Karo Mina Care Home

Based on observation, the licensee did not comply with the section cited above in having a pair of scissors with a blue handle acessible to residents located in the kitchen on top of the microwave which poses an immediate safety risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in the facility not having any planned activities or an activity calendar which poses a potential personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that the PUB475 is the incorrect size which poses a potential personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that there was Vicks formula 44DM cough syrup on R1's bedside table accessible which poses a potential safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that the facility did not have proper documentation of the PRN, notification to the physicians or a log of the dosages being taken which poses a potential safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that R1's Appraisal needs and Services Plan was incomplete which poses a potential personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that S2's personnel file is missing their identifying document and LIC501 which poses a potential personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that the administrator stated that they have a leg injury that requires surgery which poses a potential health and safety risk to persons in care.

(b) A comfortable temperature for residents shall be maintained at all times.(1) The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C).This requirement is not met as evidence by: Based on observation facility temperature was 66 degrees F which posed a potential health risk to resident in care

(a) The licensee shall be permitted to accept or retain a resident who requires the use of an indwelling catheter under the following circumstances:This requirement is not met as evidence by: Based on record review, interview with W1 and Licensee, and text messages Licensee did not have the proper requirements met to retain a resident with a catheter which posed a potential health risk to resident in care

(a) If a licensee .. increases the rates… the licensee shall provide no less than 90 days’ prior written notice… including a description of the additional costs, except for an increase in the rate due to a change in the level of care of the resident.The following requirement was not met as evidence by: Based on interviews with Licensee, W1, and review of text messages the Licensee raised the rent without proper notice twice which poses a potential personal rights violation to resident in care.

(a)Living accommodations …shall apply: (3)Equipment and supplies necessary for personal care …the licensee shall assure provision of: (D)Hygiene items of general use such as soap and toilet paper.The following requirement was not met as evidence by: Based on interviews with R1, R2, and W1 the facility was not providing basic hygiene needs by not readily providing toilet paper which poses a potential personal rights violation to resident in care.

(a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs…facility require such additional staff for the provision of adequate services.The following requirement was not met as evidence by: Based on interviews with S1, and record review staff were not up to date on their training or competent to provide the required care and assistance which poses a potential personal rights violation to resident in care.

(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.The following requirement was not met as evidence by: Based on interviews with W1, record review, observations made during visits the facility was not following the careplans’ for R3 by not assisting them with repositioning every 2 hours, and not following R1’s careplan which poses a potential personal rights violation to resident in care.

(a)In addition to the rights listed in Section 87468. … the elderly shall have all of the following personal rights: (8)To be free from neglect… or sexual abuse.The following requirement was not met as evidence by: Based on interviews with W1 and review of text messages R1 sustained pressure injuries due to staff neglecting to ensure proper movement which poses an immediate health and personal rights violation to resident in care.

(a)The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner.The following requirement was not met as evidence by: Based on interviews with W1, photos, text messages with home health, and observations made at the facility by LPAs the facility is not providing quality food due to having expired foods in use for residents such as potatoes, pre-cooked meals, and produce as well as not following R1’s no salt diet which led to them swelling which poses an immediate health and personal rights violation to resident in care.

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:This requirement is not met as evidenced by: Based on record review and observation, the licensee did not comply with the section cited above by having S1 at the facility without fingerprint clearance which posed an immediate safety risk to persons in care.

(a) Except as specified in subsection (b), the licensee shall ensure that ...knives...are in locked storage and are not left unattended if outside the locked storage.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having unlocked knives which posed an immediate safety risk to persons in care.

(e) Water supplies...as follows:(5) Non-skid mats or strips shall be used in all bathtubs and showers.This requirement was not met as evidence by: Based on observation, the licensee did not comply with the section cited above by not having non-skid mats in the showers which poses a potential safety risk to persons in care.

(b) Each resident’s record shall contain at least the following information:This requirement was not met as evidence by: Based on observation and record review the licensee did not comply with the section cited above by all residents files are incomplete which poses a potential personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in all staff not being up to date on trainings which poses a potential health, safety and personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above not having a valid administrators certificate which poses a potential personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in R3 missing an updated physicians report which poses a potential health risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in having expired cpr/first aid for all staff 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 4 out of 4 persons not having complete or missing personnel files 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 in having untrained staff working solo with residents 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. LPA observed S1 is not fingerprint cleared which poses an immediate health and safety risk to person in care.

Based on record review, the licensee did not comply with the section cited above. LPA observed S1 and S2 does not have a health screening and TB test on file which poses a potential health and safety risk to residents in care.

Based record review and interview,, the licensee did not comply with the section cited above. LPAs observed 3 staff are not fully vaccinated and does not have an exemption on file nor is conducting weekly COVID-19 testing which poses a potential health, safety or personal rights risk to persons in care.