Oakland Heights Senior Living

Facilities shall have signal systems which shall meet the following criteria: Transmit a …auditory signal to a…location…loud enough to summon staff.This requirement was not met as evidence by Based on observation, the licensee did not comply with the section cited above by not having the supplied pendent functioning which posed a potential health and safety risk to persons in care.

87309(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items...This requirement is not met as evidenced by: Based on observations and record review, the licensee did not comply with the section cited above by having unlocked medications such as polyethylene glycol in R1’s room in memory care and unlocked bug spray in the common area which posed an immediate safety risk to persons in care.

87303(e)(2) Maintenance and Operation(2)... the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having the water temperature measured at 100.1 degrees Fahrenheit which poses a potential safety risk to persons in care.

Admission Agreements. (h) The admission agreement shall not contain the following: (2) Written or oral agreements to waive facility responsibility or liability for the health, safety or the personal property of residents, or the provision of safe and healthful facilities, equipment and accommodations. This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by including bed bug appendix in the admission agreement which poses a personal rights violation to the persons in care.

(h) The admission agreement shall not contain the following: (2) Written or oral agreements to waive facility responsibility or liability for the health, safety or the personal property of residents, or the provision of safe and healthful facilities, equipment and accommodations. This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above. Licensee added a bed bug addendum to the admissions agreement requiring residents to pay for bed bug eradication, which poses a potential health, safety or personal rights risk to persons in care.

Enumerated rights: (a) Residents of residential care facilities for the elderly shall have all of the following rights:(5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. Based on record review the licensee did not comply with the section cited above. Licensee added a bed bug addendum to the admissions agreement requiring residents to pay for bed bug eradication, which poses a potential health, safety or personal rights risk to persons in care.

87464 Basic Services(e) If the resident is an SSI/SSP recipient, then the basic services shall be provided and/or made available at the basic rate at no additional charge to the resident. This requirement was not met as evidence by: Based on interviews and record review the Licensee did not comply with the section cited above in providing basic service at no additional rate for an SSI/SSP recipitent, which poses a potential risk 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:(22) To be protected from involuntary transfers, discharges, and evictions in violation of state laws and regulations. Facilities shall not involuntarily transfer or evict residents for grounds other than those specifically enumerated under state law or regulations, and shall comply with enumerated eviction and relocation protections for residents. For purposes of this paragraph, “involuntary” means a transfer, discharge, or eviction that is initiated by the licensee, not by the resident.

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 the facility did not ensure the R1’s apartment was kept free of bed bugs.

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:(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, This requirement is not met as evidenced by the facility threatening R1 with eviction if they did not sign the addendum to the admission agreement.

87507 Admission Agreements(h)The admission agreement shall not contain the following: (2) Written or oral agreements to waive facility responsibility or liability for the health, safety or the personal property of residents, or the provision of safe and healthful facilities, equipment and accommodations. This requirement is not met as evidenced by: the facility waiving it's responsibility to provide a safe and healthy facility by requiring residents to pay the cost of bed bug removal.

87208(a) Plan of Operation…Any significant changes in the plan of operation…shall be submitted to the licensing agency for approval.This requirement is not met as evidenced by: Based on observations, interviews and record review, the licensee did not comply with the section cited above in by changing the plan of operation without CCLD approval which poses a potential health, safety, or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. Hot water in the hallway bathroom was measured at 147.2 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation the licensee did not comply with the section cited above. LPA observed several days of pre-poured medication s in the med room which poses/posed a potential health, safety or personal rights risk 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: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. -This requirement is not met as evidenced by:-Based on records review and interviews. the licensee did not comply with the section above for staff not responding to residents' calls in timely manner which poses immediate health, safety 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 by:-Based on inspection, observation and inteview, the licensee did not comply with the section above for having rat infestation.

87411 Personnel Requirements - General: (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed ........... -This requirenent is not met as evidenced by:-Based on interviews, the licensee did not comply with the section above for not having sufficient staff.

87705 Care of Persons with Dementia(l):(8) Fire and earthquake drills shall be conducted at least once every three months on each shift and shall include, at a minimum, all direct care staff.-This requirement is not met as evidenced by: -Based on records review and interview, the licensee did not comply with the section above for not having completed fire drills which poses potential safety risks to persons in care.

87412 Personnel Records(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours.-This requierment is not met as evodenced by: -Based on interview, the licensee did not comply with the above for not having staff file available for review.

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 and inspection. the licensee did not comply with the section above. LPA observed a clothes washer in the Salem Building with an out or order sign on it which poses a potential safety risk to person in care.

(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects... All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects.This requirement is not met as evidenced by: Licensee failed to keep the facility clean and free of pests which posed a potential health and safety risk to residents in care

87465 (g) The licensee shall immediately telephone 9-1-1 if an injury... has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis... This requirement was not met as evidence by: Based on investigation the Licensee did not comply with the section cited above in telephoning 9-1-1 immediately for an injury, which poses a potential health and safety risk to persons in care.

