The Village at Northridge

A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events.. (D)Any incident which threatens the welfare, safety or health of any resident. This requirement is not met as evidenced by: Based on record review, R1 had experienced multiple falls LPA observed that there were two fall incidents for which no documentation or evidence of an unusual incident report was available. This poses a potential health and safety risk to the resident in care.

Maintain facility in clean, safe, sanitary condition

(a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by: Based on the observations the licensee did not comply with the section cited above. LPA observed R1's room dirty with stained carpert, storage boxes, unclean toilet and unclean bedsheets on the floor. This poses a potential health and safety risk to residents in care.

The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement,, This requirement is not met as evidenced by: Based on interviews and record reviews, R1 left the facility unsupervised. The licensee did not ensure that R1 has an auditory device to monitor exits on exterior doors and perimeter fence gates. This poses an immediate risk to the health, safety, or personal rights of those in care.

Right to access and copy personal medical records

(19) To have prompt access to review all of their records and to purchase photocopies of their records. Photocopied records shall be provided within two (2) business days..This requirement is not met as evidenced by; Based on interviews, the S1 did not provide the requested documents promptly to authorized representative

Acceptance obligations tied to pre-admission appraisal needs

Basic Services: 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, Appraisal and providing the other basic services specified below, either directly or through outside resources. This requirement was not met as evidenced by: During file review, it was revealed that R1 is a fall risk. Facility's care plan was not sufficient in addressing R1 as being a fall risk, which poses a potential threat to a resident in care.

80072(a)(1) Personal Rights (a)...each client shall have personal rights which include,...(1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidenced by: Based on interviwes R1 was subjected to infliction of humiliation by facility staff. This poses a potential health and safety risk to the resident in

Keep bath, laundry and kitchen floors clean

Maintenance and Operation: (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. (1) Floor surfaces in bath, laundryand kitchen areas, shall be maintained in a clean, sanitary, and odorless condition. This requirement was not met, evidenced by: based on interviews, observations and photographs, R1's room had roaches; was dirty, and mold. This is a potential health and safety risk to residents in care.

Ensure hazardous items are locked and not unattended

Storage Space: (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement was not met, evidenced by: based on interviews and photographs, R1 had RAID and bug repellant in room. This poses a potential health and safety risk to resident in care.