Chloie's Cottage

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met as evidence by: During review of resident medications and MAR records it was revealed that staff are not properly documenting the MAR as signatures were missing for 4 out of 14 medications for R1.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by: During medication review LPA observed 1 medication within R1's prescribed medications to not have a doctors order documented for it, additionally R5 was missing 1 routine medication and 1 PRN from their prescribed medications these medications were listed on R5’s current physician report dated 5/6/2025.

87468.1 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: (14) To have reasonable access to telephones, to both make and receive confidential calls. The licensee may require reimbursement for long distance calls. This requirement was not met as evidence by: LPA observed facility phone to not be reasonably accessible to residents as it has been moved from the kitchen to the locked staff office. R1s calls are being monitored, per staff R1 allegedly calls 911 for non emergency matters but there was no documentaion or poof porvided to LPA of these alleged calls and continuous behaviors.

Based on observation, the licensee did not comply with the section cited above in 6 out of 6 residents were observed with bed rails (4 with full bed rails and 2 with 3/4 bed rails) 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 in 4 out of 6 residents' beds were observed with full bed rails (2 were made full with half bed rails combine) which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in 2 out of 3 exit doors do not have a working auditory device which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in shower floors in both bathrooms were observed with soap buildup and mold, clutter of old furniture was observed in the back porch and side porch, and a ripped cushion was observed in a chair in the back porch 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 in a pair of large scissors, and knives/sharps were observed accessibel to the residents in unlock kitchen drawers which poses an immediate health, safety or personal rights risk to persons in care.

87355. Criminal Record Clearance (e) 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: (1) Obtain a California clearance or a criminal record exemption as required by the Department This was not met as evidenced by: S5 working 1 day at the facility prior tofingerprint clearance being verified or obtained. This poses an immediate health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above in two (2) out of two (2) bathrooms. Bathroom #1 water temperature was 128.6 and bathroom #2 129.7 which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above facility did not have two days of perishable food for the six residents in care which poses an immediate health, safety or personal rights risk to persons in care.