Livermore Care Home

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.

Based on observation, the licensee did not comply with the section cited above by having unlocked medication in the refrigerator and cabinet which poses an immediate health and safety risk to persons in care. POC Due Date: 03/20/2026 Plan of Correction 1 2 3 4 Administrator locked up the medications during inspection. Deficiency cleared. Civil penalty of $250 is being assessed for repeat violation.

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.

Based on observation, the licensee did not comply with the section cited above by having outdoor area with overgrown weeds, tree droppings, cigarette buds, a pile of items to be disposed, and screen door in disrepair which poses a potential health and safety risk to persons in care. POC Due Date: 04/17/2026 Plan of Correction 1 2 3 4 Administrator has agreed to trim the overgrown weeds, clean tree droppings and cigarette buds, dispose of the items, and repair screen door in bedroom 6. Administ…

(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, …

Based on record review, the licensee did not comply with the section cited above by not having initial training completed for S3 which poses a potential health and safety risk to persons in care. POC Due Date: 04/10/2026 Plan of Correction 1 2 3 4 Administrator has agreed to obtain initial training for S3 and submit training completion to CCLD by POC date.

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivisi…

Based on record review, the licensee did not comply with the section cited above by not having annual training completed for S2 which poses a potential health and safety risk to persons in care. POC Due Date: 04/10/2026 Plan of Correction 1 2 3 4 Administrator has agreed to obtain annual training for S2 and submit training completion to CCLD by POC date.

(4) The licensee shall assist residents with self-administered medications as needed.

Based on observation, the licensee did not comply with the section cited above by not having refill medication for R2 which poses a potential health and safety risk to persons in care. POC Due Date: 03/27/2026 Plan of Correction 1 2 3 4 Administrator has agreed to obtain medication refill for R2's Furosemide and submit picture proof to CCLD by POC date.

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, th…

Based on record review, the licensee did not comply with the section cited above by not having current reappraisal or pre-placement appraisals for residents which poses a potential health and safety risk to persons in care. POC Due Date: 04/10/2026 Plan of Correction 1 2 3 4 Administrator has agreed to obtain current reappraisal and/or pre-placement appraisals for residents. Administrator will submit documents to CCLD by POC date.

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.

Based on observation, the licensee did not comply with the section cited above by having unlocked lighters and cleaning supplies which poses an immediate health and safety risk to persons in care. POC Due Date: 03/14/2025 Plan of Correction 1 2 3 4 Staff locked up the lighter and cleaning supplies during inspection. Civil penalty of $250 is being assessed for a repeat violation. Deficiency cleared.

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.

Based on observation, the licensee did not comply with the section cited above by having unlocked medications in the refrigerator and cabinet which poses an immediate health and safety risk to persons in care. POC Due Date: 03/14/2025 Plan of Correction 1 2 3 4 Facility has agreed to purchase a lockbox to lock up the medications in the refrigerator and submit picture proof to CCLD by POC date.

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department or

Based on interviews and record review, the licensee did not comply with the section cited above by having uncleared staff work at the facility which poses an immediate health and safety risk to persons in care. POC Due Date: 03/14/2025 Plan of Correction 1 2 3 4 S4 left the facility during inspection and administrator stated that S4 will not be returning to the facility until S4 is cleared and associated to the facility. Facility will submit a plan to get S4 fingerprint cleared prior to return…

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are …

Based on observation and record review, the licensee did not comply with the section cited above by not following doctor's order when giving R1's medication which poses an immediate health and safety risk to persons in care. POC Due Date: 03/27/2024 Plan of Correction 1 2 3 4 Facility has agreed to conduct training for staff on medication administration and completing the MAR. Facility will submit training log to CCLD by POC date.

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.

Based on observation, the licensee did not comply with the section cited above by having room 4's screen door in disrepair and dog feces in backyard which poses a potential health and safety risk to persons in care. POC Due Date: 04/19/2024 Plan of Correction 1 2 3 4 Facility has agreed to repair screen door in room 4 and clean up the dog feces in the backyard. Facility will submit picture proof to CCLD by POC date.

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivisi…

Based on record review, the licensee did not comply with the section cited above by not having current annual training for staff which poses a potential health and safety risk to persons in care. POC Due Date: 04/19/2024 Plan of Correction 1 2 3 4 Facility has agreed to obtain annual training for S2 and S3 and submit training documents to CCLD by POC date.

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours o…

Based on record review, the licensee did not comply with the section cited above by not having initial training for staff which poses a potential health and safety risk to persons in care. POC Due Date: 04/19/2024 Plan of Correction 1 2 3 4 Facility has agreed to obtain initial training for S2 and S3 and submit documents of training to CCLD by POC date.

(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude car…

Based on record review, the licensee did not comply with the section cited above by not TB test results for R3 and R4 which poses a potential health and safety risk to persons in care. POC Due Date: 04/19/2024 Plan of Correction 1 2 3 4 Facility has agreed to obtain TB test results for R3 and R4 and submit copies of documentation to CCLD by POC date.

(a) Prior to, or within two weeks of the resident's admission, the licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, and any other appropriate parties, to prepare a written record of the care the resident will rece…

Based on record review, the licensee did not comply with the section cited above by not having current needs and service plans for three residents which poses a potential health and safety risk to persons in care. POC Due Date: 04/19/2024 Plan of Correction 1 2 3 4 Facility has agreed to obtain current needs and service plan for R1, R2, and R3, and submit copies to CCLD by POC date.

(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.

Based on record review, the licensee did not comply with the section cited above by not having current first aid training for staff which poses a potential health and safety risk to persons in care. POC Due Date: 04/19/2024 Plan of Correction 1 2 3 4 Facility has agreed to obtain current first aid training for S2 and S3 and submit copies of completion to CCLD by POC date.

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:

Based on observation, the licensee did not comply with the section cited above by having baby monitors in resident's rooms which poses a potential personal rights risk to persons in care. POC Due Date: 04/19/2024 Plan of Correction 1 2 3 4 Facility has agreed submit a written plan to install a signal system in place of the baby monitors. Facility will submit plans to CCLD by POC date.

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.

Based on observation, the licensee did not comply with the section cited above by having full bed rails for R1 who was not on hospice care which poses an immediate health and safety risk to persons in care. POC Due Date: 02/17/2023 Plan of Correction 1 2 3 4 Staff removed the full bed rails for R1 during inspection. Deficiency cleared.

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks.  Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after …

Based on observation, the licensee did not comply with the section cited above by not having health screening and TB test for S1 which poses a potential health and safety risk to persons in care. POC Due Date: 02/24/2023 Plan of Correction 1 2 3 4 Administrator has agreed to submit S1's TB test and health screening to CCLD by POC date.

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained.

Based on observation, the licensee did not comply with the section cited above by having store bought eggs unrefrigerated which poses a potential health and safety risk to persons in care. POC Due Date: 02/17/2023 Plan of Correction 1 2 3 4 Caregiver discarded the eggs during inspection. Deficiency cleared.

(b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises.

Based on observation, the licensee did not comply with the section cited above by not having a one week supply of non-perishable food which poses a potential health and safety risk to persons in care. POC Due Date: 02/24/2023 Plan of Correction 1 2 3 4 Administrator has agreed to purchase additional nonperishable foods and submit picture proof to CCLD by POC date.