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F0836
B

Failure to Separate Organic Waste per State Law

Santa Ana, California Survey Completed on 07-23-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to comply with California State law SB 1383, which requires the separation of organic waste from the general waste stream. During an observation and interview with the Director of Social Services (DSS) and the Maintenance Director in the facility's trash area, it was found that the facility did not have separate bins for organic waste as mandated by the law. Both the DSS and Maintenance Director confirmed that the facility was not separating organic waste from other waste and did not possess the required organic waste bins. This deficiency was identified through direct observation and staff interviews, confirming that the facility was not adhering to state regulations regarding waste management. There were no specific residents or patient medical histories mentioned in relation to this deficiency. The failure to separate organic waste was verified by facility leadership during the survey process.

Plan Of Correction

1. The corrective action(s) accomplished for the residents found to have been affected by the deficient practice: All residents were affected by this deficient practice. On 7/18/25, immediately, the maintenance director contacted the waste management provider to initiate and coordinate organic waste bin service and delivery. On 7/23/25, appropriate organic waste bins were placed in the designated waste disposal area. The Maintenance Director in-serviced all dietary staff about the facility P&P for organic waste disposal per regulatory requirements. 2. How the facility will identify other residents having the potential to be affected by the same deficient practice and what corrective action will be taken: All residents have the potential to be affected by this deficient practice. On 7/23/25, the Maintenance Director and designee verified with the contracted waste management provider of compliance and conducted a facility-wide waste audit to ensure waste disposal practices are met per SB 1383; no other deficiencies were identified. On 7/25/2025, 8/4/2025-8/8/2025, the Administrator in-serviced all staff regarding organic waste regulation under SB 1383. 3. Measures that will be put into place or systematic change the facility will make to ensure that the deficient practice does not recur: The Administrator and Dietary Supervisor or designee will oversee the process. The dietary supervisor or designee will monitor compliance, making sure dietary staff are following the regulation under SB 1383 for separation of organic waste from the waste stream. The Administrator will check randomly to make sure staff are compliant with SB 1383 regulation three months.

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