Roseleaf Senior Care

Accountability of Licensee Governing Body - The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves.If the licensee is a corporation or an association, the governing body shall be active, and functioning in order to assure accountability. The licensees did not exercise general supervision over the affairs of their licensed facilities.

Liability Insurance - On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. The licensee did not maintain liability insurance per the Health and Safety Code.

Finances - The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency… The licensee did not ensure that there were sufficient resources to meet operating costs for the care of residents.

General Food Service Requirements. The following food service requirements shall apply: Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. Based on observation Licensee failed this by: LPA observed 4 2lb cans of fruit, cereal, one package of hamburger buns, a partial loaf of bread, some fruits and vegetables, and snack food. This does not mee the nonperishable food supply requirement. This is an immediate health and safety risk to residents.

General Food Service Requirements. In facilities for sixteen (16) persons or more, menus shall be written at least one week in advance and copies of the menus as served shall be dated and kept on file for at least 30 days. Licensee failed this based on observation. The facility does not have a menu for LPA to review and therefore does not have proof they have enough ingredients for the meals that are prepared. This is an immediate health and safety risk to residents.

87411(a) Personnel Requirements. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement has not been met as evidenced by: Based on documentation, interviews and observations, the facility has 3 of 6 people that require 2 person assist to meet care needs. The facility only staffs overnight shift with 1 staff which posses a potential health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above in 1 out of 1 resident rooms which poses an immediate health, safety or personal rights risk to persons in care.

87219(a)-Planned Activities-Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities.This requirement is not met as evidenced by: Based upon observation and interview the Licensee failed to provide all residents in care with the opportunity to participate in planned activities.This poses an immediate Health, Safety and/or Personal Rights risk to residents in care.

87405(h)(8) Administrator - Qualifications and Duties-The administrator shall have the responsibility to: Have the personal characteristics, physical energy and competence to provide care and supervision and, where applicable, to work effectively with social agencies. This requirement is not met as evidenced by: Based upon observation and interview the Licensee failed to have an administrator with the personal characteristics, competence and ability to work effectively with social agencies.This poses a potential Health, Safety and/or Personal Rights risk to residents in care

87411(a) Personnel Requirements – General-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 upon observation and interview the Licensee failed to ensure staff are sufficient in numbers and competent to provide services necessary to meet resident needs.This poses an immediate Health, Safety and/or Personal Rights risk to residents in care.

87211(a)(1)(D)-Reporting requirements- A written report shall be submitted to the licensing … within 7 days of the occurrence …Report shall include resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. Any incident which threatens the welfare, safety or health of any resident.This requirement was not met as evidenced by interview and record review: Licensee failed to report injuries and hospitalization of 1 of 1 residents in care. This poses a potential risk to the health and safety of residents in care

87466 Observation of the Resident- The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs.This requirement was not met as evidenced by: Based on record review and interviews, Licensee did not observe for changes and provide appropriate assistance to those changes for 1 of 1 resident which poses an immediate health and safety risk for resident in care.

87468.2(a)(4)-Additional Personal Rights of Residents in Privately Operated Facilities-residents...shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs This requirement was not met as evidenced by: Based on record review and interviews, Licensee did not provide resident's right to care, supervision and services for 1 of 1 residents in care. This poses an immediate health and safety risk for resident in care.

87625(b)(3) Managed Incontinence- In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: Ensuring that incontinent residents are kept clean and dryThis requirement is not met as evidenced by: Based upon record review and interview the Licensee failed to ensure 2 of 2 residents were kept clean and dry.This poses a potential Health, Safety and/or Personal Rights risk to clients in care

87468.2(a)(8)-Personal Rights-To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidenced by: Interview and documentation. Licensee failed to protect 2 of 2 residents from physical abuse. This poses an immediate risk to residents in care

87405(a)-Adminsitrator Qualifications-All facilities shall have a qualified and currently certified administrator. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility. This requirement was not met as evidenced by:Interview and observation: Administrator has failed to be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility. This poses an immediate risk to residents in care

87705(f)(1)-Care of Residents with Dementia-The following shall be stored inaccessible to residents with dementia:(1) Knives, matches, ...and other items that could constitute a danger to the resident(s).This requirement was not met as evidenced by: Interview and observation. Administrator and facility staff failed keep knives inaccessible to 8 of 8 residents in care. This poses an immediate risk to residents in care