Emerald Home Care

87355 Criminal Record Clearance(e) All individuals subject to a criminal record review ... 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....-This requirement is not met as evidenced by: -Based on interview, and LPA checking of the Department's Guardian Portal, the licensee did not comply with the section in S1 not having fingerprint clearance which posed an immediate safety and/or personal rights risks to person in care.

87506 Resident Records: (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. -This requirement is not met as evidenced by-Based on interviews, the licensee did not comply with the section above in not providing the requested documents which posed a potential personal rights risk to person in care.

Based on observation, the licensee did not comply with the section cited above by having unlocked knives, gardening tools and cleaning supplies which poses an immediate health and safety risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above by not documenting resident's changes in condition which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by not having current medical assessment and reappraisal for R1 which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having unlocked medications which poses an immediate health and safety risk to persons in care.

(a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative written notice of the rate increase within 2 business days after initially providing services at the new level of care. The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. This requirement was not met as evidenced by absence of written notice explaining the higher level of care charges 2 days after change of level of care was observed which is in violation of Title 22 H&S Section 1569.657

(A) Reporting Requirements states: Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (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 of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(A) Death of any resident from any cause regardless of where the death occurred, including but not limited to a day program, a hospital, en route to or from a hospital, or visiting away from the facility. This requirement was not met as evidenced by staff failing to submit to CCL wiithin 7 days of occurrence of resident's fall on 07/13/22 & death 0n 07/18/22 which is in violation of Title 22 Section 87211.