Belmont Village San Ramon

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This requirement was not met as evidence by Based on observation the facility failed to identify dangerous items in residents room. LPA observed scissors in 3 seperate memory care residents rooms which poses an imediate safety risk to residents in care.

Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...for the provision of adequate services.This requirement was not met as evidence by: Based on interview and record review staff did not know how to provide proper medication assistance which attributed to medication mismanagment for R1 and R2 which poses a potential health and personal rights risk to residents in care

(c) If the resident's physician has stated... all of the following requirements are met:(3 )A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. Based on interview and record review staff did not properly document the PRN history for R2 which poses a potential health and personal rights risk to residents in care

Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...for the provision of adequate services.This requirement was not met as evidence by: Based on record review of S1s personnel file the facility did not meet the above requirement by S1 having a prior issue related to administering residents medications which resulted in R1 receiving R2's medication on 1/31/2026 which posed a potential health and personal rights risk to residents in care