Follow-up·November 3, 2021

Citations

5 citations recorded^*CCLD

• 1569.312(a)Type B

  §1569.312 Basic services requirementsEvery facility required to be licensed under this chapter shall provide at least the following basic services: (b) Assistance with instrumental activities of daily living in the combinations which meet the needs of residents.This requirement is not met as evidenced by: LPA found that 3 out of 8 residents sampled showed Activities of Daily Living (ADL) logs did not match the residents basic services as shown on the residents' Physician's Report for Residential Care Facilities for the Elderly form LIC602A. This poses a potential health, safety, or personal rights risk to residents in care.

• 87465(a)(5)Type A

  Limit staff assistance with self-administered drugs

  87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility...(5) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: LPAs found that the facility staff were not administering medication as prescribed. R1's medication Acetaminophen 325mg tablet was started on 10/29/21 as a routine medicine to be given two tablets by mouth every 8 hours for pain. Starting from 10/29/21 to today, only 9 doses have been administered, but 7 doses were remaining on the bubble pack card not given as prescribed. All doses for 10/29/21 through 10/31/21 were given. Doses for 11/1/21 through 11/3/21 AM dose were not given and still in the bubble pack card. This poses an immediate health, safety, or personal rights risk to residents in care.

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• 87309(a)Type A

  Ensure hazardous items are locked and not unattended

  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.This requirement is not met as evidenced by: LPA found steak knife out on the counter in the kitchen of the third floor, unsupervised. LPA Malia Thao observed food service staff walk out of kitchen/dining room, then LPAs entered kitchen/dining area with LVN Faith Enriquez and observed steak knife out on counter. While touring the memory care unit, LPAs observed from the hallway, a disinfecting spray bottle on top of toilet tank in Room 244. Room 244's door was open, and disinfecting spray was accessible to room's resident as well as all other passing residents. This poses an immediate health, safety, and personal rights risk to residents in care.

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• 87458(b)(1)Type B

  87458 Medical Assessment (b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis...other medical conditions which would preclude care of the person by the facility.This requirement is not met as evidenced by: LPA found that R6's medical assessment form LIC602A did not include the resident's primary or secondary diagnosis. This poses a potential health, safety, and personal rights risk to residents in care.

• 87705(c)(5)Type B

  87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment.. both of which shall include a reassessment of the resident’s dementia care needs.This requirement is not met as evidenced by: LPA found that R2 is diagnosed with dementia and last had a medical assessment completed on 2/20/2020. This poses a potential health, safety, or personal rights risk to residents in care.