Centinela Assisted Living Centre

87465 Incidental Medical and Dental Care C)(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidence by: Based on a record review, LPA observed LPA observed, on some days, all... medications was missed for several days during both months. This includes the specific psychotropic medication prescribed for daily administration. LPA observed it was not given during the first 20 days per the medication record review.

Upon discharge of a resident, all cash resources, personal property and valuables of that resident which have been entrusted to the licensee shall be surrendered to the resident...This requirement is not met as evidenced by: Based on interviews conducted and information gathered the licensee failed to return personal property (money) to resident which had been entrusted to the licensee not surrendered to the resident.

Maintenance and OperationFaucets used by residents for personal care such as shaving and grooming shall deliver hot water...the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).This requirement is not met as evidenced by: Based on obsevation, on 7/5/2022 LPA's Cifuentes and Alvizar noted that water in communal bathroom for rooms 57 and 58 is 148.3F Water in room 18 was 122F. Water in room 8 measured at 96F. This is an immediate health and safety risk to residents in care.

Personal Rights of Residents in All FacilitiesResidents in all residential care facilities for the elderly shall have all of the following personal rights… To have their visitors...permitted to visit privately during reasonable hours and without prior notice...This requirement was not met as evidenced by: Based on interviews LPA noted that facility residents are not being allowed indoor visitation. This violation possesses a potential health and safety risk to residents in care.

Maintenance and OperationThe 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 is not met as evidenced by: Based on observation on 5/17/2022 LPA Cifuentes noted that facility door is in disrepair. This violation possesses a potential health and safety risk to residents in care.

Incidental Medical and Dental CareOnce ordered by the physician the medication is given according to the physician's directions.This requirement was not met as evidenced by: Based on interviews and record reviews LPA noted that R1's was given the incorrect dosage of their medication. LPA also noted that physician requested blood sugar be noted four times dailly, which was not completed. This violation possesses an immediate Health and Safety risk to residents in care.

87465 (c)(2) Incidental Medical and Dental Care:Once ordered by the physician the medication is given according to the physician's directions. The Med Tech accidentally gave resident 1's wife a bottle of resident 2 Risperidone medication by mistake when he went home with his wife for a weekend visit. The violation poses a potential health and safety risk to residents in care.

87555 (a) Food Services:The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared, and served in a safe and healthful manner.The facility did not provide adequate food service.The violation poses a potential health and safety risk to residents in care.

87413(a)(2) Personnel – Operations (a) in each facility: (2) care and supervision of residents shall be provided without physical or verbal abuse, exploitation or prejudice.This requirement was not met as evidenced by: Based on interview and record review an admission from (S1) who had verbal exchanges with (R1), failed to give (R1) an environment free from verbal abuse. The violation poses a potential a potential health and safety risk to residents in care.

87465 Incidental Medical and Dental Care (2) The licensee shall provide assistance in meeting necessary medical and dental needs. This includes transportation... medical or dental facility which will meet the resident's need. In providing transportation the licensee shall...make arrangements for this service.This requirement was not met as evidenced by: Based on interview and record review the licensee/Administrator failed to adhere to Title 22 regulations and terminated transportation services for (R1) and failed to meet resident’s needs. The violation poses a potential a potential health and safety risk to residents in care.

This report is being amended to correct the Section Number cited in Title 22.87217 Safeguards for Resident Cash, Personal Property, and Valuables (h) Immediately upon admission, residents' cash resources entrusted to the licensee and not kept in the licensed facility shall be deposited in any type of bank, savings and loan or credit union account, which is maintained separate from the personal or business accounts of the licensee, provided that the account title clearly notes that it is residents' money and the resident has access to the money upon demand to the licensee. This requirement is evidenced by: Based on observation, records review and interviews, The administrator admitted twelve (12) residents including Resident #1 were affected by the Check system error and facility was not able to release their cash resources for July 2021 until July 30, 2021. The facility withheld Resident #1's monies in the amount of $200 dated June 22, 2021, and $138.00 dated June 23, 2021, from the County of Los Angeles, Public Administration – Public Guardian. Staff #1 stated the facility does not have available cash on hand to give to the residents, and there are no alternatives to obtain cash other than through the RFMS system. This poses a potential Health, Safety and/or Rights risk to residents in care.

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration provided all of the following requirements are met:(1) Facility staff shall contact the resident's physician prior to each dose, describe the resident's symptoms, and receive direction to assist the resident in self-administration of that dose of medication.(2)The date and time of each contact with the physician, and the physician's directions, shall be documented and maintained in the resident's facility record. This requirement is not met as evidenced by: Based on LPA's observations, interviews and records review, licensee failed to ensure staff administers nonprescription PRN medications according to regulations above. Administrator admitted that Staff #3 administered unprescribed melatonin to Resident #1 without contacting resident's physician. The administered medication caused Resident #1 a side effect of hallucination.

87303 Maintenance and Operation. The facility shall be clean, safe, sanitary, and in good repair at all times. Maintenance shall include the provision of maintenance services and procedures for the safety and well-being of residents, employees, and visitors.This requirement is not met as evidenced by: LPA observed on 07/14/21 & 07/21/21 the front entry door did not operate properly. The left side of the double door did not shut completely and must shut manually. This is a violation that poses a potential Health and Safety or Personal Rights risk in residents in care.

87303(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, employees and visitors. This was not met as evidence by:Based on dining diouble doors are hard to open which is poses a health and safety risk for the residents.