Joy Senior Center

Residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: 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 staff failing to provide adequate care & supervision which posed an immediate health & safety risk to residents in care.

All outdoor and indoor passageways and stairways shall be kept free of obstruction.This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above by having bedframes blocking the emergency exit passageway from the back door which poses/posed 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 in not having 7-day non perishables and 2-day perishables available for residents which poses/posed 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 in having refrigerator in sanitary condition which poses/posed 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 in having non skid mats in shared bathrooms which poses/posed 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 in [having beds without mattress pads, top sheets, and blankets which poses/posed 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 in [using resident's bedroom to go to storage room which poses/posed 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 in having indoor and outdoor passageways free of obstruction which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in the medication administrative record accurate which poses/posed 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 in [having medication inaccessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

If a licensee of a residential care facility for the elderly increases the rates of fees for residents or makes increases in any of its rate structures for services, the licensee shall provide no less than 60 days' prior written notice... This requirement is not met as evidenced by: The Licensee gave R1 a rate increase notice on 12/1/22 effective 1/1/23.

Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff… This requirement is not met as evidenced by: R1’s medical assessment dated 12/3/2022 stated R1 had dementia and was unable to manage his own cash resources. Administrator possessed R1’s debit card but did'nt keep any records of purchases made. Licensee failed to protect R1’s from financial abuse from S1.

Every facility required to be licensed under this chapter shall provide at least the following basic services: (d) Being aware of the resident's general whereabouts, although the resident may travel independently in the community. This requirement is not met as evidenced by: The facility not having accurate logs of the resident’s ingoing and outgoing activities.

The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This requirement is not met as evidenced by: Based on record review by the Department's Auditor, Licensee did not comply with the above regulation by having knowledge of the staffs intents back in 2018 and still allowed S1 to work with R1.

The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)... (3) Ability to maintain or supervise the maintenance of financial and other records.This requirement is not met as evidenced by: Based on record review and interviews by the Department's Auditor, Licensee did not comply with the above regulation by mishandling R1's finances which poses a personal rights issue to residents in care.

In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential… or sexual abuse. This requirement is not met as evidenced by: S1’s actions of abusing R1’s cash resources. S1 used R1’s debit card to make personal purchases in the amount of $31,727.10.

... a complete first aid kit shall be maintained and be readily available in a specific location in the facility.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, which poses a potential health, safety, or personal rights risk to persons in care.

Based on record reviEW, the licensee did not comply with the section cited above in Administrator failed to associate S4's fingerprint clearance which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in Administrator failed to update physician's report for R2 and R5 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in administrator failed to update needs and services plan to R2 and R5 which poses/posed a potential health, safety or personal rights risk to persons in care.