Maintain fire clearance before retaining specified persons

  87202 Fire Clearance(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement was not met as evidence by: LPA observation of 3 exit doors (exit #1, exit #8 and #7) to have a door lock at the top preventing residents from exiting. If not corrected this poses an immediate health safety and or personal rights risk to residents in care.***An immediate civil penalty in the amount of $500 is hereby assessed for fire clearance***

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• 87211(a)(1)(D)Type A

  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 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 evidence by: LPA observation of R1s hospice plan indicating R1 was being treated for a head wound. Review of facility incident reportings does not show facility reported to CCL. If not corrected this poses an immediate health safety and or personal rights risk to residents in care.

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• 87411(g)(2)Type A

  Request transfer of criminal record clearance

  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) or This requirement was not met as eivdence by: LPA observation of the Guardian Roster at 9:15 am on 5/31/25. Staff 1 was not associated to the facility. If not corrected this poses an immediate risk to the health safety and or personal rights of residents in care.***An immediate civil penalty in the amount of $500 was assessed.***

• 87633(b)Type A

  Facility must keep complete hospice care plan on file

  87633 Hospice Care of Terminally Ill Residents (b) A current and complete hospice care plan shall ...(4) A description of the area of licensee’s responsibility for implementing the plan including, but not limited to, facility staff duties; record keeping; and communication with the hospice agency, resident’s physician, and the resident’s responsible person(s), if any. This description shall include the type and frequency of the tasks to be performed by the facility. This requirement was not met as evidence by: LPA observation of R1's hospice care plan provided by Administator, Steve dated 09/05/2024-12/03/2024. This poses an immediate health safety and or personal rights risk to residents in care.