Follow-up on corrections·March 29, 2025

Citations

3 citations recorded^*CCLD

• 87405(a)Type B

  87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. This requirement was not met by: Based on observations and interviews, the licensee fail to ensure that there is not a designee administrator at the facility when the executive director is not available. This poses a potential health and safety risk to all residents in care.

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• 87755(c)Type B

  87755 Inspection Authority of the Licensing Agency(c) The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the requirements in Sections 87412(f), 87506(d), and 87508(b).This requirement was not met by: Based on observations and interviews, the licensee fail to ensure that records were not avalilable upon demand from licensing agency. This poses a potential health and safety risk to all residents in care.

• 87411(a)Type B

  Personnel Requirements (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.This requirement was not met as evidenced by: Based on records and interviews the licensee did not comply with the section cited above. 4 out of 7 staff agreed with allegation and records reviewed indicated that the facility at times has 1 staff for 41 residents and 10 of those residents require incontinence care. This is a potential health and safety risk to residents in care.

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