Maple Tree Care Home 2

Maintain fire clearance before retaining specified persons

Based on observation, the licensee did not comply with the section cited above, LPAs observed fire extinguisher last serveiced on 06/2023, which poses a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above in LPAs observed in facility resident restroom, and laundry room, chemical containers unlocked, and accessible to residents. LPAs also observed chemicals not in their original container and placed in food containers, which poses an immediate health, safety or personal rights risk to persons in car

Maintain required personnel records for staff

Based on, observation and record review, the licensee did not comply with the section cited above, LPAs during record review observed that staff 1 did not have TB test included on Health Screening Report, however was not associated with facility. which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, record review, the licensee did not comply with the section cited above, Resident 1 did not have requeired TB test, which poses a potential health, safety or personal rights risk to persons in care.

Require physician order and label for PRN medication

Based on observation, the licensee did not comply with the section cited above in Resident 1 does not written prescription for PRN sleeping medication, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in Resident 1 did not required have annually updated Physician's report. which poses/posed a potential health, safety or personal rights risk to persons in care.

Right to personal privacy in daily care

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities: (a) In addition to the rights listed in Section 87468.1... (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement was not met as evidenced by: Based on observation, Licensee did not ensure residents have a reasonable level of personal privacy as evidenced by cameras installed in 6 out of 6 resident bedrooms.

Maintain fire clearance before retaining specified persons

Based on observation, the licensee did not comply with the section cited above when the fire exits in rooms 3 and 6 were blocked by furniture which poses an immediate health, safety or personal rights risk to persons in care.

Onsite food stock levels for nonperishables and perishables

Based on observation, the licensee did not comply with the section cited above as evidenced by the facility not having a week supply of non-perishable foods and 2 day supply of perishable foods in the facility which poses a potential health, safety or personal rights risk to persons in care.