Foothill Village Senior Living

Emergency Disaster Plan(b)...The plan...include (2) Plan for evacuation including: (A) Fire safety plan.This requirement was not met as evidenced by: Section C on page 6 of LIC610 did not include mention of oxygen equipment.

Personal Rights of Residents(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights (2) To be accorded safe, healthful and comfortable accomodations, furnishings and equipment. This requirement was not met as evidenced by:: The facility failed to remove the non-surge protector multi-plug outlet extender that caught on fire.

Administrator-Qualifications and Duties(b) The administrator of a facility shall have the responsibility and authority to carry out the policies of the licensee.This requirement is not met as evidenced by: Based on the admissions agreement stating that space heaters are not allowed and the facility allowed resident to have a fireplace space heater.

Managed Incontinence...the licensee shall be responsible for the following: Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met as evidenced by: Based on LPA Jensen's ability to smell incontinence odors in the facility. This poses a potential risk to the health, safety and personal rights of residents in care.

Maintenance and OperationThe facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met based on LPA Jensen's observation of stained carpeting and observation that facility is malodorous. This poses a potential risk to the health, safety and personal rights of residents in care.

Admission AgreementsRate for additional items and services, including:A comprehensive description of and the corresponding fee schedule for all additional items and services not included in the fees for basic services shall be listed. This requirement was not met as evidenced by LPA Jensen's review of an admission agreement for R1 that references a fee schedule in Appendix A that was missing or non-existent. This poses a potential risk to the health, safety and personal rights of residents in care.

Maintenance and OperationThe facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by: Based on LPA Jensen's observation of debris in various locations in the kitchen. This poses a potential risk to the health, safety and personal rights of residents in care.

Care for Persons with Dementia(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication... vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening...This requirement is not met as evidenced by: Based on an inspection of 2 unlocked resident rooms in the dementia care unit, the LPM observed 30 toxic substances.The licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of... All food shall be selected, stored, prepared and served in a safe and healthful manner.This requirement is not met as evidenced by: Based on an inspection of the refrigerator and pantry area 19 out of 25 food items were expired.The licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

General Food Service-The following food service requirements shall apply: (9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service.This was not met as evidenced by: Based on interviews and observations the licensee failed to implement a procedure to ensure the proper temperature of food is maintained during transport and prior to service.

87468.1(a)(9) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(9)To have communications to the licensee from their representatives answered promptly and appropriately. This requirement was not met as evidenced by Interviews conducted and records unavailable to be reviewed. The resident council requested the information for the dietician which was not provided to the council. This is a potential safety concern for residents in care

87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:The basic The following requirement has not been met as evidenced by: Based on LPA interviews the faciltiy executive council voted to prevent Resident 2 from being on the facility Resident Executive council as a representative which poses a potential health, safety or personal rights risk to residents in care.

Furniture, Fixtures, Equipment, and Supplies1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).... LPA measured / tested hot water at 123,5 degrees F. Licensee failed to assure hot water meeting Title 22 regulation of 105-120 degree F. This poses a health and safety risk to resident in care.