Routine inspection·February 13, 2025

Citations

8 citations recorded^*CCLD

• 1569.695Type B

  Based on interview conducted and records reviewed, last emergency drill conducted was on 07/03/24, which poses/posed a potential health and safety risk to the resident in care.

• 87309(a)Type A

  Ensure hazardous items are locked and not unattended

  Based on observation, the licensee did not comply with the section cited above when LPA observed knives stored in kitchen drawer unlock. Cleaning chemicals stored under kitchen sink unlock. LPA observed multiple chemicals in the garage unlock. Garage chemical cabinet in the garage was observed unlock and the outside shed was observed unlock accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

• 87465(h)(2)Type A

  Store centrally held medications in locked secure place

  Based on observation, the licensee did not comply with the section cited above when LPA observed at 10:44AM, the residents’ medications in pharmacy bag on the table in the activity room and the medical closet unlock which poses an immediate health, safety or personal rights risk to person in care.

• 87465(h)(6)Type A

  Record centrally stored prescriptions and refill data

  Based on observation and record review, licensee did not comply with the section cited above when R1’s medication Valacyclovir Hcl 1 gram, Pepcid Famotidine 20 mg, and Chewable Ginger 50 mg was not logged in centrally stored list which poses a potential health, safety or personal rights risk to persons in care.

• 87555(b)(8)Type A

  Food quality controls and rejected damaged goods

  Based on observation, multiple perishable foods were observed with expired date which poses/posed an immediate health, safety or personal rights risk to persons in care.

• 87355(e)(2)Type A

  Obtain required California clearance or exemption

  LPA observed S1 at the facility not fingerprinted cleared and not associated the facility which poses/posed an immediate risk to the health and safety of the residents.

• 87412(c)(2)Type B

  Based on records reviewed and interviews, S3 training material do not include dates, trainer’s name and number of hours completed which poses/posed a potential health and safety risk for the person in care.

• 87465(c)(3)Type B

  Document each PRN medication dose taken

  Based on interview conducted and records reviewed, all residents’ medications were administered on 02/11/25, 02/12/25 and on 02/13/25 at 08:00am. Staff did not recorded into the residents’ Medication Administration Record (MAR) which poses/posed a potential health and safety risk to the resident in care.