Angels Hands Senior Living

Based on record review, the licensee did not comply with the section cited above in two medications that were not documented and three or more medications what were documented incorrect which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above in the wooden walkay outside of exit door in room #2 that is uneven with visible gaps creating a tripping hazard which poses an immediate health and safety risk to persons in care.

Handle syringes and needles under bloodborne pathogen rules

Based on observation the licensee did not comply with the section cited above in one insulin pen needle that was thrown in the kitchen trash which poses an immediate health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

Based on observation, the licensee did not comply with the section cited above in one resident's bed that was observed with a 3/4 bed rial and resident did not have a doctors order for bed rail which poses/posed a potential health, safety or personal rights risk to persons in care.

Safe, healthful, comfortable accommodations

Based on observation, the licensee did not comply with the section cited above in two food cabinets that were observed with locks, and staff admitted they lock them at night which posed a potential health and safety or personal rights risk to persons in care.

Maintain facilities for fire and panic safety

Based on observation, the licensee did not comply with the section cited above in two exit doors (main entrance and door in room #2) that were observed with door lock latches and fire extinghishers that have not been serviced in over a year which poses an immediate health, safety or personal rights risk to persons in care.

Arrange appropriate medical and dental care

Based on record review, the licensee did not comply with the section cited above in one medication that was physically present but not being administered, staff stated medication was discontinued but no discontinued order was on file which poses an immediate health, safety or personal rights risk to persons in care.

Permit PRN self-administration with written ability

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 residents who receive PRN medications, the facility does not have completed PRN Authorization letters completed by the prescribing doctor on file to indicate whether the residents are able to determine and commuinicate his/her need for a prescription or non-prescription PRN medication which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as the MAR logs for dispensed medications are not being accurately documented and initial training was provided by the Administrator and later by an RN and yet the documentation indicates that the residents are being provided PRN medications and cycle medications multiple times a day in excess of what is prescribed, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 1 out 3 files reviewed that Resident #2 did not have a Physician's Report with the results of a TB test which poses/posed a potential health, safety or personal rights risk to persons in care.

Must complete individual written admission agreements

Based on record review, the licensee did not comply with the section cited above in 1 of 3 files reviewed, Resident #3 does not have a completed Admission Agreement on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as there was no evidence that quarterly drills were conducted at all in 2024 and one was conducted in January 2025. No other drills have been conducted since then which poses/posed a potential health, safety or personal rights risk to persons in care.

Obtain required California clearance or exemption

Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement was not met as evidenced by:Staff Armine Safaryan and Gervog Gevshenyan are not associated to the home.$1000 CIVIL PENALTIES WERE ASSESSED.