Hm Love & Care Home

Handle syringes and needles under bloodborne pathogen rules

87303 Maintenance and Operation(f) All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases......(2) Syringes and needles are disposed of in accordance with the California Code of Regulations, Title 8, Section 5193...... -This requirement is not met as evidenced by:-Based on observation, the licensee did not comply with the section above in used lancets in the dining table and used syringes and other lancets in unlocked cabinet which pose an immediate risks to persons in care.

Living accommodations aligned with facility function

87307 Personal Accommodations and Services(a) Living accommodations and grounds shall be related to the facility's function. ........-This requirement is not met as evidenced by: -Based on observation and interview, the licensee did not comply with the section above in having R1's personal and confidential documents and medications stacked in the dining table which pose a potential personal rights risks to persons in care.

Central store medicines that create safety hazards

87465 Incidental Medical and Dental Care: (h) ...: (1) Medications shall be centrally stored under the following circumstances: (C) Because of potential dangers related to the medication itself, or due to physical arrangements in the facility and the condition or the habits of other persons in the...... ..facility, the medications are determined by either a physician, the administrator, or Department to be a safety hazard to others.-This requirement is not met as evidenced by:-Based on observation, the licensee did not comply with the section above in R1's medications in the dining table which pose an immediate risks to persons in care.

RCFE complaint poster posting requirements

Clean linen quantity and hygiene supplies

RCFE complaint poster posting requirements

Based on observation, interview and record review, the licensee did not comply with the section cited above by not posting the required poster which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not employing an administrator to carry out their responsibilities of which poses/posed a potential health, safety or personal rights risk to persons in care.

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

Maintain required personnel records for staff

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that all personnel records maintained proof of a Health Screening, TB testing, and Training which poses/posed a potential health, safety or personal rights risk to persons in care.

Record annual routine visit documentation

Based on observation, interview and record review, the licensee did not comply with the section cited above by not conducting an annual reappraisal for all residents which poses/posed a potential health, safety or personal rights risk to persons in care.

(a) Living accommodations... shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents... who may reside in the facility. (3) Equipment and supplies necessary for personal care... shall be readily available to each resident. ...the licensee shall assure provision of: (B) Bedroom furniture... a chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers. This requirement was not met as evidence by:Based on observation the Licensee did not comply with the section cited above in having a chest of drawers for R1, which poses a potential health and safety risk to persons in care.

Clean linen quantity and hygiene supplies

(a) Living accommodations... should be related to the facility's function... (3) ...supplies necessary for personal care and maintenance of adequate hygiene... the licensee shall assure provision of: (C) Clean linen... top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels... The quantity shall be sufficient to permit changing at least once per week... The linen shall be in good repair. This requirement was not met as evidence by:Based on observation the Licensee did not comply with the section cited above in having sufficient quantity of linen, which poses a potential health and safety risk for persons in care.

Personal assistance and care for required daily activities

(f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports Based on interviews and observation the Licensee did not comply with the section cited above in assisting resident with personal grooming, which poses a potential health and safety risk to persons in care.

Certified administrator requirements and substitute coverage

(a) 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... When the administrator is not in the facility, there shall be coverage by a designated substitute... This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having a qualified and certified administrator, 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 in 1 out of 3 reviewed staff files not possessing proof of required training which poses a potential health, safety or personal rights risk to persons in care.

Keep administrator certification or recertification records

Based on observation, interview and record review, the licensee did not comply with the section cited above by administrator not completing off of the certification requirements as an Administrator which poses a potential health, safety or personal rights risk to persons in care.

Maintain required personnel records for staff

Based on observation, interview and record review, the licensee did not comply with the section cited above in 3 out of 3 staff files not being completed and updated with training, health screenings and personal rights forms which poses a potential health, safety or personal rights risk to persons in care.

Facility personnel sufficiency and competence

(a) Facility personnel shall at all times be sufficient in numbers... to provide the services necessary to meet resident needs... The licensing agency may require any facility to provide additional staff whenever it determines... This requirement was not met as evidence by: Based on observation and interview the Licensee did not comply with the section cited above in having staff present at the facility, which poses a potential health and safety risk to persons in care.

Records available to licensing agency for inspection

87506 Resident Records (d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours...This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having R1's file available for review on premises, which poses a potential health and safety risk to persons in care.

Submit fingerprints for state and federal searches

Based on observation, interviews and record review, the licensee did not comply with the section cited above in 1 out of 3 persons, the Care Staff was not associated to the facility and did not have criminal record clearance which posed an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above in 1 out of 12 lower kitchen drawers did not have a panle and was in direpair which poses a safety or personal rights risk to persons in care.

Regular observation and documentation of resident changes

Based on observation, the licensee did not comply with the section cited above by not documenting resident's observation which poses a potential health and safety risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above by having an unsafe structure in the side yard and side gate uneasy to open which poses a potential health and safety risk to persons in care.

Store centrally held medications in locked secure place

Based on observation, the licensee did not comply with the section cited above by having unlocked medications in staff room which poses an immediate health and safety to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above by having unlocked knives, lighters, tools, and gardening tools which poses an immediate health and safety risk to persons in care.