C.U.R.A., INC.

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Published
0.000
Contact Information
Licensee Name
Camales Unidos Reformando Adictos Incorporate
37437 GlenmoorDrive, Fremont, CA 94536
Facility Name
Identification Number
010010AN
Reviews & Findings
Dates of Review
8-Mar-16
Type of Review
COMPLIANCE REVIEW
Deficiencies

1) Title 9, Section 10563 Accountability Class B

The above section states, in part, “The licensee whether an individual or other entity, is accountable for the general supervision of the licensed facility, and for the establishment of policies concerning its operation.”

The licensee was deficient in meeting the above regulation because the program’s Central Medication Storage log book did not document whether or not Resident refused or missed medication on but it was signed off by the staff.

2) Title 9, Section 10563 Accountability Class B

The above section states. in part, “The licensee whether an individual or other entity, is accountable for the general supervision of the licensed facility, and for the establishment of policies concerning its operation.

The licensee was deficient in meeting the above regulation because the program did not contain documentation of a medication refusal policy and procedure.

Deficiencies 2

3) Title 9, Section 10564(k) Personnel Requirement Class C

The above section states, in part, “The licensee shall develop, maintain, and implement an ongoing training program for all staff in the areas identified in section 10564(b)(3) of this sub chapter in addition to specific training related to their duties.”

The licensee was deficient in meeting the above regulation because the program did not have documentation of a developed, maintained and implemented ongoing training program for all staff.

4) Title 9, Section 10565(e)(1) Personnel Records Class B

The above section states, in part, “good physical health shall be verified by a health screening, including a test for tuberculosis, performed under licensed medical supervision not more than sixty (60) days prior to or seven (7) days after employment with tuberculosis testing renewable every year.”

Personnel with a known record of tuberculosis or record of positive testing shall not be required to be retested if a physician verifies the Individual has been under regular care and monitoring for tuberculosis. Such verification will be renewed annually.

The licensee was deficient in meeting this regulation because there was no current tuberculosis test result for employee.

5) Title 9, Section 10572(b) Health Related Services Class B

The above sections states, in part, “during the provision services there shall be at least one person in the facility who is capable of providing cardiopulmonary resuscitation and first aid. Individuals providing cardiopulmonary resuscitation and first aid shall be qualified by the American Red Cross or other recognized agencies.”

The licensee was deficient in meeting the above regulation because the personnel records did not contain documentation of a current First Aid and CPR certification during the provision of services for Employee #6.

6) Title 9, Section 10581(a) Building and Grounds Class C

The above section states, in part, “Facilities shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of residents, employees and visitors.”

The licensee was deficient in meeting the above regulation because the program is not clean, safe sanitary and/or has damage in the following areas:

• There was black grime buildup and loose debris in the areas where there.was carpet throughout the facility.
• The laundry facility floor was dirty with dust and debris.
• The laundry facility was unorganized.
• The Food Storage/Vault was dirty with dust and debris.
• Men’s Phase II room was unorganized and messy.

7) Title 9, Section 10584(e) Fixtures, Furniture, Equipment and Supplies Class C

The above section states, in part, “All toilets, hand washing and bathing facilities shall be maintained in safe and sanitary operating conditions.”

The licensee was deficient in meeting the above regulation because the program is not clean, safe, sanitary, and/or has damage in the following areas:

• The bottom of the wall/baseboards were dirty and dusty throughout the facility.
• The ceiling vents were dirty with dust buildup throughout the facility.
• The double stainless steel refrigerator rubber stripping was tearing off the inside of the door.
• The partition wall outside the men’s bathroom was torn/damaged.
• The men’s and women’s bathroom baseboards were dirty and dusty throughout the facility.
• The men’s and women’s bathroom showers (caulking, tiling, walls, ceilings, etc.) were dirty with mildew buildup throughout the facility.
• The men’s outside bathroom barber chair was torn and rusted.
• The dining room baseboard was covered with grey duct tape that was peeling off.
• Women’s Phase I – There was a broken soap dish in the shower that’s a hazard to residents.
• Men’s double bathroom – the bottom wall outside the shower was damaged.
• Men’s double bathroom – the wooden door was water damaged and peeling.
• Men’s hallway light fixture had electrical wires hanging from the ceiling.
• Several blinds throughout the facility were damaged.

8) Title 9, Section 10584(b) Fixtures, Furniture, Equipment and Supplies Class C

The above section states, in part, “All windows screens shall be in good repair.”

The licensee was deficient in meeting the above regulation because the window screens throughout the facility were dirty and dusty.

Deficiencies 3

1) Section 19005(b)(1-7): Personnel Policies

The above section states, in part, “The program shall maintain personnel files for all employees. Each personnel file shall contain: Application for employment and resume; Employment confirmation statement; Job description; and Employee evaluations.”

The provider was deficient in meeting the above standard because the following items were missing from the employees’ file:

(1) No resume for employee numbers 4 and 5.
(2) No salary schedule for employee #4 .
(3) No annual evaluation for all employee numbers 1 through 8.

2) Section 22000(a) Participant Rights

The above section states, in part, “Each participant shall have rights.”

The provider was deficient in meeting the above standard because the participant rights were missing the following statements:

1. The right to confidentiality as provided for in Title 42, Code of Federal Regulations, Part 2.

2. To be accorded dignity in contact with staff, volunteers, board members and other persons.

Detailed Information
Census Data

TOTAL OCCUPANCY:
Approved: 51
Census: 38

TREATMENT CAPACITY:
Approved: 51
Census: 38