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Inspection visit

Health check

SAINT THOMAS CARE HOMELicense 3459200123 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Michael Hood and Cassie Mikkelson arrived at the facility to conduct a health and safety check and follow-up regarding technical assistance that was provided to the facility during an inspection conducted on 5/8/2024. During today's inspection, LPAs toured the facility, reviewed documentation for centrally stored medications, and reviewed three (3) resident records and two (2) staff records. LPAs observed that one (1) caregiver did not have sufficient initial training per health and safety code. LPAs observed facility did not have logs documented for quarterly drills. LPAs also observed that facility was missing start dates for when medications were started for residents. As a result of today's inspection, deficiencies are being cited pursuant to California Code of Regulations, Title 22, Division 6. Deficiencies are listed on 809-D pages. Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.

Citations

3 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.

  • 1569.625(b)(1)Type B

    §1569.625 Staff training; legislative findings; contents (b) (1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Based on LPAs' observations and records reviewed, facility did not ensure that initial training was sufficient for one (1) caregiver per Health and Safety Code, which poses a potential health, safety or personal rights risk to persons in care.

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  • 1569.695Type B

    §1569.695 Emergency Plans (c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is notrequired during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Based on LPAs' observations and records reviewed, facility did not ensure to document quarterly drills completed, which poses a potential health, safety or personal rights risk to persons in care.

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  • 87465(a)(4)Type A

    87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on LPAs' observations and records reviewed, the facility did not ensure that documentation for medication administered was complete, resulting in information missing pertaining to medication administration, which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 28, 2024 inspection of SAINT THOMAS CARE HOME?

This was a other inspection of SAINT THOMAS CARE HOME on August 28, 2024. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to SAINT THOMAS CARE HOME on August 28, 2024?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "§1569.625 Staff training; legislative findings; contents (b) (1) The department shall adopt regulations to require staff..."

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.