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Source: CA Community Care Licensing Division
The inspection identified multiple deficiencies, including one Type A citation regarding unsecured cleaning chemicals, which was noted as corrected. Additionally, two Type B deficiencies were cited concerning the labeling and storage of centrally stored medications. The facility was required to submit a Plan of Correction for these medication-related issues.
The facility failed to ensure that disinfectants, cleaning solutions, poisonous substances, and other similar items are in locked storage and not left unattended if outside locked storage.
The facility was found to have no labeling for centrally stored medications, which is required by state and federal laws.
The facility failed to ensure that prescription medications are labeled by the pharmacy, which poses a potential health, safety or personal rights risk to clients in care.
A large container of purple cleaning liquid "Flash" was found stored in front of a client bathroom, accessible to clients, posing an immediate health and safety risk.
The inspection revealed multiple significant deficiencies, including immediate health risks related to infection control (PPE usage, COVID reporting) and facility safety (lack of CO detector). Several Type A citations were issued, alongside Type B citations concerning food supply and staff training. Corrective action is required for all cited deficiencies by their respective due dates.
Staff CC started without the required criminal record clearance, posing an immediate health, safety, or personal rights risk to clients in care.
Two out of six staff members do not have current first aid training, which poses a potential health, safety, or personal rights risk to clients in care.
The facility failed to submit written reports of two COVID-19 positive clients to CCLD and the County Public Health Department, posing an immediate health risk.
The facility does not maintain adequate supplies of nonperishable foods for a minimum of one week, as only 5 cans of fruit were found.
Basic services require arrangements to meet health needs, but the licensee failed to ensure an adequate supply of personal protective equipment (PPE).
Staff were observed wearing surgical masks only while assisting a COVID-positive client in the hallway, indicating a failure to ensure proper PPE training for caregivers in direct contact with COVID clients.
The facility lacks a carbon monoxide detector, which poses an immediate health and safety risk to clients in care.
The facility lacks an adequate 7-day supply of canned foods, specifically missing canned vegetables and protein, posing a potential health and safety risk.
The unannounced case management visit identified deficiencies related to resident care planning. Specifically, the facility failed to update the resident's appraisal/needs and service plan (LIC 625) following a change in health condition for Resident #1. Corrective actions are required to ensure all resident records accurately reflect current health status and care needs.
The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate.
The facility failed to complete a LIC 625 (Appraisal/needs and service plan) for R1's change of health condition, which posed a potential risk for the resident in care.
The unannounced case management visit identified deficiencies related to resident care planning. Specifically, the facility failed to update the resident's appraisal/needs and service plan (LIC 625) following a change in health condition for Resident #1. Corrective actions are required to ensure all resident records accurately reflect current health status and care needs.
A written report must be submitted to the licensing agency and the responsible party within seven days detailing the date and nature of the event, physician's findings, and disposition.
The facility failed to report a change in condition (skin condition on the right great toe) for resident R1, which posed an immediate health risk.
The facility was inspected on November 10, 2021, and was found to have one significant deficiency. The primary finding relates to improper use of bed rails, which presents an immediate health and safety risk to a resident. The facility was required to submit several updated forms and plans of correction.
Bed rails extending the entire length of the bed are prohibited unless the resident has a hospice care plan specifying the need for full bed rails. This was observed with 2 half bed rails on the bed for client #1 in room 4, posing an immediate health or safety risk.
Heritage Residential Care, INC.; Almacare INC
EISEMAN, THOMAS
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CA CCLD — View Official Record
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