Bethesda Home

87156 Licensing Fees: (a) An applicant or licensee shall be charged fees as specified in Health and Safety Code section 1569.185. provides ....after initial licensure, a fee shall be charged by the department annually on each anniversary of the effective date of the license. -This requirement is not met as evidenced by:-Based on review, the licensee did not comply with the section above in not paying the annual fee which was due on 4/04/26.

87156 Licensing Fees: (b) (1) In addition to fees set forth in subdivision (a), the department shall charge the following fees: (F) A late fee that represents an additional 50 percent of the established annual fee when any licensee fails to pay the annual licensing fee on or before the due date as... ....indicated by postmark on the payment.-This requirement is not met as evidenced by:-Based on review, the licensee did not pay the annual fee on or before the anniversary date which result to late fee charge.

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports ...(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence..(D) Any incident which threatens the welfare, safety or health of any resident...-This requirement is not met as evidenced by:-Based on interviews and records review, the licensee did not comply with the section above in not submitting the incident reports for R1, R2 & R3 which posed a potential health and/or personal rights risks to persons in care

Based on record review, the licensee did not comply with the section cited above in S1 has no 4 hours required training on file on postural support/restricted health conditions/hospice care which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in medication label of 1 of R5’s medication does not match the doctor’s order which poses a potential health and/or personal rights risks to person in care.

Based on observation andvrecord review, the licensee did not comply with the section cited above in R2 being non-ambulatory and the facility has no fire clearance nor licensed for non-ambulatory which poses an immediate safety risk to person in care.A $500.00 civil penalty is assessed.

Based on record review, the licensee did not comply with the section cited above in S3 and S4 not First Aid certified which pose a potential health, safety and/or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in not having carbon monoxide detectors in the West Wing and Azalea and Peralta Cottages which pose an immediate safety and/or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in trash can in West Wing resident's bathroom without lid which poses a potential health and/or personal rights risks to persons in care.

Based on observation, the licensee did not comply with the section cited above in fire place in the living room not adequately screened which poses an immediate safety and/or personal rights risk to persons in care.

Based on interview, the licensee did not comply with the section cited above in not having a certified administrator which poses a potential health, safety and/or personal rights risks to persons in care.

Based on interview, the licensee did not comply with the section cited above in not having the disaster drill records not readily availabe for review which poses a potential safety and/or personal rights risks to persons in care.

87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(15) To send and receive unopened correspondence in a prompt manner.-This requirement is not met as evidenced by: -Based on interview and observation, the licensee did not comply with the section above for R1's mail opened by staff and residents' mail left in the unlocked office which posed personal rights risks to persons in care.

§1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights:(3) To confidential treatment of their records and personal information and to approve their release, except as authorized by law.-This requirement is not met as evidenced by: -Based on inspection, the licensee did not comply with the section above for residents' files kept in open shelves readily accessible to anyone.

§1569.17 Fingerprints and criminal records of individuals in contact with clients...(b) (2)(E) Licensed or certified medical professionals are exempt from fingerprint and criminal background check requirements imposed by community care licensing. This exemption does not apply to a person who is a community care facility ...... ,,,,,,,licensee or an employee of the facility.-This requirement is not met as evidenced by;-Based on records review, the licensee did not comply with the section above for not having the staff fingerprint and associated. A civil penalty is assessed.

Based on observation, the licensee did not comply with the section cited above. Peritoneal cleanser was observed unlocked in a cabinet in one of the residents' toilets which poses an immediate safety risk to persons in care.