Glendale Garden Care Home

Based on interview, record review, the Administrator did not comply with the section cited above in which the Administrator did not have planned activities in place for residents which poses/posed a potential health, safety or personal rights risk to residents in care.

Based on observation, interview, record review, the Administrator did not comply with the section cited above in which the facility has not developed and submitted the infection control plan to CCLD which poses/posed a potential health, safety or personal rights risk to residents in care.

Based on observation, interview, record review, the Administrator did not comply with the section cited above in which Administrator stated that she has not written a report to the local fire department regarding oxygen use in the facility which poses an immediate health, safety or personal rights risk to residents in care.

Based on observation, interview, record review, the Administrator did not comply with the section cited above in that the Administrator stated that staff have not received training regarding operation of the oxygen equipment which poses/posed a potential health, safety or personal rights risk to residents in care.

Based on interview, record review, the Administrator did not comply with the section cited above in that the Administrator cannot provide LPA a copy of the Emergency and Disaster plan for review which poses/posed a potential health, safety or personal rights risk to residents in care.

Based on interview, record review, the Administrator did not comply with the section cited above in that the Administrator cannot provide proof that fire and disaster drill has been conducted in the facility which poses/posed a potential health, safety or personal rights risk to residents in care.

Based on interview, record review, the Administrator did not comply with the section cited above in which the Administrator cannot find and provide the plan of operation to LPA for review which poses/posed a potential health, safety or personal rights risk to residents in care.which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, record review, the Administrator did not comply with the section cited above in that the first aid kit has missing items like thermometer, tweezers, manual, adhesive tape, etc. Additionally, the kit contained expired BENDARYL itch stopping cream and NEOSPORIN antibiotic pain relieving cream, both creams expired on 05/2021 which poses an immediate health, safety or personal rights risk toresidents in care.

Based on observation, interview, record review, the Administrator did not comply with the section cited above in which LPA reviewed two (2) of the residents (R1 & R2) medications and observed that Pravastatin Sodium (10mg) and Citalopram HBR (10mg) were prescribed to be given in the AM, but Administrator & staff administer them in the PM which poses an immediate health, safety or personal rights risk to residents in care.

Based on observation, interview, record review, the Administrator did not comply with the section cited above in which one of the medications for R2 was administered but the staff did not properly document the MAR and did not indicate that the medication has been given which poses an immediate health, safety or personal rights risk to residents in care.

87468.2(a)(19) Additional Personal Rights of Residents in Privately Operating Facilities:(a) ... residents in... residential care facilities ... shall have all of the following personal rights: (19) To ....purchase photocopies of their records. Photocopied records shall be provided within two (2) business days...This requirement is not met as evidence by: Based on document review licensee did not ensure POA responsible party for R1 received a copy of R1's file which poses a potential health, safety, or personal rights risk to persons in care.

87468.2(a)(21) Additional Personal Rights of Residents in Privately Operating Facilities:(a) ... residents in... residential care facilities ... shall have all of the following personal rights: (21) To consent to have their relatives ...visit during reasonable hours, privately, and without prior notice.This requirement is not met as evidence by: Based on document review licensee did not ensure to allow visitor for R1, while R1 was on hospice which poses an immediate health, safety, or personal rights risk for persons in care.

87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation...This requirement is not met as evidence by: Based on documents reviewed and interviews R5 was not observed for change in condition on 7/24/21 which poses an immediate health, safety, or personal rights violation for residents in care.