Inn at the Park Ventura

Based on observation, the licensee did not comply with the section cited above. Room 110 flooring needs to be painted or repaired. Memory care resident restroom shower/bath tubs (room 259, 263, 271,272) need to be maintained clean and sanitary.

Based on observation, the licensee did not comply with the section cited above . Room 271 bathroom sink faucet is out of service (water leak); room 272 bathroom faucett does not supply sufficent hot water. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above. Four out of four resident medication records reviewed revealed record keeping issues (inaccurate expiration and fill dates recorded on the centrally stored records by facility staff and the prefilled centrally stored records provided by the pharmacy. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. Resident shower floor strips observed peeling off in rooms 212,and 215. This poses/posed a potential health, safety or personal rights risk to persons in care.

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of.. the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.

87411(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... require additional staff for the provision of adequate services. This requirement is not met as evidenced by: Based on record review and interviews, the Licensee did not comply with the section cited above by not having a sufficient number of caregivers on duty during the NOC shift. This poses a potential health and safety risk for residents in care.

87303 (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...This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above as the main door was missing the safety spring door closer which poses a potential health, safety, and personal rights risk to persons in care.

87468.1(a)(1) Personal Rights of Residents in All Facilities (a)Residents in all residential care...facilities... personal rights: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Based on interviews and observations, the license did not comply with the section above when residents were not treated with dignity and respect, which posed a potential personal rights risk to residents in care.

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents...(4) To care, supervision...sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cite above as facility staff did not properly supervise R1 as per their care plan, which posed an immediate health and safety risk to residents in care.

(a) Persons who require health services... shall not be admitted or retained in a residential care facility for the elderly: (4) Staphylococcus aureus ("staph") infection or other serious infection. This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. Licensee did not submit an exception request for a prohibited health condition when R1 tested positive for C. difficile colitis (C-diff), which posed an immediate health and safety risk to residents in care.

(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis…This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Facility staff did not seek timely medical care when R1 had C-diff and recurring symptoms, which posed an immediate health and safety risk to residents in care.

The licensee shall ensure that residents are regularly observed for changes…or a physical health condition are observed, the licensee shall ensure... resident's physician and the resident's responsible person…This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above. Facility staff did not notify R1’s representative or physician when R1 had a change in physical health condition, which posed an immediate health and safety risk to residents in care.

(d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)... (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by: Based on records review and interviews, the licensee did not comply with the section cited above. The administrator did not demonstrate knowledge of the requirements of Title 22 Regulations, which posed a potential health and safety risk to residents in care.

(b) In addition to subsection (a), when one or more residents…. Are diagnosed with a contagious disease, the following shall apply:...are trained in the proper use of all required PPE... quarantine or isolation, from others.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. The facility failed to provide the staff training regarding how to care and monitor the resident with a C-diff infection, which posed an immediate health and safety risk to residents in care.

(a)Each licensee shall furnish to the licensing agency such reports...Any serious injury as determined... by the attending physician and occurring while the resident is under facility supervision.This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. Licensee did not submit an incident report when R1 tested positive for C. difficile colitis (C-diff), which posed a potential health and safety risk to residents in care.

(a) A plan for incidental medical and dental care shall be developed by each facility...(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records review, the licensee did not comply with section cited above as the Medication Assistance Record (MAR) revealed no indication that Vancomycin was administered as prescribed which posed an immediate health and safety risk to residents in care.

The pre-admission appraisal shall be updated, in writing as frequently as necessary ...(3)Any illness... that results in a circumstance or condition specified in... Prohibited Health Conditions.This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. Licensee did not update R1’s needs and services plan to reflect R1’s change in condition and develop a plan of care to meet R1’s needs, which posed a potential health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above. Food items stored in the refrigerator and freezer observed not sealed properly and not dated. This poses a potential health, and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. Room 259 window shades and bathroom drawer observed missing; floor tiles missing in room 259 and 267; Memory Care Hallway floor strips observed peeling off. This poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. Room 112 and 212 bathroom faucet water flow observed very low. This poses/posed a potential health risk to persons in care.

Based on record review, interview and observation, the licensee did not comply with the section cited above. Random resident medication and medication records reviewed revealed facility staff are not ensuring that residents centrally stored medications are logged/recorded as required by regulation. Centrally stored records were missing expiration, fill and start dates. This poses a potential health, and safety risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. During the tour Resident #5's bathroom was observed with feces all around the toilet. Resident #5 records reviewed revealed that R5 requires assistance with incontinent care.

87468.2 (25) - To protection of their property from theft or loss according to Health and Safety Code sections 1569.152, 1569.153, and 1569.154.This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above as multiple personal items of R1 were in possession of a houseless person who entered R1’s room while in care, which posed a potential health, safety and personal rights risk to residents in care.

87464(f)(2)- Safe and healthful living accommodations and services, as specified in Section 87307, Personal Accommodations and Services.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the above section by failing to protect a resident from an unwanted intruder entering a private room, which posed an immediate health , safety and personal rights risk to residents in care.

87303(a) Maintenance and Operation - The facility shall be clean, safe, sanitary and in good repair at all times...safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by Based on interviews and records review, the licensee failed to comply with the section cited above as bed bugs were observed by multiple residents in multiple bedrooms, which poses a potential health and personal rights risk to persons in care.

The requirements pertaining to the involuntary transfer or eviction of residents, including: The justification, worded exactly as shown in the applicable state law or regulation, that permits an eviction. This requirement is not met as evidenced by: Based on record review and interviews, the licensee did not comply with the section cited above as R1 was refused entry to the facility after being brought back to the facility, which poses a potential health, safety, and personal rights violation to residents in care.