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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...This requirement was not met as evidence by: Based on interview the Licensee did not comply with the section cited above in that the facility did ensure that there was staff sufficient in numbers to accommodate R1's emergency needs which poses a potential safety risk to persons in care.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including...This requirement is not met as evidenced by: Based on interview the Licensee did not comply with the section cited above in that the facility did not report to licensing about the facility being without electricity and the heater breaking which poses a potential safety risk to persons in care.

80019 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working [...](3) Request a transfer of a criminal record clearance as specified in Section 80019(f) or..This requirement was not met as evidence by: Based on record review the Licensee did not comply with the section cited above in not having S1 fingerprint cleared and associated to the facility which poses an immediate health and safety risk to persons in care.

Based on file review, the licensee did not comply with the section cited above in that the facility did not have a current fire drill since the last drill was conducted in 2023 which poses a potential health and safety rights risk to persons in care.

Based on observation the licensee did not comply with the section cited above as water temperature observed at 139.4 degrees Fahrenheit which poses an immediate health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that 3/5 staff members did not have first aid certification on file which poses an immediate health and safety risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in not having S1 and S2 fingerprinted and associated to the facility which poses an immediate 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 that S1, S2, S3, S4 and S5 had missing 20 hr annual training which poses a potential health and safety risk to persons in care.

Maintenance and Operation(e) Water supplies and plumbing fixtures shall be maintained as follows:(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate 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 above. Hot water temperature was measured at 150.3 degrees in thekitchen and 146.6 degrees Fahrenheit in the restroom which poses immediate safety risk to persons in care.

87303 Maintenance and Operation (g) Facilities which have machines and do their own laundry shall: (1) Have ... equipment maintained in good repair.This requirement was not met as evidenced by: LPAs observed that mold was growing on the drum and on the rubber gasket of the upright clothes washer, which poses an immediate health risk to persons in care.

Administrator Recertification Requirements(k) Whenever a certified administrator assumes or relinquishes responsibility for administering a residential care facility for the elderly, he or she shall provide written notice, within thirty (30) days, to: This requirement is not met as evidenced by:-Based on observation, the Administrator is not listed as the current administrator of the facility.

80019 Criminal Record Clearance: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility:(3) Request a transfer of a criminal record clearance as specified in Section 80019(f) -This requirement is not met as evidenced by:-Based on interview and record review, the licensee did not comply with the section above in administrator not associated to this facility which poses a potential safety and/or personal rights risks to persons in care.

Based on observation the licensee did not comply with the section cited above as water temperature observed at 127.7 degrees Fahrenheit 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 as gate does not self close, which poses a potential health, safety or personal rights risk to persons in care.

87468.1(a)(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:(1)To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement is not met as evidence by: Based on records review, licensee failed to protect residents personal rights where R1, was emotionaly threatens by former staff (S1), poses a potentia health, safety or personal rights risk to persons 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...This requirement was not met as evidenced by: Based on observation, licensee did not comply with the section cited above. LPAs observed medicine was not reflled timely that resulted resident missed two doses of medicine which poses an immediate health, safety risk to persons in care.

87411 Personnel Requirements - General(c) All 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:(D) Policies and procedures regarding medications, including the knowledge in Section 87411(d)(4). Any on-the-job training provided for the requirements in Section 87411(d)(4) may also count towards the requirement in this subsection.This requirement was not met as evidenced by: Based on observation, interview and record review, licensee did not comply with the section cited above. LPAs observed no training has been provided to staff after incident occurred which poses an immediate health, safety risk to persons in care.

87465 Incidental Medical and Dental Care:(c) ...facility staff designated by the licensee shall be permitted to assist the resident with self-administration...(2)Once ordered by the physician the medication is given according to the physician's directions.This requirement was not met as evidence by: Based on LPA interview and records review: S3 did not give R1's medication on time. This poses a potential threat to the health and safety of clients in care.

87465 (c) If the resident's physician has stated in writing... facility staff designated ... provided all of the following requirements are met: (2) Once ordered...the medication is given according to the physician's directions. This requirement was not met as evidenced by: Based on LPA interview staff did not comply with the regulaton stated above which poses a potential health and safety risk to the resident.