Rose of Sharon Healthcare

Based on observation, interview, and record review, the licensee did not comply with the section cited above in conducting a quarterly fire drill which poses 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 staff files available at facility for review 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 in it's original container which poses 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 complete records for residents which poses a potential health, safety or 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: This requirement was not met as evidence by: Based on observation and interview the Licensee did not comply with the section cited above in having S2 and S3 associated to the facility, which poses an potential health and safety risk to persons in care.

(d) All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement (LIC 508 [Rev. 1/03]) under penalty of perjury. This requirement was not met as evidence by: Based on record review and interview the Licensee did not comply with the section cited above in having S1 fingerprinted before being employed at the facility, which poses a potential health and safety risk to persons in care.

(a... the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances... and other similar items which could pose a danger to residents are in locked storage and are not left unattended... This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above by not having disinfectants, laundry detergents, paints accessible to residents, which poses an immediate health and safety risk to persons in care.

(a) ... The following provisions shall apply: (3) Equipment and supplies necessary for personal care and maintenance... shall be ...readily available to each resident. (C) Clean linen... towels, hand towels and wash cloths. The quantity shall be sufficient to permit changing at least once per week or more often... This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having a sufficient amount of bedding and towels available for residents, which poses a potential health and safety risk to persons in care.

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department... Prior to accepting or retaining any of the following types of persons...(1) Non ambulatory persons.This requirement was not met as evidence by: Based on observation and record review the Licensee did not comply with the section cited above in having proper fire clearance for non ambulatory residents, which poses a potential health and safety risk to persons in care.

(a) Notwithstanding Section 1569.19, in the event of a sale of a licensed facility where the sale will result in a new license being issued, the sale and transfer of property and business shall be subject to both of the following:(1) The licensee shall provide written notice to the department and to each resident or his or her legal representative of the licensee's intent to sell the facility at least 30 days prior to the transfer of the property or business, or at the time that a bona fide offer is made, whichever period is longer. This requirement was not met as evidence by: Based on interview the Licensee did not comply with the section cited above in notifying CCLD and representatives of sale of business, which poses a potential health and safety risk to persons in care.

... all residential care facilities for the elderly... shall maintain liability insurance covering injury to residents and guests in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement was not met as evidence by: Based on record review and interview the Licensee did not comply with the section above in having liability insurance for the facility which poses a potential health and safety risk to persons in care.

(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having documentation for R1's catheter/home health which poses a potential health and safety risk to persons in care.

(h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: This requirement was not met as evidence by: Based on observation and record review the Licensee did not comply with the section cited above in having records of medication for all 3 residents, which poses a potential health and safety risk to persons in care.

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited in maintaining medication in it's original container, which poses a potential health and safety risk to persons in care.

(a) All facilities shall have a qualified and currently certified administrator.... The administrator shall... on the premises a sufficient number of hours... When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications.... This requirement was not met as evidence by: Based on observation and interview the Licensee did not comply with the section cited above in having an administrator

87202 (a) All facilities shall maintain a fire clearance approved by the city, county... fire protection services... Prior to accepting... persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance...(1) Nonambulatory persons. This requirement was not met as evidence by: Based on observation and record review the Licensee did not comply with the section cited above in have an approved fire clearance for non-ambulatory residents, which poses a potential health and safety risk for persons in care.

87555 General Food Service Requirements (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having 7 day supply of non-perishable and 2-day perishable foods for residents, 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 not having the fire extinguishers serviced 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 submitting an incident report to CCLD 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 passageway clear in back yard on right side of house 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 a certified administrator employed at facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in not having a NOC shift employed 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 staff records available for review during visit 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 not having medications prescribed listed on MAR for all residents 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 resident records available for review during visit 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 7-day perishable and 2-day non perishable foods available 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 sharps locked and inaccessible 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 conducting a fire drill every three months which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in having a first aid kit 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 melatonin sitting next to R1's bed 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 6 bottles were on R2 night stand 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 having prescriptions listed on the MAR which poses 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 personnel records completed and administrator record available 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 S3 associated to the facility 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 have S2 fingerprinted and associated 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 toxins 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 the hot water between 105 - 120 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 the facility having 7-days non-perishable 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 having both resident files completed which poses/posed a potential health, safety or personal rights risk to persons in care.