Your Loved Ones Matter Llc

Complete admission suitability appraisal

Based on record review, the licensee did not comply with the section cited above. Failing to determine resident suitability poses an immediate health, safety or personal rights risk to persons in care.

Obtain and evaluate recent medical assessment

Based on observation and record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Admit resident care meeting requirements

Based on record review, the licensee did not comply with the section cited above, as there was no care plan documented. This can pose an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. Personnel records did not easily or accurately reflect the training hours provided . This poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above due to a non utilized chicken coop that needs to be removed from back yard and damage to the wooden facing on the front of the house is rotted and warped in places and needs to be replaced. These issues pose a potential health, safety or personal rights risk to persons in care.

Use slip-resistant surfaces in bathing areas

Based on observation, the licensee did not comply with the section cited above in the resident restroom shower which poses an immediate health, safety or personal rights risk to persons in care.

Document required staff training and orientation

Based on observation and record reveiw, the licensee did not comply with the section cited above by not having documentation of training available for review. Training records and other documentation are stored electrtonicallly and seperately from the files and not readily available for review which poses an immediate health, safety or personal rights risk to persons in care as LPA could not ascertain who had recieved the proper and required traning.

Perform a pre-admission resident appraisal

Based on record review, the licensee did not comply with the section cited above because only one of four resident files had that document. Failing to do an assesment ofr sutiabley in the facility can pose an immediate health, safety or personal rights risk to persons in care.

Address and clearance obligations before facility work

Criminal Record Clearance: (e) All individuals subject to a criminal record review ... shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by Adult family member who turned 18 in October, 2024 was not cleared or associated to the facility at date of visit on February 7, 2025. This poses an immediate threat to the health, safety and/or personal rights of the residents in care.

"Care and supervision" means the facility assumes responsibility for, or provides...ongoing assistance with activities of daily living without which the resident’s physical health... would be endangered. Assistance includes assistance with taking medications, money management, or personal care. This requirement was not met as evidenced by the resident would refuse to get her diaper changed resulting in her being soiled for long periods of time resulting in an immediate risk to the health, safety or personal rights of the resident in care.

Include required health screening documents

Based on record review and interview with licensee, the licensee did not comply with the section cited above in that the Health Screening form was missing for 1 out of 2 staff files, which poses an immediate health, safety or personal rights risk to persons in care. which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on LPA observation of the shower in resident bedroom 3 which had dark colored mold on the shower floor and lower tiles and non skid mat. LPA observed chicken feces on patio chairs outside and in resident bedroom 3 the one glass of a dual pane sliding glass door is shattered which poses/posed a potential health, safety or personal rights risk to persons in care.

Keep window screens clean and in repair

Based on LPA observed there is no window screen in bedroom 2. Licensee explained this was damaged by a resident a few months ago and has not been replaced, which poses/posed a potential health, safety or personal rights risk to persons in care.

Include required health screening documents

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 2 staff files which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facilities for fire and panic safety

Based on observation, the licensee did not comply with the section cited above in 1 out of 1. Fire extinguisher was expiredwith a service date of 3/4/2022, which poses an immediate health, safety or personal rights risk to persons incare.