Villa Board and Care Home

Based on observation, the licensee did not comply with the section cited above by having a commode, 3 ladders, 3 gas cans,rake, 2 lawn mowers, broken table, wood planks, broken chairs, overgrown trees, wheelbarrow, dolly's, gulf club, 2 mattresses van, motor home and black small car all vehicles are not operable. 2 shovels, storage unit unlocked. which poses a potential health and risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having trash in a trash bad on the side of the house and having syringes located in an unlocked cabinet in the kitchen which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having an open porch area with clutters which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by not maintaining space in the garage and having clutters which poses a potential health and safety risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having staff complete required staff trainings which poses a potential health and safety or risk to persons in care.

Based on observation during record review, the licensee did not comply with the section cited above by not being CPR or first aid certified and not having any staff that has a current CPR or first aid certificate which poses a potential health and safety risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above by having a staff member living at the facility sleeping in the living room which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having clutters under the kitchen table, in the living room, entry way and back yard such as boxes of clothing, bedding, air fryer, rice cooker, wood planks, 3 ladders, bedrails, 2 ice chests, fruit picker, wheelchairs, 4 shovels, 2 lamps and an electric saw which poses a potential health and safety risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above by not having a landline phone which poses a potential health and safety risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above by having Administrator and staff CPR certificates expired which poses a potential health and safety risk to persons in care.

Based on LPAs observation licensee did not comply with the section cited above by staff/family sleeping in the garage in a makeshift bedroom being used for accommodation. Which poses a potential health and safety risk to residents.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having the Administrator continuing education or recertification documents which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having spider webs with a spider in the kitchen sink area which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having 2 large boxes in the door ways which poses a potential health and safety risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above by not providing staff with ongoing training which poses a potential health and safety or risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not renewing Administrator and staff CPR or First Aid certification which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above not having a copy of the facilities emergency and disaster plan posted or on file which poses a potential health and safety risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above by not providing staff training which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having 7-day non-perishable which poses a potential health and safety risk to persons in care.

This requirement was not met as evidenced by expired fire extinguisher which poses a potential health & safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above having a broken dish washer, spider webs on the walls in the living room, the living room window, and hanging from the ceiling, brown drippings coming down the wall in the living room, tables with dust, closet doors in bedroom #3 off track paperwork on dining table boxes on the floor in the passage way which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having a broken knob in the 2nd bather shower, floor of the 2nd bathroom shower has stains, hair in the drain which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having syringe needles in a container in the small room next to the dining area which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having bar cleaner, stone cleaner, razor blade, mini saw, large saw, bernzomatic, propane, febreze air freshener, vitamins, syeringe, insulin, unlocked and assessable which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having the hot water temperature at 128.5 which poses an immediate health and safety risk to persons in care.

Based on LPAs observation licensee did not comply with the section cited above by staff/family sleeping in the garage in a makeshift bedroom being used for accommodation. Which poses a potential health and safety risk to residents.

(a) All facilities shall have a qualified and currently certified administrator...freedom from other responsibilities and shall be on the premises a sufficient number of hours ... there shall be coverage... (d) The administrator shall have the ...Sections 87405(d)(1) through (7). ....This requirement was not met as evidence by: Based on LPA's observation licensee did not comply with the section cited ablove which poses and immediate helath and safety risk to clients.

87606(f)(1) (f) To accept or retain a bedridden person, a facility shall ensure the following: (1) The facility's Plan of Operation includes a statement of how the facility intends to meet the overall health, safety and care needs of bedridden persons. This requirement was not met as evidence by: Based on LPAs observation licensee did not comply with the section cited above by accepting a bedridden resident with restricted health condition without fire clearance in room #1. Which poses an immediate health and safety risk to clients.

87506(b) Each resident’s record shall contain at least the following ...(17)Documents and information required...(A)Section 87457, Pre-Admission Appraisal;(B)Section 87459, Functional Capabilities;(C) Section 87461, Mental Condition; (D)Section 87462, Social Factors This requirement was not met as evidence by: Based on LPAs observation licensee did not comply with the section cited above by missing required documentation in residents files, Pre-placement Appraisal Needs and Services Plan, Identification and Emergency Information, Consent for Medical Treatment and Residents Rights. Which poses a potential health and safety risk to residents.

