Argonaut Care Home 3

This is an amended report.Licensing Program Analyst, Arvin Villanueva (LPA) AMENDED this report which was previously entered on this facility in error on 8/19/2025.

Based on observation, the licensee did not comply with the section cited above. LPA observed the storage shed to be unlocked and observed chemicals and sharp gardening tools; LPA observed two scrissors in a kitchen drawer accessible to residents; LPA observed cleaning chemicals in a kitchen cabinet; 3 medication pills inside a medication cup inside one of the ktichen cabinet were accesible to residents; and LPA observed injectable medication inside the kitchen refrigerator that was accessible to residents. These pose an immediate health, safety or personal rights risk to persons in care.

(a) (1) A written report shall be submitted to the licensing agency...within seven days of the occurrence of any of the events...(A)Death of any resident from any cause regardless of where the death occurred...This requirement is not met as evidenced by: Based on record review and interview, a death report was submitted to the Department past the seven days requirement, which poses/posed a potential 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. 4 of 4 staff files reviewed were missing this requirement and at least 2 staff files were not available for review during this visit which poses/posed a potential 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. 4 of 4 staff files were reviewed and found files to be incomplete and 1 of 4 files was not available for review during the visit which poses/posed a potential 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. 4 of 4 staff files reviewed, there was no evidence of medication training, including hands-on shadowing, was provided to staff prior to staff assisting residents in care with their medication 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. Documentation of quarterly emergency/fire drills was not available for review during this visit which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above where during resident file review, 2 of 2 resident files did not contain PRN authorization signed by physician which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above where during facility observation, LPA observed an insulin injection pen stored inside the kitchen refridgerator which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above where during a medication review, LPA observed 2 of R1's medications to be expired which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above where during medication review of resident_1 (R1), LPA observed 5 medications to be missing 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 where during a review of the medication administration record (MAR) for Febuary 2024, LPA observed 4 of R1's medications to have missing staff initials since 2/1/2024, 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 where during medication review, 2 of R1's medications were found to not have physician's order available for review during this visit which poses an immediate health, safety or personal rights risk to persons in care.