Carefield Castro Valley

87411Personnel 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 to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.This requirement is not met as evidenced: Based on evidence obtained during the course of this investigation, the Department has determined that lack of supervision resulted in resident sustaining multiple fractures from unwitnessed falls. This is a factual determination based on all the facts and circumstances of the case.

87211 Reporting Requirements(a) 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.This requirement was not met as evidence by: Based on investigation, facility did not comply with the section cited above facility failed to notify R1's POA in timely manner about her hospitalization which poses a potential health and safety risk to the 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 observation, the license did not comply with the section above by not maintaining a clean flooring in residents' rooms which poses potential health and personal right risks to persons in care.

87618 Oxygen Administration - Gas and Liquid: (b)......the licensee shall be responsible for the following: (3) Ensuring that the use of oxygen equipment meets the following requirements: (B) "No Smoking-Oxygen in Use" signs shall be posted....(E) Oxygen tanks that are not portable shall be secured in a stand or to the wall. -This requirement is not met as evidenced by:-Based on observation, the licensee did not comply with the section above. LPA observed O2 tanks blocking one of the resident room's sliding room, O2 tanks all over the place in other resident's room and no O2 signage which pose potential safety risks to persons in care.