Mrs Scott's Where the Heart Is Homes-san Francisco

Record centrally stored prescriptions and refill data

Based on interview conducted, observation, and records reviewed, three out of six residents did not have Centrally Stored Medication List, which poses/posed a potential health and safety and personal rights risk to the resident in care.

Based on observation and records reviewed, R1 is not receiving hospice care. R1 was laying in hospital bed with full rail, which poses/posed a potential health and safety and personal rights risk to the resident in care.

Safe, healthful, comfortable accommodations

Based on observation, the licensee did not comply with the section cited above when a surveillance camera with audio was observed in the kitchen and entryway which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, LPA reviewed all residents’ files and observed 5 out of 6 resident do not have an appraisal (Lic 603) and needs service plan (Lic 625) which poses a potential health, safety or personal rights risk to person in care.

S2 working on shift do not have current First Aid/ CPR certification, this poses an immediately health and safety risk for the residents in care.

Keep bath, laundry and kitchen floors clean

Based on observation, the licensee did not comply with the section cited above when LPA observed the non-skid mat and shower floor with mold in the master bathroom which poses a potential health, safety or personal rights risk to person in care.

Use slip-resistant surfaces in bathing areas

Based on observation, the licensee did not comply with the section cited above when hall bathroom was observed with no non-skid mat or strips in the bathtub which poses a potential health, safety or personal rights risk to person in care.

Obtain required California clearance or exemption

LPA observed S1 working with residents. S1 is fingerprinted cleared and is not associated to facility which poses an immediate risk to the health and safety of the residents.

Conformance with applicable laws and regulations

Based on observation, Fire Extinguisher was observed with a service date of 07/20/22, which poses an immediate health and safety risk to the residents.

Document required staff training and orientation

Based on records reviewed and interviews, no records of staff trainings on file which poses a potential health and safety risk for the person in care.

Based on records reviewed, 2 out of 6 residents do not have TB result on file which poses a immediate health, safety or personal rights risk to persons in care.

Facility maintenance and healthful environment

Based on observation and interview, the licensee did not comply with the section cited above in 4 out of 4 Building and structural damage 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 2 out of 2 resident files Resident (R2) had no TB clearance. (R3) TB test was completed but the results were not read/ documented which poses an immediate health, safety or personal rights risk to persons in care.

Maintain records of centrally stored medication dosages

Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 4 residents medication audit Residents (R1) and (R4) did not have a Centrally Stored Medication and Destruction Record which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facilities for fire and panic safety

Based on observation, the licensee did not comply with the section cited above in 1 out of 1. Fire extinguisher was expiredwith a service date of 7/20/2022, which poses an immediate health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observation, the licensee did not comply with the section cited above in 2 out of 2 water temperature check readings 91.4 master, and 92.8 Hallway which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above in 3 out of 5 resident rooms observed with debris on floor which poses/posed a potential health, safety or personal rights risk to persons in care.

Auditory exit monitoring for elopement risk

Based on observation and interview, the licensee did not comply with the section cited above in 5 out of 5 Stove knobs observed while no staff was present in kitchen/and or cooking which poses an immediate health, safety or personal rights risk to persons in care.