Melrose Villas

Notice to quit must state specific reasons and details

Eviction Procedures (d)The licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons...This requirement is not met by: Based on interviews andrecord reviews, the licensee did not ensure 30 day eviction was in compliance with Title 22, which poses in potential Health, Safety or Personal Rights risks to person in care.

Document required significant condition changes

(b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident. This requirement is not met as evidenced by; Based on interviews it was determined facility did not conduct an assessment prior to denying resident's return.

General hygiene items required

Personal Accommodations & Services: Equipmen/supplies necessary for personal care...of adequate hygiene practice shall be readily available to each resident. Hygiene items,,,such as soap and toilet paper. This requirement was not met as evidenced by: During the physical plant inspection of the facility, LPA observed at first floor facilty bathroom not supplied with hand soap, which can pose a potential health and safety risk to the 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 is not met as evidenced by: Based on interviews, staff failed to ensure that the facility is free from insects and pests, this poses a potential health and safety and personal rights risk to persons in care.

Safe, healthful, comfortable accommodations

87468.1 Personal Rights of Residents in All Facilities- (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2) To be accorded safe, healthful..... .This requirement is not met as evidenced by: Based on interviews and record review medical treatment and Psychiatrist appointments were not given to R1 timely. This poses a potential health and safety and personal rights risk to persons in care.

Based on observation, and staff interviews, the licensee did not ensure an activities director/one full time staff member to provide required services, which poses/posed a potential health, safety or personal rights risk to persons in care.

Requirements(a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)...This requirement is not met as evidenced by: Based on interviews, conducted by LPA, the licensee did not comply with the section cited above by failing to notify CCLD regarding R1's feet got burnt with boiling water on a unknown date and all of the other incidents regrdling other residents, which poses a potential health and safety risk to persons in care.

Update reappraisal at required intervals

Reappraisals: (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary....... the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical...This requirement is not met as evidenced by: Based on record review and interview during investigation, the licensee did not comply with the section cited above by not completing a resident reappraisal due to changes in R1’s medical condition, which poses/posed a potential health and safety risk to residents in care.

Based on LPA osbervation, the licensee did not comply with the section cited above by not having the required evacuation chair in their stairwell, which posses a potential health and safety, or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on LPA observation on inspected bedrooms #204, #103, #210, #203, the licensee did not comply with the section cited above. LPA observed burned out light blubs, cracked mirrors, and loose door handle screws in resident bathrooms, which poses/posed a potential health, safety or personal rights risk to persons 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. Maintence shall include provision of maintence services and procedures for the safety and well-being of residents, employees, visitors. This requirement was not met as evidenced by: LPA observed bed bugs in one of the resident rooms in the facilty. Staff interviews also confirmed the presence of bed bugs. This poses a potential health and safety risk to residents in care.

87705 Care of Persons with Dementia.(j) The licensee shall have an auditory device or other staff...(k) The following initial and continuing requirements must be met...(8) Delayed egress devices shall not substitute for trained staff...This requirement was not met as evidenced by: Based on interviews with (S1), the facility failed to ensure that R1 did not leave the facility unassisted. This poses an immediate health and saftey risk to residents in care.

Maintain cleanliness and prevent incontinence odors

87625Managed Incontinence(d)In addition to Section 87611, General Requirements for Allowable Health Conditions...(3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.This requirement is not met as evidenced by Based on LPA interviews and observations, the facility failed to ensure that the facility is free from odors of incontinence.

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 was not met as evidenced by: Based on interviews and observation of R1s physician report and pre appraisal, the facility failed to met R1 needs. This poses an immediate health and saftey to residents in care.

No stage 3 or 4 pressure injuries

Prohibited Health Condition (a) Persons who require health services for or have a health condition including, but not limited to, those specified below, shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not ensure that R1 was not retained with a Stage 3 or 4 pressure injury and received proper treatment of the pressure injury, which posed an immediate health and safety 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 is not met as evidenced by The Licensee did not ensure that the facility is clean and sanitary. The dining room tables and floor were not cleaned and sanitized after the residents finished their breakfast.This poses a potential health and safety risk to residents in care.

Facility must safeguard entrusted cash and valuables

Safeguards for Resident Cash, Personal Property, and Valuables-(b) Every facility shall take appropriate measures to safeguard residents' cash resources, personal property & valuables which have been entrusted to the licensee or facility staff. This requirement was not met as evidenced by:Staff left R1's personal belongings out in the street unattended and did not document what items were placed outside of the facility.This poses a potential hazard to the health and safety of the residents.

87212 Emergency Disaster Plan; (a) Each facility shall have a disaster and mass casualty plan of action. This requirement is not met as evidenced by;The staff did not follow the COVID-19 Policies and procedures identified in the emergency disaster plan. This poses a potential health and safety risk to residents in care

Facility personnel sufficiency and competence

87411 Personnel Requirements - General. (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, additional staff shall be employed as necessary for the provision of adequate services. This requirement is not met as evidenced by; Licensee did not ensure that the facility has designated receptionist at the front desk to provide required assistance. The front desk was left unattended for extended period of time and it was not clear if staff was scheduled to work at reception desk. This poses a potential health and safety risk to residents in care.

Personal rights of residents in all facilities

87468.1. Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidenced by. Based on interviews and record review, the Licensee did not ensure that residents are accorded with a safe and comfortable accommodation. The residents #1 was having hard time to open the bedroom door. This poses a potential personal rights violation to residents in care.