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Inspection visit

Follow-up

TNA RESIDENTIAL CARELicense 1976096558 citations on this visit
8 citations recorded

Inspector’s narrative

What the inspector wrote

At 10:00am, Licensing Program Analysts (LPAs) Huma Rahimi, Angela Panushkina, and Perchui Milena Khurshudyan conducted a Case Management Visit. LPAs met with the Staff # 1, Mari Akmakchyan and explained the reason for the visit. During the visit, S1 informed LPAs that S2 started working at this facility on 01/08/2024. LPAs conducted review of Licensing Information System and did not observe S2's association to this facility. LPAs informed the S1 that all staff members must be fingerprint cleared and associated prior to employment. Moreover, Administrators' Certificate on file has been expired and the facility does not currently have a back up Administrator. LPAs observed that only three (3) out of five (5) residents facility files are missing documents/signatures (incomplete). The facility is not approved to retain any bedridden resident; however, LPAs observed R2 and R3 were in bed and review of their Physician's Report indicated that they are both bed bound. Moreover, LPAs were informed that both residents are receiving Hospice Care (facility is currently approved for one (1) hospice waiver only). No Hospice files for R2 and R3 were available upon request. Lastly, LPAs observed R2 and R3 had full bed rail and no Physicians order on file. LPAs observed that R1 is on a wheelchair. Facility License (Effective 03/18/2019) is APPROVED FOR CAPACITY OF 6 AMBULATORY; APPROVED FOR HOSPICE WAIVER FOR 1 HOSPICE RESIDENT . The facility also failed to submit an Incident and Death Report for R6 to the Community Care Licensing Division (CCLD) in a timely manner. Based on Title 22 Regulation: a written Unusual Incident / Injury Report / Death Report shall be submitted to CCLD within seven (7) days of occurrence. LPA informed Administrator that all staff members are mandated reporters and they are all responsible for reporting. Deficiency issued on LIC809-D Exit interview conducted, appeal rights explained and copy of this report signed and delivered.

Citations

8 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87202(a)(2)Type A

    Fire Clearance: (a) All facilities shall maintain a fire clearance approved... Prior to accepting or retaining any of the following types of persons... (2) Bedridden personsThis requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by accepting two (2) bedridden residents (R2 and R3) without having a proper fire clearance, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87211(a)(1)AType B

    Requirements: (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)...This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPA, the licensee did not comply with the section cited above by failing to notify CCLD regarding the two (2) incidents that occured with R6, which poses a potential health and safety risk to persons in care.

  • 87355(e)(1)Type A

    Criminal record clearance: (e) All individuals subject to a criminal record review... (1) Obtain a California clearance or a criminal record exemption as required by the Department.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by hiring one (1) staff member S2 on January 8th, 2024 without fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87405(d)(1Type A

    Administrator Qualifications - 87405 (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator... (1) Knowledge of the requirements...This requirement is not met as evidenced by: Based on interviews, the licensee failed to insure that the administrator had knowledge of licensing rules and regulations which poses an immediate health and safety risk to the residents in care.

  • 87406(g)Type B

    Administrator Certification Requirements: (g) Certificates issued under this section shall be renewed every two (2) years provided the certificate holder has complied with all renewal requirements.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. Faciity's Administrator certificate had been expired since August 2020, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(a)Type B

    87506 Resident Records: (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility...This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. Three (3) resident records were incomplete and or missing documents, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87608(a)(3)Type B

    Postural Supports: Based on the individual pre-admission apprasial... Postural support maybe used udner the following condition: 3) A written order from the Physician indication... licensing agency shall be authorized to require...This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above having two (2) full bed rail beds and two (2) half bed rail without a doctors approval, which poses an potential health, safety or personal rights risk to persons in care.

  • 87632(a)(1)Type B

    87632 Hospice Care Waiver: (a) In order accept or retain terminally ill residents... To obtain this waiver the licensee shall submit a written request for a waiver to the Department...This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above by addmiting two (2) hospice residents, when theh facility is only approved for one (1). This poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 23, 2024 inspection of TNA RESIDENTIAL CARE?

This was a other inspection of TNA RESIDENTIAL CARE on January 23, 2024. 8 citations were issued: 3 Type A (serious) and 5 Type B.

Were any citations issued to TNA RESIDENTIAL CARE on January 23, 2024?

Yes, 8 citations were issued (3 Type A, 5 Type B). The first citation was for: "Fire Clearance: (a) All facilities shall maintain a fire clearance approved... Prior to accepting or retaining any of th..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.