87303 Maintenance and Operation(a) The 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 as evidence by: Based on LPAs observation licensee did not comply with the section cited above by not providing a grab bar in the bathtub. having a hole in the ceiling from an upstairs bathroom leak in the shared bathroom. Using a screwdriver to operate the shower faucet in bedroom #1. Which poses a potential health and safety risk to residents.

87208((A) Building(s) to be occupied, including a floor plan that describes the capacities of the buildings for the uses intended...7)Sketches, showing dimensions, of the following: This requirement was not met as evidence by: Based on LPAs observation licensee did not comply with the section cited above by staff sleeping in the garage in a makeshift bedroom being used for accommodation. Which poses a potential health and safety risk to residents.

87621(b) In addition to Section 87611 the licensees shall be responsible... (1) Ensuring that ostomy care is provided by an appropriately...(B)There shall be written documentation by an appropriately skilled professional outlining...instruction...facility staff who have been instructed. This requirement was not met as evidence by: Based on LPAs observation licensee did not comply with the section cited above by accepting a bedridden resident with restricted health condition without fire clearance in room #1. Which poses an immediate health and safety risk to clients.

87506(b) Each resident’s record shall contain at least the following ...(17)Documents and information required...(A)Section 87457, Pre-Admission Appraisal;(B)Section 87459, Functional Capabilities;(C) Section 87461, Mental Condition; (D)Section 87462, Social Factors This requirement was not met as evidence by: Based on LPAs observation licensee did not comply with the section cited above by missing required documentation in residents files, Pre-placement Appraisal Needs and Services Plan, Identification and Emergency Information, Consent for Medical Treatment and Residents Rights. Which poses a potential health and safety risk to residents.

87606(f)(1) (f) To accept or retain a bedridden person, a facility shall ensure the following: (1) The facility's Plan of Operation includes a statement of how the facility intends to meet the overall health, safety and care needs of bedridden persons. This requirement was not met as evidence by: Based on LPAs observation licensee did not comply with the section cited above by accepting a bedridden resident with restricted health condition without fire clearance in room #1. Which poses an immediate health and safety risk to clients.

87621(b) In addition to Section 87611 the licensees shall be responsible... (1) Ensuring that ostomy care is provided by an appropriately...(B)There shall be written documentation by an appropriately skilled professional outlining...instruction...facility staff who have been instructed. This requirement was not met as evidence by: Based on LPAs observation licensee did not comply with the section cited above by accepting a resident with a restricted health condition. Which poses an immediate health and safety risk to clients.

87212 Emergency Disaster Plan(a) Each facility shall have a disaster and mass casualty plan of action. The plan shall be in writing and shall be readily available. This requirement was not met as evidence by: Based on LPAs observation licensee did not comply with the section cited above by not having an Emergency Disaster Plan. Which poses a potential health and safety risk to residents. which poses a potential health and safety risk to residents.

(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s)..This requirement was not met as evidence by: Based on LPAs observation licensee did not comply with the section cited above by not maintaining a safe environment with unlocked rakes, shovel, paint, tree trimmer, 3 ladders, lawn mower and unlocked shed located in the back yard. which poses an immediate health and safety risk to residents.

87208((A) Building(s) to be occupied, including a floor plan that describes the capacities of the buildings for the uses intended...7)Sketches, showing dimensions, of the following: This requirement was not met as evidence by: Based on LPAs observation licensee did not comply with the section cited above by staff sleeping in the garage in a makeshift bedroom being used for accommodation. Which poses a potential health and safety risk to residents.

87211 (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, ... (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence,,, This requirement was not met as evidence by: Based on LPAs observation licensee did not comply with the section cited above by not having a Mitigation Plan LIC 808. Which poses a potential health and safety risk to residents.

87303 Maintenance and Operation(a) The 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 as evidence by: Based on LPAs observation licensee did not comply with the section cited above by not providing a grab bar in the bathtub. having a hole in the ceiling from an upstairs bathroom leak in the shared bathroom. Using a screwdriver to operate the shower faucet in bedroom #1. Which poses a potential health and safety risk to residents.

87303 (e) Water...shall be maintained as follows:(2) Faucets used by residents for personal care...Hot water temperature controls shall be maintained... temperature of not less than 105 degree F (41 degree C) and not more than 120 degree...This requirement was not met as evidence by: Based on LPAs observation licensee did not comply with the section cited above by maintaining water temperature between 105 degree F and 120 degree F which poses an immediate health and safety risk to residents.