Argonaut Care Home, Inc.

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 interview and record review, the licensee did not comply with the regulation cited above. Upon arrival at the facility, there were no qualified staff members, except for one visitor who was not authorized to provide supervision to residents in care. This poses an immediate health, safety and personal risks to persons in care.

Basic Service Requirements. Every facility required to be licensed under this chapter shall provide at least the following basic services: (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This requirement is not met as evidenced by: Based on interviews and record reviews, R1 left the facility unsupervised and sustained multiple injuries resulting in hospitalization. This poses an immediate health, safety and personal rights risk to residents in care.

Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on interviews and record reviews, R1 left the facility unsupervised in the morning of 4/30/25 at around 3am. This poses an immediate health, safety and personal rights risk to residents in care.

Based on observation, the licensee did not comply with the section cited above. During physical observation, RM and LPA observed an Anti-Diarrhea medication inside a kitchen drawer that was unlocked and accessible to residents, which poses/posed a immediate health, safety or personal rights risk to persons in care.

Based on record review and interview, the licensee did not comply with the section cited above. Staff S1 did not have their first aid completed 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. During physical observation, RM and LPA observed the fire door to be propped open with a door stopper. Also during bedroom inspection in room #1, near the kitchen area, RM and LPA observed a dresser and a commode to be blocking the exit door to the outside, which poses/posed a immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. During physical observation, RM and LPA observed the fire door, that was propped open with a door stopper, was observed to be in disrepair by the evidence of the door closer being detached from the wall, 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. Hot water temperature was initially measured at 104.2 degrees Fahrenheit, 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. 1 of 4 residents was placed in a bedroom that was not fire cleared for bedridden resident 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. LPAs observed the deck floor to be in disrepair and the rail of the deck was found to be loose 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. LPAs observed a drain cleaner under the bathroon sink and was observed to be accessible to residents in care, 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. 4 of 4 residents do not have PRN Authorization letter signed by their physician 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. 1 of 4 residents do not have updated LIC602 and 2 of 4 residents do not have updated Needs and Services Plan which poses/posed a potential health, safety or personal rights risk to persons in care.

87616 Exceptions for Health Conditions: (a) ... the licensee may submit a written exception request if he/she agrees that the resident has a prohibited and/or restrictive health condition but believes that the intent of the law can be met through alternative means.This is not met as evidenced by: Based on interviews and record review the Licensee did not ensure that a written request for an exception was sent to the Department for approval as soon as R1 started using a catheter. This poses an immediate, health, safety, and personal rights risks to persons in care.

(d) The administrator shall have...(2) Knowledge of and ability to conform to the applicable laws, rules and regulations.This is not met as evidenced by: Based on interviews and record review, the licensee did not ensure that the facility obtained an exception request for R1's indwelling catheter as soon as R1 started using catheter. This poses a potential, health, safety, and personal rights risks to persons in care.

(g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review.This requirement is not met as evidenced by: Based on interview and record review, licensee did not comply with the section cited above as the files for the administrators were not available for review during this visit.

(h) All personnel records shall be retained for at least three (3) years following termination of employment.This requirement is not met as evidenced by: Based on interview, licensee did not comply with the section cited above as the file for S1 who is no longer employed at this facility is present at this facility and not available for review during this visit. This poses a potential, health, safety, and personal rights risks to persons in care.

(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: Base on record review, the licensee did not comply with the section cited above during resident record review, R1 did not have their Needs and Services Plan (LIC625) on file available for review. This poses a potential, health, safety, and personal rights risks to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 1 staff (available for review during the visit) 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 as LPAs did not observed recreational activities being provided to the residents in care during the visit, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above as the current designated person on record is no longer employed at this facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review the licensee did not comply with the section cited above as no evidence of staff training was available for review during this visit which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above as LPAs observed no evidence of fire drills during this visit, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review the licensee did not comply with the section cited above as only one (1) staff file was available for review and no administrator's file was available for review during this visit which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review the licensee did not comply with the section cited above as no administrator's file was available for review during this visit which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review the licensee did not comply with the section cited above as only one (1) staff file was available for review during this visit which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 4 residents in care was observed to be in bedridden status and facility is not licensed to have a bedridden residents and does not have an appropriate fire clearance for bedridden residents, which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 1 staff (available for review during the visit) which poses an immediate health, safety or personal rights risk to persons in care.