New Alamo Residence Home

Based on observation, the licensee did not comply with the section cited above in not having food stocked/ served to meet the nutrition requriements which poses a potential health and personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having dangerous items accesable which poses an immediate safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 out of 6 residents not having up to date appraisals 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 not securiing medications which poses an immediate safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in not having a one week supply of non-erishable foods which poses a potential health and personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in R6 having full bed rails without the required conditions being met 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 living room fire exit blocked with a stick preventing it from opening on the inside which poses an immediate safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in not having any slip resistant mats in the showers which poses a potential safetyrisk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 3 staff not having met training requirements 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 not conducting activities or having an activities schedule being followed 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 hot water being over 120 degrees F in 1 out of 2 bathrooms which poses a potential safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having a lit candle in R6's room unsupervised which poses a potential safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in not having the storage area maintained and PPE/Supplies covered in rat droppings which poses a potential health and personal rights risk to persons in care.

(b) A comfortable temperature maintained at all times.(1)The facility shall...minimum of 68 degree F, (20 degrees C).This requirement is not met as evidence by: Based on observation, the licensee did not comply with the section cited above. On 2/21/25 LPA observed the facility temprature at 64 degrees F which posed a potential personal rights risk to persons in care.

(b) The following...shall apply:(26)Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained...This requirement is not met as evidence by: Based on observation, the licensee did not comply with the section cited above. LPA observed that the facility did not have the required 2 days of perishables and 7 days of non- perishable foods. which posed a potential personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. LPAs observed unlocked clorox, drain cleaner and oxy cleaner stored underneath bathroom sink cabinet which poses an immediate health and safety risk to persons in care.

Based on record review and interview, the licensee did not comply with the section cited above. LPAs observed S1's first aid expired in December of 2020 and S1 stated S1 provides care 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. LPA observed fire extinguisher was last serviced on 1/9/22 which poses/posed 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 by not having all residents records maintained and available to LPAs 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 by having unlocked tylenol stored inside medication cabinet in R2's bathroom 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 completing quarterly drills for each shift which poses a potential health, safety or personal rights risk to persons in care.

CRIMINAL RECORD CLEARANCE(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing.. (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by: Based on the Deparments record review and observation, Licensee did not comply with the regulation above. S1 has been employed at the facility without fingerprint clearance since November 2021. S1 was observed by the Department on 12/21/2021 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. S1 does not have an exemption for COVID-19 on file and weekly COVID-19 testing is not being conducted in accordance to Public Health Order and PIN 22-05.1-ASC which poses a potential health and safety risk to persons in care..

1569.17(c)(3) Fingerprints and criminal records..(3)…If the State Department of Social Services determines, on the basis of the fingerprint images submitted to the Department of Justice, that the person has been convicted of a sex offense against a minor…. the receipt of the notification from the Department of Justice to act immediately to terminate the person’s employment, remove the person from the residential care facility for the elderly….” This requirement is not met as evidenced by: Based on evidence obtained during the course of this investigation, Licensee did not comply with the regulation cited above. The Department observed RSO present at the facility on 12/21/2021 which poses an immediate health and safety risk to persons in care.

87355(c)(1)CRIMINAL RECORD CLEARANCE(c) A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another,..providing the following documents to the Department: (1) A signed Criminal Background Clearance Transfer Request, LIC 9182 (Rev. 4/02). This requirement is not met as evidenced by: Based on record review, Licensee did not comply with the regulation cited above. LPA observed S1 is fingerprint cleared. However, not associated to the facility which poses a potential health and safety risk to resdients in care.