Sacred Hands Living

Care of persons with Dementia: (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances...This requirement is not met as evidence by: Based on observation, the licensee did not comply with the section cited above by having Lysol accessible to residents in care located in the unlocked laundry room , which poses a immediate health and safety risk for persons in care.

Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(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...This requirement is not met as evidence by: Based on interview and record review, the licensee did not comply with the section cited above by not submitting incident reports to CCL within seven days, which poses a potential health and safety risk for persons in care.

87506(a) RESIDENT RECORDS(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staffThis requirement is not met as evidenced by: Based on record review and interview, Licensee did not comply with the regulation above. R2 and R3's medication were administered, but staff did not initial MAR which poses a potential health and safety risk to persons in care.

INCIDENTAL MEDICAL AND DENTAL CARE(2) Once ordered by the physician the medication is given according to the physician's directions.This requirement is not met as evidenced by: Based on records review, licensee did not comply with regulation above, there are blank signature page on Medication Administration record (MAR) log and S1 & S2 is not sure if medications were given to residents in care, this is pottential health risk to residents in care.

Health and Safety Code section 1569.652 provides in part:(c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual...This evidence is not met as evidence by: Based on record review and interview, Licensee did not comply with the regulations above. R6's personal property was removed on April 8,2020 and a refund was not issued until 9/2/2020 which poses a potential personal rights 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...This evidence is not met as evidence by: Based on LPA’s records review, Licensee did not comply with the regulations cited above. LPA gathered pictures from RP based on the evidence it appeared that facility floor was dusty, there are cereals on the floor, bathroom sink was stained, and dusty, resident closet was unorganized with resident’s clothing on the floor and not folded which poses a potential health, safety or personal rights risk to persons in care. which posed a potential Health & Safety risk to residents in care.