Alondra Care Home 3

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 is not met as evidenced by: -Based on records review and interviews, the licensee did not comply with the section when R2 fell and no staff present which posed and immediate safety, health and/or personal rights risks to person in care.

§1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.-This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above in engaging in argument with R1 which posed a personal rights risk to person in care.

87309 Storage Space and Access(a)... the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. -This requirement is not met as evidenced by:-Based on observation, the licensee did not comply with the section above in unlocked Advil and tree trimmer which posed an immediate health, safety and/or personal rights risks to persons in care.

87355 Criminal Record Clearance(e) All individuals....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 interview and record review, the licensee did not comply with the section above in allowing S1 worked without fingerprint clearance which posed an immediate safety and/or personal rights risks to persons in care.

§1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment.-This is not met as evidenced by: -Based on observation and interviews, the licensee did not comply with the section above when R1 sustained wounds/scratches caused by the dog in the facility.

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 is not met as evidenced by: -Based on observation, the licensee did not comply with the section above in have dividing walls in the garage and beds which pose an immediate risks to the safety risk to persons in care.

87608 Postural Supports: (a) Postural supports may be used under the following conditions.(5)..(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. -Based observation, the licensee did not comply with the section above in having full bedrails in R2's bed which poses a potential personal rights risk to person 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:(D) Any incident which threatens the welfare, safety or health of any resident...-This requirement is not met as evidenced by -Based on record review and interview, the licensee did not comply with the section above in not sending incident reports (LIC624) for R2 and R3 which posed a potential health, safety and/or personal right risks to persons in care.

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 observation, the licensee did not comply with the section above in locking the side fence gate which posed an immediate safety and/or personal rights risks to persons in care.

87506 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 and interview, the licensee did not comply with the section above in not completing R1's record/file which poses a potential personal rights risk to person in care.

87508 Register of Residents(a) The licensee shall ensure that a current register of all residents in the facility is maintained and contains the following updated information........-This requirement is not met as evidenced by: -Based on record review and interview, the licensee did not comply with the section above in not having LIC9020 which poses a potential personal rights risk to persons in care..