Exclusive Raya's Paradise, Inc.

Acceptance obligations tied to pre-admission appraisal needs

87464 Basic Services (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal... This requirement is not met as evidenced by: Based on interviews, observations and record review, the licensee did not ensure that R1 was assisted while leaveing the facility. This may pose a potential Health and Safety risk to clients in care.

87705 Care of Persons with Dementia (k) The following initial and continuing requirements must be met for the licensee...(8)Delayed egress devices shall not substitute for trained staff in sufficient numbers to meet the care and supervision needs of all residents...This requirement is not met as evidenced by: Based on interviews, observations and record review, the facility did not ensure not to subsitite sufficient quantity of qualified personnel. This may pose a potential Health and Safety risk to clients in care.

87211Reporting Requirement(a) Each licensee shall furnish to the licensing agency...(1)A written report shall be submitted...within seven days of the occurrence...(D)Any incident which threatens the welfare, safety or health of any resident...This requirements is not met as evidenced by: Based on observations, and interviews the facility failed to report that R1 was found outside the facility unassisted in the driveway of property 849 N. Gardner St. This may pose a potential Health and Safety risk to clients in care.