Ivy Park at San Lauren

Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the client's needs.This requirement was not met as evidenced by R1 eloped out of her bedroom window and subsequently called her family to inform them she had 'gotten out'. R1 was immediately returned to the facility. Elopement poses an immediate risk to the health and safety of residents.

Personal Rights 87468.1(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by Shower equipment (hot water) was not available and functioning for several days and residents who were not informed of alternative had to do without taking a shower. This poses a potential risk to the health and safety of the residents in care.

Maintain facility in clean, safe, sanitary condition

Maintenance and Operations: (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by Hot water system was not functioning and resdients were without access to hot running water in their units. This poses a potential risk to the health, safety and personal rights of the resdients in care.

1569.49 Civil penalties; regulations setting forth appeal procedures for deficiencies (c) The department shall assess an immediate civil penalty of five hundred dollars ($500) per violation and one hundred dollars ($100) for each day the violation continues after citation for any of the following serious violations:(3) Absence of supervision as required by statute or regulation. This regulation was not met as evidenced by: On 03/29/23 Facility did not have staff present in the faciltiy and did not provide care to R1 for at least 30 minutes which poses an immediate health, safety, and/or personnnel rights risks to residents in care.

Report specified resident events within seven days

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by: Facility did not report emergency services responding for R1 which poses a potential health, safety and/or personal rights risk for residents in care.

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. (3) Ability to maintain or supervise the maintenance of financial and other records. This requirement was not met as evidenced by: Administrator did not provide requested records for the dates of 3/15/23 to 03/31/23 for the signal system at the facilty which poses a potential health, safety and/or personal rights risk to residents in care.

Facility personnel sufficiency and competence

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. ...This requirement was not me evident by: Based on LPA's interviews and record reviews, on 3/29/2023, the Licensee did not ensure staff were present, for approximately 30 minutes, to respond to the facilities signall system, which poses a potential health and safety risk to persons in care.

87459 Functional Capabilities (a) The facility shall assess the person's need for personal assistance and care by determining his/her ability to perform specified activities of daily living. Such activities shall include, but not be limited to: (6) Eating, including the need for:(B) Assistance from another person. This requirement was not met as evidenced by LPAs observation of LIC602, evidencing a change of condition. A functional assessment for feeding was not documented as completed by facility. This poses a potential risk to residents in care.

(a) A licensee shall ensure that infection control practices are maintained as follows:(2) Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: (A) Surfaces such as floors, chairs, toilets, sinks, counters and tabletops shall be cleaned and disinfected on a regular basis to ensure they are safe and sanitary. These surfaces shall also be disinfected when these surfaces are contaminated or visibly soiled. This requirement was not met as evidenced by LPA's interviews and observation of text messages, that included the time and date of a visibly soiled bathroom and floor in Resident R1's room. This poses a potential threat to residents in care.

87211 Reporting Requirements:(a) Each licensee shall furnish to the licensing agency…(1) A written report… within seven days of the occurrence of…(D) Any incident which threatens the welfare, safety or health of any resident... This requirement was not met as evidenced by: Based on interviews, the facility did not submit an incident report for R1 when R1 became aggressive towards staff and other residents resulting in R1 being transported to the hospital, which poses a potential health and safety risk to persons in care.