Foothill Cottage

Based on observation and record review, the licensee did not comply with the section cited above in one out of two staff files were missing a health assessment, which poses/posed a potential health, safety or personal rights risk to persons in care.

Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis … This requirement has not been met as evidenced per the department's investigation which substantiated that R1 did not receive timely medical care.

Based on observation, the licensee did not comply with the section cited above in that chemicals were found to be stored under a bathroom sink unlocked and accessible to residents, which poses an immediate health, safety or personal rights risk to persons in care.

Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis … This requirement has not been met as evidenced by the incident report submitted to the Department which describes the events of the incident and articulates that R1 did not receive medical treatment for over 24 hours for an fall resulting in injury that they had at the facility.

Based on interview and review of files, the licensee did not comply with the section cited above an emergency disaster drill log was not produced which poses a potential health, safety or personal rights risk to persons in care.

87616(a)(b)(1)(2)(3) Exceptions for Health Conditions (a) As specified in Section 87209, Program Flexibility, 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. (b) Written requests shall include, but are not limited to, the following: (1) Documentation of the resident's current health condition including updated medical reports, other documentation of the current health, prognosis, and expected duration of condition. (2) The licensee's plan for ensuring that the resident's health related needs can be met by the facility. (3) Plan for minimizing the impact on other residents. This requirement is not met as evidenced by: Based on the department investigation the facility failed to submit a written exception for the resident’s stage IV pressure sore in a timely manner. This poses an immediate health and safety risk to residents in care.

87609(b)(2) Allowable Health Conditions and the Use of Home Health Agencies – (b) Incidental medical care may be provided to residents through a licensed home health agency provided the following conditions are met: (2) The licensee provides the supporting care and supervision needed to meet the needs of the resident receiving home health care. This requirement is not met as evidenced by: Based on the department investigation the facility failed to follow the treatment plan as prescribed for resident which resulted in the resident sustaining a stage 4 pressure injury while in care. This poses a potential health and safety risk to 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. When changes such as … physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Based on the department investigation it was determined that the licensee failed to observe changes in R1's condition and follow the home health plan of care. This poses an immediate health and safety risk to residents in care.