Alondra Care Home

(k) The following requirements shall apply to medications which are centrally stored: (1) Medication shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having unlocked medication in a unlocked drawer and cabinet located in the kitchen which poses an immediate health and safety risk to persons in care.

(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply:(3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: This requirement was not met evidence by: Based on observation the Licensee did not comply with the section cited above in have an adequate supply of hygiene and personal care products available for residents, which poses a potential health and personal rights risk to persons in care.

(a) All facilities shall have a qualified and currently certified administrator... The administrator shall... be on the premises a sufficient number of hours... When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications... of the facility as specified in this section... This requirement was not met by evidence by: Based on interview and observation the Licensee did not comply with the section cited above in having an assigned or back up administrator, which poses a potential health, safety, and person rights risk to persons in care.

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: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night... This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above by having the side gate locked which poses an immediate health and safety risk to the persons in care.

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. Based on observation, the licensee did not comply with the section cited above by having the individual locks on each locker unlocked which poses an immediate health and safety or personal rights risk to persons in care.

87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times...(1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. Based on observation, the licensee did not comply with the section cited above by not having the shower floors and flooring in bathroom clean which poses a potential 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:(6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. Based on observation, the licensee did not comply with the section cited above by having latch locks on Exit 1 and Exit 2 entrance doors which poses an immediate health and safety or personal rights 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, 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... Based on interview and record review, the licensee did not comply with the section cited above by not reporting and sending notification to licensing when the incident occurred with R1 on 12/06/25 which poses a potential health, safety or personal rights risk to persons in care.

87507 Admission Agreements: (g) Admission agreements shall specify the following:(3) Payment provisions, including the following: 2 .A comprehensive description of and the corresponding fee schedule for all basic services not included in the single fee shall be listed. Based on observation the licensee did not comply with the section cited above. License failed to issue a full refund tto R1's RP which poses an potential health, safety or personal rights risk to persons in care.