complaint·June 2, 2021

Citations

7 citations recorded^*CCLD

• 1569.73(h)Type A

  1569.73 Terminally ill residents; or terminally ill persons to be accepted as a resident; transferring hospice care and waivers; resident care and supervision (h) Nothing in this section shall be construed to relieve a licensed residential care facility for the elderly of its responsibility to notify the appropriate fire authority of the presence of a bedridden resident in the facility as required under subdivision (f) of Section 1569.72, and to obtain and maintain a fire clearance as required under Section 1569.149. This requirement was not met as evidenced by Licensee not notifying the local fire department of admitting 5 bedridden residents. Based on review of records and interview with Licensee, Licensee did not notify the local fire departmet of admitting 5 bedridden residents and obtaining the proper fire clearance.

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• 87211(a)(1)Type B

  Reporting Requirements Reporting Requirments: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence.other death reports were not submitted.This requirement was not met as evidenced by late reporting date stamped from CCL on 3/19/21 for a death that occured on 3/1/21 and while reviewing records it was found other death reports were not submitted. Based on interview and review of records Licensee did not have death reports for residents that were in care

• 87613(a)(2)(B)Type A

  87613 General Requirements for Restricted Health Conditions(a) Prior to admission of a resident with a restricted health condition, the licensee shall:(2) Ensure that facility staff who will participate in meeting the resident’s specialized care needs complete training provided by a licensed professional sufficient to meet those needs.(B) Training shall be completed prior to the staff providing services to the resident. This requirement was not met as evidenced by interviews with licensee and the lack of documentation( no care plans) received from the licensee. Based on review of records, Licensee did not have training for staff to care for hospice residents, which poses an immediate health and safety risk for residents in care.

• 87618(b)(3)(A)Type A

  87618 Oxygen Administration - Gas and Liquid (b) In addition to Section 87611(b), the licensee shall be responsible for the following: (3) Ensuring that the use of oxygen equipment meets the following requirements: (A) A report shall be made in writing to the local fire jurisdiction that oxygen is in use at the facility. This requirement was not met as evidenced by Licensee not notifying the local fire department of oxygen dependent residents. Based on review of records and interview with Licensee, Licensee did not notify the local fire department of oxygen dependent residents, which poses an immediate health and safety risk for residents in care.

• 87618(b)(5)Type A

  87618 Oxygen Administration - Gas and Liquid (b) In addition to Section 87611(b), the licensee shall be responsible for the following: (5) Ensuring that facility staff have knowledge of, and ability in the operation of the oxygen equipment. This requirement was not met evidenced by Licensee not having trained staff to operate all oxygen equiptment for residents in care. Based on review of records and interview with Licensee, Licensee did not not have training for staff to operate oxygen equiptment, which poses an immediate health and safety risk to residents in care.

• 87705(c)(5)Type A

  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, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement was not met as evidenced by Licensee not having a current medical assessment for R1. Based on review of records and interview with Licensee, Licensee did not have a current assessment for R1 since 2017, which poses an immediate health and safety risk for residents in care.

• 87506(b)(17)(A)Type B

  Admission Agreement(b) Each resident’s record shall contain at least the following information:(17) Documents and information required by the following:(A) Section 87457, Pre-Admission Appraisal; This requirement was not met as evidenced by LPA's review of all residents records. No pre-appraisal has been completed or maintained in the resident files.

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