Escueta Care Home 3, Inc.

Based on record review, the licensee did not comply with the section cited above in R3's half bed rails and hoyer lift not having doctor's orders which pose a potential health, safety and/or personal rights risks to persons in care.

Based on observation and records review, the licensee did not comply with the section cited above in R1 and R2's quantities of medications on labels do not match the quantities received by the facility which poses a potential personal rights risks to persons in care.

Based on record review, the licensee did not comply with the section cited above in not having LIC601 Identification and Emergency Contact Information for R2 which poses potential health, safety and/or personal rights risks to person in care.

Based on records review, the licensee did not comply with the section cited above in S2 not having the required 4 hrs training and S3 only have 2 hours of the required 4 hours required postural support, restricted health condition & hospice care training for 2024 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 hot water at 103.2 degrees Fahrenheit.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 the following which pose a potential safety and/or personal rights risks to persons in care: pieces of wood, metal grill, rusted cart, missing wood planks fence in the backyard; side fence's wood planks coming off.

Based on observation, the licensee did not comply with the section cited above in the following which pose an immediiate risks to the safety of persons in care: unlocked scissors; peelers in kitchen cabinet without lock; 2 pails of paint and Hydraulic oil in the backyard; former resident’s medications in unlocked garage

Based on records review, the licensee did not comply with the section cited above in 3 out of 3 residents' LIC625 over a year old which pose a potential health risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in S4’s required 40 hours of training not completed within 4 weeks of employment which posed a potential health, safety and/or personal rights risks to persons in care.

§1569.69 Employees assisting residents with self-administration of medication; training requirements: (b) Each employee .... who continues to assist with the self-administration of medicines, shall also complete four hours of in-service training on medication-related issues in each..... .....succeeding 12-month period.-This is not met as evidenced by:-Based on records review, the licensee did not comply with the section above for 2 staff not having the total required number of annnual medication training on file.

87465 Incidental Medical and Dental Care: (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank,maintained in the residents file.,.... -This is not met as evidenced by:-Based on records review, the licensee did not comply with the section above for 4 out of 4 residents not having doctor's orders on file which pose immediate health risks to persons in care.

§1569.625 Staff training; legislative findings; contents (2).... training requirements shall also include an additional 20 hours annually, 8 hours of which shall be dementia care training, ... and four hours of which shall be specific to postural supports, restricted health conditions, and hospice -This is not met as evidenced by:-Based on records review, the licensee did not comply with the section above for 2 out of 5 staff with incomplete required annual training on file which poses potential safety and personal right risks to persons in care.

87463 Reappraisals: (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition..... -This is not met as evidenced by:-Based on records review, the licensee did not comply with the section above for 3 out of 4 residents not having a current re-appraisal on file which pose potential health and personal right risks to persons in care.

87303 Maintenance and Operation(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. -This requirement is not met as evidenced:-LPA observed the following: collapsed boxes, toilet, mattress and bed frame in the backyard; side fence leaning. These pose potential safety risks to persons in 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) Request a transfer of a criminal record clearance as specified in Section 87355(c) -This requirement is not met as evidenced:-Based on record review,, the licensee did not comply with the section above for a staff not associated to this facility which poses potential safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. LPA observed staff's medications and supplements stored in unlocked closet which pose immediate heatth and safety risks to persons in care.