Lerwick Home Care

Maintain fire clearance before retaining specified persons

87202 (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal.This requirement is not met as evidenced by: Based on records, the licensee did not comply with the section cited above when the California Department of Health Care Services (DHCS) conducted facility visit on 03/24/26, two emergency fire exits were found obstructed, which an immediate health and safety risk which poses an immediate health, safety or personal rights risk to persons in care..

Ensure hazardous items are locked and not unattended

87309(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This requirement is not met as evidenced by: Based on observation, the Licensee did not comply with the section cited above when LPA observed cleaning chemicals unlock under kitchen sink, chemicals unlock in laundry room and in garage cabinet accessible to the residents in care, this poses an immediate health, safety or personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

87202 (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above when LPA observed the front door locked and secured with a metal padlock, which an immediate health and safety risk which poses an immediate health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

Based on observation, R1’s medication was stored in the refrigerator on the side door unlock, which poses an immediate health, safety or personal rights risk to person in care.

Based on interview conducted, observation, and records reviewed, R1 has a restricted health conditions with no restricted health condition care plan on file or in placed, poses/posed a potential health and safety and personal rights risk to the resident in care.

Facility must keep complete hospice care plan on file

Based on record review, the licensee did not comply with the section cited above in when 1 out of 3 residents whose receiving Hospice care did not have a hospice care plan on file. R3 files were reviewed and confirmed by Licensee that the files did not contain Hospice Plan of care, which poses/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the Licensee did not comply with the section cited above when LPA observed a tool ranch in kitchen drawer, bug spray with car oil stored in the back of the garage, a shovel stored next to chemical cabinet, and chemical cabinet in the garage lock was loose and unlock, this poses an immediate health, safety or personal rights risk to persons in care.

Give PRN medication by physician order

Based on records review and observation, staff did not administer R1’s medication Furosemide 20 mg and medication Cephalexin 500 mg as directed by physician. Staff did not administer R2’s medication Atorvastatin 40 mg and medication Amlodipine 10 mg as directed by physician, which poses an immediate health and safety risk for the person in care.

Record dose details and resident medication response

Based on records review and interviews, staff have administered medications and not documented in the MARs for R1’s medication Furosemide 20 mg, Cephalexin 500 mg, R4 medication Tylenol 325 mg, and R2’s medication Tylenol 650mg in the MARs. Staff confirmed and stated all the residents’ medications were administered on 01/21/25 at 08:00AM and was not record, which poses an immediate health and safety risk for the person in care.

Health screening and fitness requirements

Based on records review, S1 did not have a good health screening and TB result on file and was confirmed by Licensee, which poses a potential risk to the health and safety of the residents.

Based on records reviewed and observation, the facility has hospice waiver for 2 residents and had obtain 3 residents on hospice care, which poses/posed an immediate health, safety or personal rights risk to persons in care.

Record findings for communicable tuberculosis conditions

Based on records reviewed, residents’ files were reviewed, 1 out of 6 residents do not have TB result on file. Licensee confirmed R1 do not have TB results on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Food quality controls and rejected damaged goods

Based on observation, multiple expired nonperishable food and snacks was observed in pantry, poses an immediate health, safety or personal rights risk to persons in care.

Conformance with applicable laws and regulations

Administrator - Qualifications and Duties - Knowledge of and ability to conform to the applicable laws, rules and regulations.This requirement is not met as evidenced by: Based on interviews conducted, the Administrator admitted to using the resident debt card, withdrawing cash from ATM with resident debit card, and writing checks out from the resident’s check book.

Record dose details and resident medication response

Based on observation, the licensee did not comply with the section cited above when LPA reviewed R1’s MARs and medications and observed that R1’s medication Senna Plus Tab 50-8.6 was administered up to current date however there were no documentation of the medication being administered to the residents which poses a potential health, safety or personal rights risk to person in care.

Notify agency before locking doors or gates

Based on observation, the licensee did not comply with the section cited above when LPA observed at approximately 12:05 PM, multiple kitchen knives in kitchen drawer unlock and accessible to residents poses an immediate health, safety or personal rights risk to person in care.

HSC 1569.50(a)(4) Conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California.This requirement was not met as evidenced by: Based on records reviewed and interviews conducted, Administrator admitted to writing checks from a resident’s personal account, keeping the resident’s debit card, and making withdrawals from the resident’s account, which poses an immediate Health, Safety, and Personal Rights risk to the resident.