Our Sweet Home Inc

Give PRN medication by physician order

Based on record review, the licensee did not comply with the section cited above in [two] out of [ two ] Resident's medication, which poses an immediate health, safety or personal rights risk to persons in care.

Record dose details and resident medication response

Based on record review, the licensee did not comply with the section cited above in [two] out of [ two ] Resident's medication, which poses an immediate health, safety or personal rights risk to persons in care.

Onsite food stock levels for nonperishables and perishables

Based on LPA observation, the licensee did not comply with the section cited above iby not having a sufficient amount of perishable foor which posed a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above by using a full bed rail without a prescription which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA Observation, the licensee did not comply with the section cited above by not screening visitors, following coid protocols or wearing masks which poses an immediate health, safety or personal rights risk to persons in care.

(c) Every facility shall account for any cash resources entrusted to the care or control of the licensee or facility staff. (1) Cash resources include but are not limited to monetary gifts, tax credits and/or refunds, earnings from employment or workshops, and personal and incidental need allowances from funding sources such as SSI/SSP. This requirement is not met as evidenced by:Based on record review and interview conducted during the audit investigation the licensee did not comply with the cited section by not distributing P & I funds to residents (R1 & R2), and not keeping proper records of funds entrusted to her which posed a personal rights violation to residents in care.

(e) Cash resources and valuables of residents which are handled by the licensee for safekeeping shall not be commingled with or used as the facility funds or petty cash, and shall be separate, intact and free from any liability the licensee incurs in the use of his own or the facility's funds and valuables. This requirement was not met evidenced by: Based on record review and interview conducted during the audit investigation the licensee did not comply with the cited section by commingling facility funds with personal and incidental funds. This posed/poses a personal rights risk to persons in care.

The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. (3) Ability to maintain or supervise the maintenance of financial and other records (5) Good character and a continuing reputation of personal integrity. This requirement was not evidenced by: Based record review and interview conducted during the audit investigation the Licensee failed to maintain accurate financial records; and provided DHS and CCL inaccurate documentation and information.

Maintain separate complete record for each resident

Resident Records. 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 evidenced by: Based on record review observations during the visit dated 9/1/21) in reference to complaint # 31-AS-20210824091525, residents' files were incomplete and/or missing required forms. This poses a potential health, safety or personal rights risk to persons in care.

Prohibit false or misleading facility statements

False Claims. No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility.This requirement was not evidenced by: Based on record review and interview conducted during the audit investigation the licensee did not comply with the cited section by providing inaccurate information and documentation to Department of Health Services and Community Care Licensing

Money and valuables of residents entrusted to the licensee of one community care facility licensed under a particular license number shall not be commingled with those of another residential care facility for the elderly of a different license number, regardless of joint ownership. This requirement was not met evidenced by: Based on record review and interview conducted during the audit investigation the licensee did not comply with the cited section by commingling facility funds with personal and incidental funds. Licensee misappropriated residents personal and incidental (P &) funds. which posed a health, safety or personal rights risk to persons in care.

(a) Each licensee, other than a county, who is entrusted to safeguard resident cash resources, shall file, or have on file with the licensing agency a copy of a bond issued by a surety company to the State of California as principal. The amount of the bond shall be in accordance with the schedule listed under this regulation. This requirement was not met evidenced by: Based on record review and interview conducted during the audit investigation the licensee did not comply with the cited section by acknowledging that a surety Bond was not in place prior to this complaint investigation which poses a health, safety or personal rights risk to persons in care.

Facility must safeguard entrusted cash and valuables

Safeguards for Resident Cash, Personal Property, and Valuables. (b) Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff. The licensee shall give the residents receipts for all such articles or cash resources This requirement is not met as evidenced by:Based on record review and interview conducted during the audit investigation the licensee did not comply with the cited section by not retaining receipts for items purchased with residents P&I which posed a personal rights violation to residents in care.