Royal Garden Board & Care Iii

Absentee notification plan for missing residents. Every RCFE shall,develop and comply with an absentee notification plan as part of the written record of the care the resident will receive in the facility, as described in Section 1569.80. This requirement was not met as evidenced by: Based on Observations of LPA's during records review there was no absentee notification plan in place for Resident #1 resulting in a potential risk to the health and safeth of resident(s) in care.

Care of Persons with Dementia. The following initial and continuing requirements shall be met for the licensee to lock exterior doors or perimeter fence gates: (2)The licensee shall ensure that the fire clearance includes approval of locked exterior doors or locked perimeter fence gates. This requirement was not met as evidenced by observations by LPA's that the exterior door to the bedroom of R-1 was blockaded without fire clearance approval to prevent exit resulting in an immediate threat to the health & safety of residents in care. Zerio Tollerance.

Personnel Requirements - General: Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on observations by LPA's and statements by Staff, R-1 was able to leave the facility without the knowledge of staff on duty indicating insufficient staffing resulting in an immediate risk to the health & safety of residents in care.

Care of Persons with Dementia. The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement was not met as evidenced by: Based on the observations of LPA's the alarm on the exit door was inoperable in Rm#6. Staff stated alarm had been in-op for a minimum of 1 week so staff disabled the alarm resulting in an immediate risk to the health & safety of residents in care.