Bellara Senior Living

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.......... -This requirement is not met as evidenced by:-Based on interviews and record review, the licensee did not comply with the section above in not submitting incident report and SOC341 which pose a potential personal rights risks to person in care.

87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department -This requirement is not met as evidenced by:-Based on interviews and record review, the licensee did not comply with the section above in resident's 1:1 caregiver not fingerprinted which poses an immediate risks to persons 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 evidence by: Based on observation and interview, licensee did not comply with the section cited above by having inoperable delayed egress door which poses a potential health and safety risk to the residents in care.

§1569.269 Enumerated rights; severability(a) Residents of residential care facilities for the elderly shall have all of the following rights:(3) To confidential treatment of their records and personal information and to approve their release, except as authorized by law.-This requirement is not met as evidenced by: -Based on interviews, the licensee did not comply with the section above in providing R1's documents containing confidential information to Ombudsman Program when consent for release from R1 has not been obtained which posed a potential personal rights risk to person in care.

Based on observation, the licensee did not comply with the section cited above in unlocked cleaning agent which poses an immediate health, safety and/or personal rights risks to persons in care.

Based on record review, the licensee did not comply with the section cited above in having no doctor's order for resident's (R1) half bed rails which poses a potential safety and/or personal rights risk to persons in care.

87463 Reappraisals: (b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident. -This requirement is not met as evidenced by:-Based on records review and interviews, the licensee did not comply with the section above in not updating R1 and R2's Care/Service Plan to reflect their current care and/or supervision needs.

87468.1 Personal Rights of Residents in All Facilities(a) .......(9) To have communications to the licensee from their representatives answered promptly and appropriately.-This requirement is not met as evidenced by -Based on document review and interviews, the licensee did not comply with the section above in not reporting the incident to the residents' family and not responding timely.

87211 Reporting Requirements (c)Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within twenty-four (24) hours as.. ...required by Welfare and Institutions Code Section 15630(b)(1).-This requirement is not met as evidenced by:-Based on records review and interviews, the licensee did not comply with the section above in not reporting the incident to appropriate agencies.