West Pico Terrace Assisted Living Center Lp

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical...care shall be developed by each facility. The plan shall encourage routine medical...care...by compliance with the following: (4) The licensee shall assist...medications as needed.This requirement is not met as evidenced by: Based on interviews conducted, the licensee did not comply with the section cited above in not providing Resident 1 (R1), R2, R3, R5 with medications as prescribed, which poses a potential health, safety or personal rights risk to persons in care.

Personal RightsTo be accorded safe, healthful and comfortable accommodations, furnishings and equipment.(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, This requirement was not met as evidence by: Staff did not ensure a safe and healthful accommodations for resident in care. Which poses a potential health and safety risk to clients in care

Personal RightsTo be accorded safe, healthful and comfortable accommodations, furnishings and equipment.(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, This requirement was not met as evidence by: Staff did not ensure a safe and healthful accommodations for resident in care. Which poses a potential health and safety risk to clients in care

Maintain facility in clean, safe, sanitary condition

87303 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. The licensee did not comply with the section cited above in staff stating that bed bugs were reported in room #312, and were treated by Terminix Commercial on 03/29/24. Although they were treated, it did not give proper treatment for bed bugs as there should be continuous treatment for bed bugs, not just one spray. This poses a potential Health, Safety or Personal rights risk to residents in care.

(f) A facility shall have both of the following in place: (1) An evacuation chair at each stairwell, on or before July 1, 2019.Based on observation, the licensee did not comply with the section cited above in not having an evacuation chair in each stairwell. Which poses a potential health, safety or personal rights risk to persons in care.

Submit and maintain current mailing address

All individuals subject to a criminal record review...shall prior to working...in a licensed facility: obtain a California clearance or a criminal record exemption as required...This requirement was not met as evidenced by: LPA observed Staff #2 to be working at the facility but not cleared in Guardian nor associated to the facility.

Maintain facility in clean, safe, sanitary condition

The facility shall be...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 was not met as evidenced by: Based on interviews and observations, the facility has three damaged doors and one damaged garage gate which poses a safety risk to the residents in care.

Right to sufficient care and qualified staff

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This was not met as evidenced by: Based on LPA’s observations and interviews, four residents admitted they use the call button for help, and they wait between 5-45 minutes, while one resident stated the wait is up to an hour and 20 minutes. Two staff admitted the call button should be answered within 5-10 minutes, beyond that is unacceptable. Based on LPA’s observation on 11/8/2023 at around 1:03 PM while testing the call button in room #229B with S2, staff did not respond to the call button within 10 minutes. S2 aborted the test immediately after 10 minutes and called staff by using a walkie talkie. Per LPA’s observations, staff do not answer residents’ call buttons in a timely manner. This poses a potential risk to residents’ health, safety and/or personal rights to residents in care.

85060Basic Services (a) For SSI/SSP recipients who are residents...(3) An extra charge to the resident shall be allowed for provision of special food services or products beyond that specified in Section 80076(a)(2) and (a)(4) when the resident wishes to purchase the services and agrees to the extra charge in the admissions agreement.This requirement is not met as evidenced by: Based on interview, observation, and record review, the administrator failed to provide a new admission agreement with the aditional food service fees which poses a health risk to residents in care.

Living accommodations aligned with facility function

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. This requirement is not met as evidenced by: Based on interview, observation, and record review, the licensee failed to ensure that the facility is safe and healthful for residents in care as result roaches were found in room #210 and #307 which poses a health risk to residents in care.

Maintain facility in clean, safe, sanitary condition

87303 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.This Requirement was not met as evidence by: Based on interviews, records review, and physical tour, the licensee failed to ensure that the AC unit needed to be fixed throughout the facility. During today's visit, on 7/26/23, LPA toured 9 rooms and noticed the AC vents didn not blow cool air. The AC unit was in disrepair, and LPA did not observe fans in the rooms where AC was not working. Based on the interviews conducted, LPA learned that some of the AC units are inoperable on the side of the building where room #212 is located

Certified administrator requirements and substitute coverage

(a) when the administrator is not in the facility, there shall be coverage by a designated substitute who shall have the qualifications adequate to be responsible and accountable for management and administratin of the facility as specified in this section.This requirement is not met as evidenced by: Based on records review, the facility does not have documentation making S1 as a designated substitute for the administrator. This is a potential health and safety risk to residents in care.