Follow-up on corrections·June 28, 2023

Citations

6 citations recorded^*CCLD

• 87411(f)Type B

  Health screening and fitness requirements

  87411 Personnel Requirements – General (f) All personnel,..., shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment...This requirement is not met as evidenced by: During the inspection for complaint #24-AS-20230622113235, LPA found that R1 and R3 do not have health screening records. R3 does not have TB results. R1 has been working since 4/26/23 and R3 has been working since 6/8/23. This poses a potential health, safety, or personal rights risk to residents in care.

• 87411(c)Type B

  Staff training in personal care activities

  87411 Personnel Requirements – General(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69:This requirement is not met as evidenced by: During the inspection for complaint #24-AS-20230622113235, LPA found that R2 and R3 do not have proof of initial training. R2 has been working in the facility since 5/19/23 and R3 has been working since 6/8/23. This poses a potential health, safety, or personal rights risk to residents in care.

• 87611(b)Type B

  87611 General Requirements for Allowable Health Conditions (b) The licensee shall complete and maintain a current, written record of care for each resident that includes, but is not limited to, the following:This requirement is not met as evidenced by: R1 returned to the facility from the hospital last week with a new order for use of oxygen gas administration and the facility did not create a written care plan for R1, which poses a potential health, safety, or personal rights risk to residents in care.

• 87217(b)Type B

  Facility must safeguard entrusted cash and valuables

  87217 Safeguards for Resident Cash, Personal Property, and Valuables (b) Every facility shall take appropriate measures to safeguard residents' … personal property and valuables which have been entrusted to the licensee or facility staff…This requirement is not met as evidenced by: S1, S2, and MAN stated resident's laundry are collected and laundered together, and may not always know which resident the clothing belongs to. R4 stated R4's clothing have gone missing after being laundered and have not been given back. R4 advised R4 inquired missing clothing to staff but staff did not know and told R4 they had not seen it. S1, S2, and MAN stated staff will and have used disposable underwear from another resident's supply if the resident being changed has run out of their own disposable underwear supply. This poses a potential health or personal rights risk to residents in care.

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• 87303(a)Type B

  Maintain facility in clean, safe, sanitary condition

  87303 Maintenance and Operation (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 is not met as evidenced by: LPA observed cockroach nymphs scatter after pulling away plastic crate stored under commercial stainless kitchen sink and observed cockroach droppings covering entire floor where crate was stored. This poses a potential health or personal rights risk to residents in care.

• 87618(a)(2)Type A

  87618 Oxygen Administration - Gas and Liquid (a) ...the licensee shall be permitted to accept or retain a resident who requires the use of oxygen gas administration under the following circumstances: (2) If intermittent oxygen administration is performed by an appropriately skilled professional.This requirement is not met as evidenced by: When R1 was discharged from the hospital last week with orders for oxygen administration, S1 and S2 assisted R1 with oxygen administration even though S1 and S2 were not appropriately skilled professionals, and were not given any specific instructions for how to care for R1 with the use of oxygen gas administration. This poses an immediate health, safety, or personal rights risk to residents in care.