Country Place Assisted Living

Based on observation and record review, the licensee did not comply with the section cited above as quarterly emergency drills are not being conducted, 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 as yearly updates for the Appraisal Needs and Services Plan are not being done, which poses a potential health, safety, or personal rights risk to persons in care.

The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by staff mismanaged resident’s medication which posed a potential health & safety risk to residents in care.

(2) Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This requirement was not met as evidenced by facility staff failiing to notifiy CCLD of COVID outbreak and timely submit a written report LIC 624 which posed a potential health & safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above due expired fire extinguisher tags which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record reviews, the licensee did not comply with the section cited above due to missing emergency/fire drills documentation which poses/posed 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 due to the absence of a COVID-19 screening station which poses/posed a potential health, safety or personal rights risk to persons in care.

Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. ...LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by:Based on observation, licensee failed to ensure that resident has a medical assessment maintained in records, which poses a potential risk to the health and safety of resident in care.

In facilities required to have a signal system, specified in Section 87303, Maintenance Operation, at least one night staff person shall be located to enable immediate response to the signal system. If the signal system is visual only, that person shall be awake. This requirement was not met as evidenced by absence of supervision on 10/31/23 which posed an immediate health & safety risk to residents in care

All containers, except movable bins, used for storage of solid wastes shall have tight-fitting covers on the containers; shall be in good repair; shall have external handles; and shall be leakproof and rodent-proof.This requirement was not met as evidenced by open trash bins inside the residents' bedrooms and bathrooms which posed a potential health & safety risk to residents in care.

Solid waste shall be stored, located and disposed of in a manner that will not permit the transmission of a communicable disease or of odors, create a nuisance, provide a breeding place or food source for insects or rodents. This requirement was not met as evidenced by presence of ants in open trash bin which posed a potential health & safety risk to residents in care.

In facilities caring for sixteen (16) to one hundred (100) residents at least one employee shall be on duty on the premises, and awake. Another employee shall be on call, and capable of responding within ten minutes This requirement was not met as evidenced by unsupervised residents during a fire alarm which posed a potential health & safety risk to residents in care.

Once ordered by the physician the medication is given according to the physician's directions… This requirement was not met as evidenced by staff failing to get timely refills for resident which posed a potential health & safety risk to resident in care

Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608 This requirement was not met as evidenced by resident sustaining injury while in care which posed a potential health & safety risk to resident in care

All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance. Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents. This requirement was not met as evidenced by staff failing to redirect residents which posed a potential health & safety risk to residents in care.

Personal Rights of Residents in all facilities (b) All residents in all residential care facilities for the elderly shall be protected from all of the actions specified in this subsection. A licensee or facility staff may not take any of the following actions, which also includes taking these actions wholly or partially on the basis of the actual or perceived sexual orientation, gender identity, gender expression, or human immunodeficiency virus (HIV) status, of a resident: (1) Deny admission to a facility, transfer or refuse to transfer a resident within the facility or to another facility, or discharge or evict a resident from a facility.