California Sunshine Rcfe

Based on interview and record review, the licensee did not comply with the section cited above by not having an updated medical assessment for R1 with current ambulatory status 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 unlocked knives, cleaning supplies, and unlocked gardening which poses an immediate health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by not having health screening and TB test 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 by not having current CPR and First Aid training for staff 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 by not having admission agreement for R1 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 by not having medical assessment and TB test for R2 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 by not having current reappraisal needs and service plans for residents 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 medications in an unlocked cabinet located in the kitchen which poses an immediate 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 a medical bed in Resident's room#2 that extends from the head half the length of the bed without a medical order or order summary 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 an unsecured lock around the fence of the pool which poses a potential health, safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having cleaning solutions such as windex and pine sol in an unlocked cabinet in common bathroom and fabuloso antibacterial multi purpose cleaner on counter near sink which poses an immediate health, in a safety or personal rights risk to persons in care.

Based on record review the licensee did not have completed resident files for R1, R2, R3 and R4 which poses/posed a potential health, safety or personal rights risk to persons in care. R1, R2 and R3 files are missing LIC 601, and LIC 603A. R4 file was observed to be empty and did not obtain the required forms.

Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (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 of any of the events specified in (A) through (D) below... This requirement was not met as evidenced by staff not reporting incidents to the licensing office which posed a potential health & safety risk to residents in care.

The plan of operation shall address the needs of residents with dementia, including: (1) Procedures for notifying the resident’s physician, family members and responsible persons who have requested notification, and conservator, if any, when a resident’s behavior or condition changes This requirement was not met as evidenced by staff failing to seek medical attention for resident's fall which posed a potential health & safety risk to residents in care.

The plan of operation shall address the needs of residents with dementia, including: (2) Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials. This requirement was not met as evidenced by resident sustaining several falls which posed a potential health & safety risk to residents in care.

Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by fecal smears on resident's wall which posed a potential health & safety risk to residents in care.

Residents in all residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by resident sustaining unexplained injury which posed a potential health & safety risk to residents in care.

During visit, LPA observed S1 did not wear a face mask which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, toxic chemicals were stored in an unlocked hallway cabinet which poses an immediate health, safety or personal rights risk to persons in care.