Heritage Care Home

Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 5 residnents did not possess an Appraisal Needs and Services plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 5 residents did not posess a Consent for Medical treatment form which poses/posed a potential health, safety or personal rights risk to persons in care.

LPA reviewed S1 did not have a TB result on file which poses a potential risk to the health and safety of the residents.

Maintain records of centrally stored medication dosages

Based on records review and interview with staff, Licensee did not comply with the regulations above by not having a centrally stored medication log for all four resident’s PRN medications and log for PRN medications being administered which poses a potential health safety and or personal rights risk to residents in care.

Keep prescriptions in original containers

At approximately 10:30AM, LPA and House manager observed medication tablets for R2 stored inside a zip lock bag and not in original container which poses an immediate risk to the health and safety of the residents.

Must complete individual written admission agreements

Based on records review, the licensee did not comply with the section cited above when LPA reviewed all residents; file and observed R1 did not have an Admission Agreement which poses a potential health and safety risks to persons in care.

Obtain required California clearance or exemption

LPA observed S1 and S2 working, fingerprinted, cleared and not associated to facility which poses an immediate risk to the health and safety of the residents.

Conformance with applicable laws and regulations

Fire extinguisher was observed with a purchased date of 2/28/22, which poses an immediate health and safety risk to the residents.

Staff training in personal care activities

Based on records review and staff interviews, staff did not have required trainings which poses an immediate risk to the health and safety of the residents.

Obtain baseline medical assessment before resident admission

Based on records review, the licensee did not comply with the section cited above when LPA reviewed all residents; file and observed R2 did not have a Physician report assessment on file which poses a potential health and safety risks to persons in care.

Maintain and operate facility under definitive plan

Plan of Operation.Each facility shall have and maintain a current, written definitive plan of operation....including...plan that describes the capacities... (&)the uses intended and a designation of the rooms to be used. Vacant designated resident room being used as a staff bedroom.

Store centrally held medications in locked secure place

Incidental Medical and Dental Care.Centrally stored medicines shall be kept in a safe...locked place not accessible to persons other than employees responsible for the supervision of the centrally stored medication. Key to open locked drawer in facility kept on wall opposite locked drawer making contents accessible to residents.

Limit staff assistance with self-administered drugs

Incidental Medical...Care.A plan for incidental medical...care shall be developed by each facility. Facility staff...may assist persons with self-administration (of medication) as needed. Medication observed to be given past d/c date due to lack of plan.MARs not being signed at time Rx given, requiring a plan to ensure records are maintained correctly @ all times.