Valley View Care Home

87109 Transferability of License(b)The licensee shall notify the licensing agency and all residents receiving services, or their representatives, in writing as soon as possible and in all cases at least thirty (30) days prior to the transfer of the property or business... This requirement is not met as evidenced by:Based on interview & record review, the licensee did not comply with the section cited above in the licensee did not notify Community Care Licensing within thirty (30) business days of the transfer of the facility to a Limited Liability Corporation which poses a potential health, safety or personal rights risk to persons in care.

Update reappraisal at required intervals

Based on LPA and licensee observation and record review, the licensee did not comply with the section cited above inthast R1 and R2 did not have current apprisals on file, which poses an immediate health, safety or personal rights risk to persons in care.

Document required staff training and orientation

Based on LPA and licensee observation and record review, the licensee did not comply with the section cited above in that S1, S2, S3, and S4 did not have current training completed, which poses an immediate health, safety or personal rights risk to persons in care.

Include required health screening documents

Based on LPA and licensee observation and record review, the licensee did not comply with the section cited above in that S1 and S3 did not have Health screen on file, poses an immediate health, safety or personal rights risk to persons in care.

Address and clearance obligations before facility work

Based on LPA nad licensee observation and record review, the licensee did not comply with the section cited above in that S1 did not have fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care. **civil penalty assessed, see LIC421BG

Based on LPA and licensee interview and record review, the licensee did not comply with the section cited above in that facility’s last quarterly disaster drills were conducted last conducted 4/19/24, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA and licensee observation and record review, the licensee did not comply with the section cited above in that S1, S2, S3 and S4 did not have current !st Aid/CPR which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA and licensee observation and record review the licensee did not comply with the section cited above in that Residents in rooms #3 and #6 have oxygen in use but licensee could not produce notification fax to fire dept, which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA and licensee observation, the licensee did not comply with the section cited above in that Residents in rooms #3 and #6 have oxygen in use but no sign of use present, which poses an immediate health, safety or personal rights risk to persons in care.

Certified administrator requirements and substitute coverage

87405 Administrator - Qualifications and Duties 87405 (a) All facilities shall have a qualified and currently certified administrator. This requirement is not met as evidenced by: Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that Josephine Credo, Administrator could not provide a copy of current Administrator Certificate or provide copy of email indicating receipt of renewal payment from CCL, which poses a immediate health, safety or personal rights risk to persons in care.

Maintain required personnel records for staff

87412(a) The licensee shall ensure that personnel records are maintained... Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that S2, S4, and S5 did not have Heath Screens, which poses an potential health, safety or personal rights risk to persons in care.

Document required staff training and orientation

87412 (c) Licensees shall maintain in the personnel records verification of required staff training and orientation.This requirement is not met as evidenced by: Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that S3, S4, and S5 did not have Training records available, which poses an immediate health, safety or personal rights risk to persons in care.

Document behavioral expression and related causes

87463 (c) The licensee shall arrange a meeting with the resident, the resident's representative.. when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that R1, R2, and R5 did not have any Appraisal Needs and Services Plan (R5 had plan present but not dated at the top of appraisal -note says to see 602, 602 dated 2022), which poses a potential health, safety or personal rights risk to persons in care.

Develop required incidental medical care plan

87465 (a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that LPA and Admin observed medication errors during spot check of R2s medication: Vitamin B12 bubble pack with start date of 5/15/2024 had one tablet missing. Levothyroxine with start date of 5/15/2024 had one tablet missing which poses an immediate health, safety or personal rights risk to persons in care

87705(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment...This requirement is not met as evidenced by: Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that R1, R2, and R5 have diagnosis of Dementia but their Physician's Reports are dated 2022 which poses a potential health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that LPA and Admin observed medication errors during spot check of R2s medication: Vitamin B12 bubble pack with start date of 5/15/2024 had one tablet missing. Levothyroxine with start date of 5/15/2024 had one tablet missing which poses an immediate health, safety or personal rights risk to persons in care

Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that R1, R2, and R5 have diagnosis of Dementia but their Physician's Reports are dated 2022 which poses a potential health, safety or personal rights risk to persons in care.

Document behavioral expression and related causes

Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that R1, R2, and R5 did not have any Appraisal Needs and Services Plan (R5 had plan present but not dated at the top of appraisal -note says to see 602, 602 dated 2022), which poses a potential health, safety or personal rights risk to persons in care.

Document required staff training and orientation

Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that S3, S4, and S5 did not have Training records available, which poses an immediate health, safety or personal rights risk to persons in care.

Include required health screening documents

Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that S2, S4, and S5 did not have Heath Screens, which poses an immediate health, safety or personal rights risk to persons in care.

Certified administrator requirements and substitute coverage

Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that Josephine Credo, Administrator could not provide a copy of current Administrator Certificate or provide copy of email indicating receipt of renewal payment from CCL, which poses a potential health, safety or personal rights risk to persons in care.

Use slip-resistant surfaces in bathing areas

Based on LPA and Admin observation the licensee did not comply with the section cited above in that the resident bathroom next to laundry room had non-skid mat present but mat had black spots and film underneath mat, which poses a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on LPA and Admin observation, the licensee did not comply with the section cited above in that bedroom #2 had a soft spot underneath wood flooring, when pressed upon with weight, floor gives way and sinks in and there is a hole in the kitchen wall by outlet near door exiting to the backyard, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that S1, S2, S3, S4, and S5 did not have current First Aid/CPR, which poses an immediate health, safety or personal rights risk to persons in care.

Based on an interview with the Administrator and Record Review, the licensee did not comply with the section cited above in which the facility did not conduct a drill at least quarterly for each shift which poses a potential health, safety or personal rights risk to persons in care.