Merisol Care Home

Based on observation the licensee did not comply with the section cited above in observation in shared bathroom drawer is broken. Observed objects such as an electric mattress, a Hoyer lift, multiple metal racks, and a broken drawer around the facility. which poses/posed a potential health, safety or personal rights risk to persons in care.Observed shared bathroom drawer is broken.

Based on record review, the licensee did not comply with the section cited above by not having resident 1 (R1) and R2 without a TB clearance 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 by having medication/cream/ ointment observed in shared bathroom, and in RM 2 and 3 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 by observation that the food transfer is not properly stored 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 files review R3 do not have a bedrail order which poses/posed a potential health, safety or personal rights risk to persons in care.

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 staff.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not having a complete file for R1 which poses a potential safety risk to persons in care.

Postural Supports (B)Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not having a full bed rail for R1 which poses a potential health and safety risk to persons in care.

87455(b)(7) Acceptance and Retention Limitations (b)The following persons may be accepted or retained by the licensee:(7) Persons who are bedridden provided the requirements of Section 87606 are met.This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by having R1 in Room# 3 that is not approved for bedridden which poses an immediate safety risk to persons in care.

(d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having the auditory device in the kichen/living room sliding door off which posed a potential health and safety risk to persons in care.

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department...This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by having R1 in RM 3 that is not approved for bedridden. R1 physician report dated back in March 2025 showed that R1 is bedridden which poses a immediate safety risk to persons in care.

(a) All facilities shall have a qualified and currently certified administrator…The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not being present at the facility for sufficient hours which poses a safety risk to persons in care.

80010 Limitations on Capacity and Ambulatory Status(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including the capacity limitation This requirement is not met as evidenced by: R1 currently occupies a non-ambulatory room (Rm#4). Based on LPA observation and Medical assessment, R1 is bedridden.Facility has one approved bedridden room(Rm#2)

87705 Care of Persons with Dementia(d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. This requirement is not met as evidenced by: Based on observation, the auditory devices in Rooms 3 and 4 were off which poses an immediate risk to health and safety of clients under care.

87611 General Requirements for Allowable Health Conditions(a) Prior to accepting or retaining a resident with an allowable health condition as specified in Section 87618, Oxygen Administration - Gas and Liquid; Section 87619, Intermittent Positive Pressure Breathing (IPPB) Machine; Section 87621, Colostomy/Ileostomy; Section 87626, Contractures; or Section 87631, Healing Wounds; licensees who have, or have had, any of the following within the last two years, shall obtain Department approval:(3) A Non-Compliance Conference as defined in Section 87101(n) that resulted in a corrective plan of action This requirement is not met as evidenced by: The facility admitted R1 who has contracture of the right leg without approval from CCL. The facility is in a non-compliance correction plan. R1 is not able to care for own needs, and has Dementia.

87611 General Requirements for Allowable Health Conditions(c) In addition to Section 87411(d), facility staff shall have knowledge and the ability to recognize and respond to problems and shall contact the physician, appropriately skilled professional, and/or vendor as necessary. This requirement is not met as evidenced by: There is no proof of staff training on file in regards to how to care for R1's contracted right leg. R1 is not able to care for own needs.

87203 Fire SafetyAll facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on interview conducted, R2 has been sleeping in the staff room which poses an immediate health and safety risk.

87705 Care of Persons with Dementia(d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. This requirement is not met as evidenced by: LPA observed auditory device in the kitchen sliding door is not functional which poses an immediate health and safety risk to clients in care.

87457 Pre-Admission Appraisal(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. R1 has right leg contracture but no preplacement appraisal was conducted. ANS is observed incomplete.

Based on record review, the licensee did not comply with the section cited above Observed No plan of Operation 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 Observed cockroach inside the cabinet and dinning table 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 by water at 125.7 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 in Observed toilet cannot flush which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, the licensee did not comply with the section cited above in Staff using the living room as a sleeping area 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 by not having Chemical underneath kitchen sink and shared bathroom. 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 by not having knives left unlocked in the kitchen in a lock box, however not being lock, 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 recored review three staff do not have training on files 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. Recored reviewed resident did not have TB 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 LPA observered cockroach in the kitchen dinning table 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 by having expired salsa/sauce observed to be on kitchen counterwhich 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. LPA observed room 3 resident have oxygen, however there are no smoking sign posted in room 3 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. Recored reviewed last fire drill was conducted March 2024 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 by having medication/cream/ ointment observed in shared bathroom, in refrigerator not lock 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 recored reviewed staffs without CPR and First Aid 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. LPA observed bedridden in room number 3, however facility approved bedridden in room number 2 which poses/posed a potential health, safety or personal rights risk to persons in care.