All Star Living Inc

87203 Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on observation, LPA observed a padlock with a combination lock installed on the main entrance front door of the facility, which poses an immediate health and safety risk to persons in care.

87405 (d) (2) Administrator-Qualifications and Duties. The administrator shall have the knowledge of and ability to conform to applicable laws, rules and regulations. If the licensee is also the administrator, all requirements for an administrator shall apply…This requirement is not met as evidenced by: Based on observation, the facility had a padlock preventing residents from exiting the facility through the front main entrance/exit in case of an emergency, Health and Safety Codes violations were observed during today’s visit, which poses an immediate health and safety risk to persons in care.

87355(e)(1) Criminal Record Clearance: (e) All individuals subject to a criminal record review pursuant to...(1) Obtain a California clearance or a criminal record exemption as required by the Department…This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above as acriminal background fingerprint clearance was not conducted for S1 and S2, which poses an immediatehealth and safety risk to persons in care.

HSC 1569.69(b) Medication training- Employees assisting residents with self-administration of medication; training requirements (b) Each employee who received training...self-administration of medicines, shall also complete eight hours of ...medication-related issues in... This requirement is not met as evidencedby: Based on interviews, the licensee did not comply with this section as staff (S1) injected insulin to residents in care, which poses an immediate health and safety risk to persons in care.

87303 (a)Maintenance and Operation- (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 of residents... This requirement is not met as evidenced by: Based on observation the licensee did not comply with this requirement as the facility was observed in disrepair in several areas, which poses a potential health, safety or personal rights risk to persons in care.

87457 Pre-Admission Appraisal (b) No person shall be admitted without his/her consent and agreement, or that of his/her responsible person, if any. This requirement is not met as evidenced by: Based on interviews, and file review the licensee did not comply with the section cited above as the facility admitted Resident #1 (R1) without proper documentation which poses / posed an immediate health, safety or personal rights risk to persons in care.

87555(b)(27) General Food Service Requirement (b)The following food service requirements shall apply (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Based on observation the licensee did not comply as spoiled food and vermin were observed in the pantry area, which poses a potential health, safety or personal rights risk to persons in care.

87608 (5)(B)-Postural Supports (5) Under no circumstances shall postural supports include...(B)Bed rails that extend the entire length of the bed are prohibited except for ... care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Based on observation the licensee did not comply with this requirement as one resident was observed with full bed rails without a doctor’s order, which poses a potential health, safety or personal rights risk to persons in care.

Personal Rights of Residents in All Facilities (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (9)To have communications to the licensee from their representatives answered promptly and appropriately. (14)To have reasonable access to telephones, to both make and receive confidential calls. This requirement is not met as evidenced by: Based on information and observation the Administrator did not comply with the regulation as the cell number recorded on the facility profile is not the telephon number associated to the faciltiy, which poses a potential health and safety risk to persons in care.

General Food Service Requirements(b) The following food service requirements shall apply:(27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects.This requirement is not met as evidenced by: Based on LPA observation, the Licensee did not comply in the section cited above in that cockroaches were observed in the kitchen, pantry area.This posed an immediate health and safety risk to persons in care.

87465(a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above as 1 of 4 resident medications reviewed contained inconsistencies with their medication amounts remaining and amounts documented as administered on the centrally stored which poses an immediate health and safety risk to persons in care.

87465 (a)(2)- Incidental Medical and Dental Care A plan for incidental medical and dental care shall be developed byeach facility. The plan shall Encourage…medical…care and provide for assistance in obtaining such care, bycompliance with the following: (1) the licensee shall arrange, or assist in arranging, for medical.. care appropriate to the conditions and needs of residents. (2) The licensee shall provide assistance in meeting necessarymedical…needs… This requirement is not met as evidenced by: Based on information, and record review, the administrator did not assist in getting the appropriate care for R1’s agitationand crying, and by staff administering unprescribed medication to R1, which poses an immediate health and safety risk to persons in care.

(b) Each to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as S1 didnot have medication training on record, which poses an immediate health and safety risk to persons in care.

87211 Reporting Requirements (a) (1)(A-D) 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 requirement was not met as evidenced by: Based on record review and interview, the licensee failed to comply with the section cited above as the facility failed to submit written reports as required, which poses a potential health and safety risk to residents in care.

87211 Reporting Requirements (a) (1)(A-D) 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 requirement was not met as evidenced by: Based on record review and interview, the licensee failed to comply with the section cited above as the facility failed to submit written reports as required, which poses a potential health and safety risk to residents in care.

87464(f)(1) Basic Services. Basic services shall at a minimum include: Care and Supervision.This requirement was not met as evidenced by: This requirement was not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above, as the facility failed to ensure that R1 did not leave the facility unassisted per the physician report, which poses an immediate health and safety risk to residents in care.

87411(c)(1)(2) (c)All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified … (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. (2) This training shall be administered on the job, in a classroom setting, or any combination of the two. This requirement was not met as evidenced by: Based on interview and records review, the licensee did not comply with the section cited above, as the facility failed to ensure that S1 obtained a CPR/First Aid Training, which poses an immediate health and safety risk to residents in care.

87204 Limitations - Capacity and Ambulatory Status (a) A licensee shall not operate a facility beyond the conditions... the license, including specification of the maximum number of persons...This requirement is not met as evidenced by: Based on interviews, and file review the licensee did not comply with the section cited above as the facility admitted Residnet #1 (R1) while at full capacity which poses / posed an immediate health, safety or personal rights risk to persons in care.

87457 Pre-Admission Appraisal (b) No person shall be admitted without his/her consent and agreement, or that of his/her responsible person, if any. This requirement is not met as evidenced by Based on interviews, and file review the licensee did not comply with the section cited above as the facility admitted Resident #1 (R1) without proper documentation which poses / posed an immediate health, safety or personal rights risk to persons in care.