87755 Inspection Authority of the Licensing Agency (c)The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand... Records may be removed if necessary for copying... This requirement was not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not providing records requested by the department which poses a potential health and safety risk to the persons in care.

87405 Administrator - Qualifications and Duties(a) All facilities shall have a qualified and currently certified administrator.This requirement is not met as evidenced by… Based on record review, the licensee did not comply with the section cited above. LPA observed facility does not have an active certified Administrator associated in the month of January and February 2022 which poses a potential health and safety concern to persons in care.

87303 Maintenance and Operation(a)The facility shall be clean, safe, sanitary and in good repair at all times....This requirement is not met as evidenced by… Based on record review, the licensee did not comply with the section cited above. LPA observed key fobs on Salam Woods Building did not operate to open the door which poses a potential health and safety concern to persons in care.

Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, facility staff failed to respond to residents pendant call for assistance in a timely manner which poses a potential risk to the health and safety of resident under care.

8730387303 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 regulation is not being meet by observation of the doors to the independent living building. The doors must be manually opened manually which posed a potential threat to the safety of the residents in care.

Basic ServicesBasic services shall at a minimum include: (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications… This requirement was not met as evidenced by staff failing to reposition resident in bed which posed a potential health & safety risk to resident in care

Personal Accommodations & Services: The following space and safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement was not met as evidenced by non functioning building elevator, exterior doors & FOB keys which posed a potential Health & Safety risk to residents in care

Personal Rights(a) …residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by resident sustaining pressure injuries while in care which posed a potential health & safety risk to resident in care

Personnel requirements - GeneralAll RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (3) The training shall include, but not be limited to, the following: (B) Importance and techniques of personal care services, including but not limited to, bathing, grooming, dressing, feeding, toileting, and infection control… This requirement was not met as evidenced by staff failing to reposition resident which posed a potential health & safety risk to resident in care

(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. General Food Service Requirements. All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Licensee failed to keep the facility clean and free of rodents which poses a potential health and safety risk to residents 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 was not met as evidenced by inaccessible elevator from garage to residential levels which posed a potential health & safety risk to residents in care.

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 was not met as evidenced by inoperable exterior doors which posed a potential health & safety risk to residents in care

Personal Accommodations and Services(d) The following space and safety provisions shall apply to all facilities:(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction.This requirement was not met as evidenced by: Based on LPAs observation, Licensee did not comply with the regulation cited above. LPAs observed a dresser blocking the exit in the memory care building which poses an immediate health and safety risk to residents in care.

Maintenance and Operation(e)Water supplies and plumbing fixtures shall be maintained as follows:(2) Faucets used by residents...Hot water temperature controls shall be maintained ... to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Based on LPAs observation, Licensee did not comply with the regulation cited above. LPAs observed hot water temperature maintained at 123 and 96 degrees F which poses an immediate health and safety risk to residents 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 inspection and observation, the licensee did not comply with the section cited above. LPA observed cables in the hallway and pails of paint and Pennzoil close to the running generator. These pose immediate safety risks to persons in care.

Maintenance and Operation.The facility shall be clean, safe, sanitary and in good repair at all times...This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not repairing the community gate which poses a potential health and safety risk to the residents in care.

87405 Administrator - Qualifications and Duties (h) The administrator shall have the responsibility to: (8) work effectively with social agencies. This requirement was not met as evidenced by: Based on interviews conducted two agencies stated that administrator is not communicating effectively with agencies which poses a potential health and safety risk to residents in care.

87307 (d) The following space and safety provisions shall apply...: (2) The premises shall be maintained in a state of good repair... This requirement was not met as evidenced by: LPAs observed sink in medication room had no p-trap, so water was being drained into a bucket underneath the sink.

87303 (a) The facility shall be clean, safe, sanitary... Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents... This requirement was not met as evidenced by: Based on staff, resident, and reporting party interviews, facility failed to prevent bed bugs in R10's bedroom which poses a potential personal rights of residents in care.

1569.69 (b) Each employee ...who continues to assist residents with the self-administration of medicines, shall also complete eight hours... training on medication-related issues each succeeding 12-month period. This requirement was not met as evidenced by: Based on record review Staff (S8) and (S12) did not have required training which poses a potential health and safety risk to residents in care.

87555 (b) The following food service requirements shall apply:(6) ...menus shall be written at least one week in advance and copies of the menus as served shall be dated and kept on file for at least 30 days… Based on record review, Facility was unable to produce LPAs a facility menu of one week nor copies of the menu in the last thirty days which poses a potential personal rights of residents 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: (2) To be accorded safe, healthful... accommodations... This requirement is not met as evidenced by: Based on LPA observation, facility did not follow COVID-19 infection prevention protocols which poses an immediate health and safety risk to residents in care.