Lakeshore Residential Care

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having pre-poured medication which poses an immediate health and safety risk to persons in care.

a) Except as specified in subsection (b)the licensee ... that disinfectants, cleaning solutions, poisonous... objects, and other similar items which ...r to residents are in locked storage and are not left unattended... locked storage. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having unlocked cleaning solution which poses an immediate health and safety risk to persons in care.

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department.This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having from entry door unlocked from the inside, which poses a potential safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by not having an updated appraisal needs and services plan for R2 and R5 which poses a potential personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by. Administrator was unable to provide staff training for 2025 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 in having the resident's shower room used as a storage room filled with debris which poses a potential safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by not having S2 associated with the facility on Guardian which poses a potential safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by not having the liability insurance cover the enough amount required per occurrence and total annual aggregate which poses a potential health and safety risk 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 by:-Based on interviews, the licensee did not comply with the section above in facility having cockroaches.

87465 Incidental Medical and Dental Care: (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening........-This requirement is not met as evidenced by: -Based on interviews and records review, the licensee did not comply with the section when R1 fell and sustained injury and staff did not call 9-1-1 immediately which posed an immediate health, safety and personal rights risks to person in care.

87217 Safeguards for Resident Cash, Personal Property, and Valuables(b) Every facility shall take appropriate measures to safeguard residents... personal property and valuables which have been entrusted to the licensee or facility staff. Based on observation the licensee did not comply with the section cited above. Items were being taked from a resident's room which poses a potential health, safety or personal rights risk to persons in care.

87216 Bonding(a) Each licensee, other than a county, who is entrusted to safeguard resident cash resources, shall file or have on file with the licensing agency a copy of a bond issued by a surety company to the State of California as principal.This requirement is not met as evidenced by; Based on records submitted by Administrator to LPA L. Fontanilla, facility is handling resident cash resources but does not have required surety bond issued by a surety company to the State of California as principal which is a potential risk to health and safety of residents under care.

87216 Bonding(d) No licensee shall either handle money of a resident or handle amounts greater than those stated in the affidavit submitted by him or for which his bond is on file without first notifying the licensing agency and filing a new or revised bond as required by the licensing agency.This requirement is not met as evidenced by; Based on Affidavit Regarding Client/Resident Cash Resources (LIC400) signed by Administrator on 3/1/2022, the amount of money facility will handle for all residents has a maximum of $800.00 per month. A review of the expense logs submitted to LPA L. Fontanilla indicate facility is handling more than what is indicated in LIC400 which is a potential risk to the health and safety of residents under care.

87224 Eviction Procedures(b) The licensee may, upon obtaining prior written approval from the licensing agency, evict the resident upon three (3) days written notice to quit.This requirement is not met as evidenced by: -Based on interviews and records review, the licensee did not comply with the Regulation above by not admitting resident back and did not provide the resident and resident's responsible person an eviction notice which posed potential personal rights risk to person in care,