Divine Mercy Care Homes Ii

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above when LPA and S2 observed cleaning solutions unlock under kitchen sink and bathroom sinks, a knife unlocked in the kitchen drawer, and chemicals unlock in the laundry room accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

Obtain required California clearance or exemption

Based on records reviewed, interview conducted and observation, S2 is working providing care and supervision for residents. S2 is fingerprinted cleared who is not associated to the facility, which poses an immediate risk to the health and safety of the residents.

Maintain required personnel records for staff

Based on interview conducted, observation, and records reviewed, S2 was hired on 12/21/25 with no staff records on file, poses/posed a potential health and safety and personal rights risk to the resident in care.

Record dose details and resident medication response

Based on interviews and records reviewed, R4’s PRN medication Aspirin 81mg, PRN medication Lorazepam 0.5 mg and PRN medication Ondansetron 4mg were not record in the resident’s MAR, which poses a potential health and safety risk for the person in care.

Record centrally stored prescriptions and refill data

Based on interview conducted, observation, and records reviewed, all 3 residents taking medications, the residents’ current medications were received and was not record in Centrally Stored Medication Record (Lic 622), poses/posed a potential health and safety and personal rights risk to the resident in care.

Maintain physician order documentation in resident record

Based on observation and records reviewed, R3 uses a ½ rail bed. There is no doctor’s order for ½ rail bed for R3, which poses/posed a potential health and safety and personal rights risk to the resident in care.

Based on observation and records reviewed, R1 is on hospice care and was observed lying bed using a hospital bed with full rail with no doctor’s order, which 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 and interview conducted with Licensee, R1 and R4 are currently receiving hospice care with no hospice care plan on file, which poses a potential health or personal rights risk to persons in care.