Angel's Love Rcfe

(b) The following food service requirements shall apply: (5) Meals shall consist of an... variety of foods and shall be planned with consideration for cultural... background and food habits of residents.This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having a variety of foods for the residents which poses a potential personal rights risk to persons 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: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) orThis requirement was not met as evidence by: Based on record review the Licensee did not comply with the section cited above in having S2 associated to the facility which poses a potential health and safety risk to persons in care.

§1569.655 Increase in fee rates for elderly residents; 60 days’ written notice stating amount of and reasons for increase; application of sectionThis requirement was not met as evidence by: Based on record review the Licensee did not comply with the section cited above in issuing a legal 60-day eviction letter, which poses a potential 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 S3 associated to the facility 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 unlocked cabinets containing medication 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 perishable and 2 day perishable foods for residents 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 the swimming pool accessible. The gate surrounding pool was apart from other part of gate 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 not having night stand for 2 R5 and R^, and a chest of drawers for R1. 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 detergents and cleaners in unlocked room and unlocked closet accessible to residents 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 submitted hospice notifications for R1 and R4 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 have a supply of 7-day non-perishables and 2-day perishable for residents 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 complete records for R3 and R4 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 passageways free of obstruction 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 have S4 a health screening and TB test prior to working which poses/posed a potential health, safety or personal rights risk to persons in care.

Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by removing smoke detectors for a few days which poses a potential health and safety risk to the persons in care.

Postural Supports. Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care... This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above by having full bed rails for R2 who is not on hospice care which poses an immediate health and safety risk to the persons in care.

87458 Medical Assessment (b) The medical assessment shall include, but not be limited to: (4) Identification of physical limitations of the person... provided by the licensee, including any medically necessary diet limitations. This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having consent to puree food for R1 and R2 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 record review the Licensee did not comply with the section cited above in having S3 and S4 fingerprinted and associated which poses an immediate health and safety risk to persons in care.

87465 (a) A plan for incidental medical... care shall be developed by each facility. The plan shall encourage routine medical... (5) Facility staff... Assistance with self administered medications shall be limited to the following: (D) Assistance with self-administration does not include forcing a resident to take medication, hiding or camouflaging medications in other substances without the resident's knowledge and consent...This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in not hiding medication in food which poses a potential health and safety risk to persons in care.

87211 (a) Each licensee shall furnish to the licensing agency such reports as the Department may require... (1) A written report shall be submitted to the licensing agency... within seven days of the occurrence of any of the events... This requirement was not met as evidence by: Based on LPA's interview and record review the Licensee did not comply with the seciton cited above in reporting and AWOL, which poses a potential health and safety risk to persons in care.

87468.2 (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: This requirement was not met as evidence by: Based on LPA's observation the Licensee did not comply with the section cited above in resident having privacy in personal accommodations, which poses a potential health and safety risk to persons in care.

87468.2 (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 evident by. Based on LPA's interviews and record review the licensee did not comply with the section cited above in providing supervision to care for residents' needs, which poses a potential health and safety risk to persons in care.

87705 (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident’s... safety and health care needs as identified in his/her current appraisal. This requirement was not met as evidence by: Based on LPAs interviews and record review the Licensee did not comply with the section cited above in supporting R1's needs, which poses a potential health and safety risk to residents in care.

Based on observation and record review, the licensee did not comply with the section cited above in having doctor's orders for hospital bed for R1, R2, and R3 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 a non-skid mat in shared residents' bathroom 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 the Clorox, Comet, Clorox disinfectant, knives, scissors and other items inaccessible 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 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 monitor watching R5 in the bedroom and locking the refrigerator and freezer which poses a potential health, safety or personal rights risk to persons in care.

87506 Resident Records(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident... readily available to facility staff and to licensing agency staff. This requirement was not met as evidence by: Based on record review and observation the Licensee did not comply with the section cited above in having a complete file for R1, which poses a potential health and safety risk to persons in case.

87705 (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident’s... safety and health care needs as identified in his/her current appraisal. This requirement was not met as evidence by: Based on LPAs interviews and record review the Licensee did not comply with the section cited above in supporting R1's needs, which poses a potential health and safety risk to residents in care.

Based on observation and interview, the licensee did not comply with the section cited above by having constrution done on the bathroom without informing CCLD 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 by having a gate in disrepair 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 by having the utility room unlocked with chemicals out 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 by having expired cans of food 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 by changing a resident room into a staff room which poses/posed a potential health, safety or personal rights risk to persons in care.