Follow-up on corrections·October 3, 2024

Citations

7 citations recorded^*CCLD

• 1569.153(d)Type B

  1569.153 Theft and loss program; standards, property inventories and surrender of personal effects; secured areasA theft and loss program shall be implemented by the residential care facilities...include all of the following:... A written resident personal property inventory is established upon admission and retained during the resident's stay in the residential care facility... This requirement was not met as evidence by: LPA’s review of the admission agreement and interview with RP disclosing R1 and R2 did not discharge with all of their belongings/medication/supplies.

• 87309(a)(1)Type B

  Store disinfectants separately from food supplies

  87309 Storage Space(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. (1)Storage areas for poisons, and firearms and other dangerous weapons shall be locked. This requirement was not met as evidence by: LPA observation of pictures provided by RP of medications unlock in a dresser drawer, medications unlocked in the facility refrigerator and drawers during a visit on 4/19/24.

• 87465(a)(4)Type A

  Assist residents with self-administered medication

  87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility...(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by LPA observation of MARS reviewed from 4/1/24-4/12/24 showing R1 did not receive their medications as prescribed. It was also observed that R1 was not being provided liquids with thicken during a visit conducted on 4/19/24.

• 87468.2(a)(1)Type B

  Right to personal privacy in daily care

  87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a)...(1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance... This requirement was not met as evidence by: LPA interviews disclosing staff are taking photographs/videos of R1 without consent. LPA observation of staff walking into residents’ rooms without permission to enter. Moving R1 in a rough manner without explanation. Raising their voices at R2 during visit on 4/19/24.

• 87555(a)Type B

  Diet quality and preparation in safe healthful manner

  87555 General Food Service Requirements(a)The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents... All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement was not met as evidence by: LPA observations on 4/19/24 of expired food in the pantry, improperly stored food in refrigerator/freezer and observed staff cooking. Interviews conducted with residents indicated residents do not have a variety of food served that is meeting their dietary needs.

• 87705(c)(4)(A)Type B

  87705 Care of Persons with Dementia(c) Licensees who accept and retain residents with dementia... (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs...(A)... shall have at least one night staff person awake and on duty... This requirement was not met as evidence by: LPA interviews staff they are sleeping during the night shift. Documentation reviewed shows R1 wanders throughout the night and R2 needs assistance with their medical condition.

• 87355(e)(b)(1)Type A

  87355 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 or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record This requirement was not met as evidence by: LPA observation of S1 working at facility and Licensee not ensuring all staff present at the facility have received criminal record clearance and been associated to the facility. This poses an immediate health, safety and/or personal rights risk to residents in care.