Ambassador Care Home

Based on observation, the licensee did not comply with the section cited above as evidenced by smell of urine in dining areas which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met as evidenced by staff did not assist resident timely with incontinence care needs which posed a potential health & safety risk to residents in care.

The licensee shall immediately, or as soon as reasonably possible, bring any significant change in condition, as defined in Section 87101, Definitions, to the attention of the appropriate licensed medical professional and if applicable, other specialized care provider… This requirement was not met as evidenced by staff failed to meet resident’s medical needs in a timely manner which posed a potential health & safety risk to resident in care.

The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement was not met as evidenced by staff failed to observe resident’s change in condition which posed a potential health & safety risk to resident in care.

(b)...the licensee shall be responsible for the following: (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. This requirement was not met as evidence by: Based on interviews the Licensee did not comply with the section cited above in ensuring incontinent residents are changed checked and changed timely, which poses a potential health and safety risk to persons in care.

87355 Criminal Record Clearance (d) All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement under penalty of perjury. This requirement was not met as evidence by: Based on interview and record review the Licensee did not comply with the section cited above in having S2 fingerprinted and associated to the facility which poses an immediate health and safety risk to persons in care.

(d) All personnel shall be given on the job training or have related experience in the job... This training and/or related experience shall provide knowledge of and skill... (3) Skill and knowledge required to provide resident care and supervision, including... to communicate with residents. This requirement was not met as evidence by: Based on observation and interview the Licensee did not comply with the section cited above in have a staff available on premises to communicate with residents and other, which poses an immediate health and safety risk to persons in care.

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated 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 evidence by: Based on interviews the Licensee did not comply with the section cited above in responding to resident in a timely manner, which poses a potential health and safety risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in requesting an exception for a prohibited health condition which poses an immediate 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 in retaining residents that are able to perform his/her own glucose testing which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in having a hospice care plan maintained at the facility for R4 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in conducting quarterly fire drills 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 in having hot water in shared bathroom's faucet 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 in having cleaners and disinfectants inaccessible to residents 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 keeping passageway on left side of facility outside free of obstruction 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 in having a bolt lock on door leading to back yard 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 patio screen in den in repair, exit door to back yard in repair, refrigerator and freezer sanitary which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in having all staff files complete 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 in having and accurate record for all medication maintained in each residents file 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 in having medication inaccessible to residents 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 7-day supply of non-perishables and 2-day perishable foods which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in having kitchen area clean of insects which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in having all resident records complete which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in having a home health care plan for R2 which poses/posed a potential health, safety or personal rights risk to persons in care.