Gines Residential Care Home Iii

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...for the provision of adequate services.This requirement was not met as evidence by: Based on interview with the Licensee R1 was administered the incorrect medication because the Licensee failed to verify the medications received by the pharmacy thereby requiring R1 to be hospitilized which poses an immediate health and safety risk to residents in care.

(a) Facility personnel shall at all times be sufficient in numbers...to meet resident needs...of adequate services.This requirement is not met as evidence by Based on observations of facility cameras LPAs observed R2 wandering the facility nude from the waist down at approximately 3:30am on 10/30/2025 as well as R3 wandering around at the same time frame. Both residents have wandering behaviors noted in their files. No staff responded to the residents movments which poses a potential personal rights and safety risk to residents in care.

(d) The following...shall apply to all facilities(6)All... passageways...shall be kept free of obstruction.This requirement was not met as evidence by: Based on observation the facility was not in compliance with the above regulation by having a table blocking the passage way into the kitchen which poses a potential safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above innot having an updated emergency disaster plan which poses a potential safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having unlocked sharps which poses an immediate safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above inhaving a staff working at the facility that has been excluded in guardian which poses an immediate safety and personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having the medication cabinent unlocked and accesable which poses an immediate safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above innot having any record or dates for drills conducted which poses a potential safety risk to persons in care.

a)Each licensee shall furnish...the following:(1)A written report shall be submitted...within seven days of the occurrence of any of the events ...This requirement was not met as evidence by: Based on file review and interview the Licensee did not report incidents regarding R1 in a timely manner which posed a potential health and personal rights risk to resident in care.

(a) In addition to the rights listed in Section 87468.1,...Residents... privately operated ... shall have...(8)To be free from...financial exploitation...abuse.This requirement was not met as evidence by: Based on interview with Administrator they did not stop R1 from being financialy abused which posed an imediate personal rights risk to resident in care.

The licensee shall ensure that residents are regularly observed... When changes ... are observed, the licensee shall ensure that such changes are ... brought to the attention of the resident's physician and the resident's responsible person, if any.This requirement was not met as evidence by: Based on file review and interview the Licensee did not report changes in R1's condition to the appropiate persons which posed a potential safety and personal rights risk to resident in care.

Based on observation and interview, the licensee did not comply with the section cited above in not having enough staff scheduled for a 2 person assist which poses a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in havingS5 not associated to facility which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in not having a complete file for administrator which poses a potential health, safety or personal rights risk to persons in care.

Based on record review of five staff, the licensee did not comply with the section cited above in not having the required staff first aid certified which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. LPA observed a 2x4 block placed against the side gate thus preventing the gate to open which poses a potential heatth, safetyy or personal rights risk to persons in care.