Marston Corporation

Document required significant condition changes

Based on record review, the licensee did not comply with the section cited above as the Appraisal Needs and Services forms for all residents were not up to date, which poses a potential health, safety, or personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

Based on observation, the licensee did not comply with the section cited above by not having the fire extingisher serviced which poses/posed a potential health, safety or personal rights risk to persons in care.

Passageways and stairways kept clear

Based on observation, the licensee did not comply with the section cited above by having a wired keeping the gate closed which poses/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.This requirement is not met as evidenced by: Knifes and chemical cleaners were observed unlocked in the garage, bathrooms, bedroom and kitchen

All individuals subject to a criminal record review ... shall prior to working, residing or volunteering in a licensed facility:Request a transfer of a criminal record clearance as specified in Section 87355(c)This requirement is not met as evidenced by: Two staff are not associated to the facility.

Give PRN medication by physician order

If the resident's physician has stated in writing that the resident is unable to determine ... facility staff designated by the licensee shall be permitted to assist the resident ...Once ordered by the physician the medication is given according to the physician's directions. requirement is not met as evidenced by: The staff gave the resident the wrong medication

Food storage temperature control requirements

...refrigerators of adequate size shall maintain a maximum temperature of 40 degrees F (4 degrees C). They shall be kept clean and food stored to enable adequate air circulation to maintain the above temperatures. This requirement is not met as evidenced by: The temperature in the garage fridge was measured at 45 Degree F

Ensuring that the use of oxygen equipment meets the following requirements: "No Smoking-Oxygen in Use" signs shall be posted in the appropriate areas. This requirement is not met as evidenced by: Containers of oxygen are being stored in the closet of one of the bedrooms.

Store centrally held medications in locked secure place

Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: The facilities medication cabinet not locked properly and has a chain wraped around the knobs that falls off with the lightest touch

Onsite food stock levels for nonperishables and perishables

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 is not met as evidenced by: The kitchen, and food storage areas do not have a enough nonperishable foods

Maintain separate complete record for each resident

The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirement is not met as evidenced by: The facility staff was putting together the one of the resident records after the LPA asked for it, and gave it saying that it was not complete yet.

Keep window screens clean and in repair

All window screens shall be clean and maintained in good repair.This requirement is not met as evidenced by: The window screen in the back bedroom is ripped

Provide resident hot water for personal care

Faucets used by residents shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F and not more than 120 degree Frequirement is not met as evidenced by: Water temperature was measured at 134.1 F.