Royalty Guest Home, Inc.

Based on records review, Licensee did not comply with the section cited above. LPA observed that the liability insurance has coverage for injury to residents and guests in the amount of one million dollars ($1,000,000) per occurrence and two million dollars ($2,000,000) in the total annual aggregate, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, licensee did not comply with the section sited above by having cockroaches at the facility (kitchen, living room, resident's bedrooms, bathrooms), moreover licensee did not comply with section cited above by not ensuring the entire facility was clean and free of odor. which poses a potential health and safety risk to residents in care.

Based on observation and record review the the licensee did not comply with the section cited above by not providing an incidents report to the Community Care Licensing Department (CCLD) in a timely manner for one (1) resident being hospitalized for UTI, which 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 by providing care and supervision to persons with dementia and having sharps, medications, toxins, accessible to residents in care, which poses an immediate health and safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by storing chemicals unlocked and near the food and medications, which poses an immediate health and safety or personal rights risk to persons in care.

Based on observation the licensee did not comply with the section cited above by leaving sharps/knives unlocked inside the kitchen cabinet, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation Licensee/Administrator did not comply with the section cited above. LPA observed living room and the kitchen area is cluttered, unorganized and not sanitary. Kitchen items and other items not related to kitchen area were storted on the kitchen counters and on the kitchen table. 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 by storing chemicals unlocked and near the food, which poses an immediate health and safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above not providing required training, monthly in-services, (training is important due to the level of care for the clients) 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. CPR training were observed for all three staff were last completed in 2019, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation Licensee/Administrator did not comply with the section cited above. LPA observed breakfast area is cluttered, unorganized and not sanitary. LPA also informed that there is a cockroach in the facility. 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 by providing care and supervision to persons with dementia and having sharps, medications, toxins, and gardening tools accessible to residents in care, which poses an immediate health and safety or pesonal rights risk to persons in care.

Based on observation and record review the the licensee did not comply with the section cited above in two out of two incidents reports for two (2) residents to the Community Care Licensing Department (CCLD) in a timely manner which poses /posed a potential health, safety or personal rights risk to persons in care.

Based LPA observation licensee did not comply with the section sited above by having cockroaches at the facility (kitchen, living room, resident's bedrooms, bathrooms), moreover licensee did not comply with section cited above by not ensuring the entire facility was clean and free of odor. which poses a potential health and safety risk to residents in care.

Based on LPAs observation, the hot water temperature was measured at 150 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and observation Administrator failed to have container with tight fitting lids. This poses a potential health and safety risk or personal rights risk to residents in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above innot assuring that R1's prescibed medications were given as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in not completing/updating two out of two resident's Appraisal/Needs and Services Plan (LIC 625), and the physician report (LIC 602) which poses/posed a potential health, safety or personal rights risk to persons in care.

LPA observed 2 fire extinguishers one in the kitchen area and the other in living room by the main exit that were purchased on 6/30/2018 and should be replaced every year which poses/posed a potential health, safety or personal rights risk to residents in care.

Maintenance and Operation-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, employees and visitors.This requirement was not met as evidenced by: Based on interviews and observation LPA observed the facility to have clutter and debris in the living room area and kitchen area. Administrator stated facility did have an issue with roaches which could pose a potential health and safety risk to residents in care.