Silverado Senior Living - Calabasas

87466 Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes...appropriate assistance is provided when such observation reveals unmet needs... physician and the resident's responsible person, if anyThis requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section, as staff noted R1 had changes in their skin beginning on 04/20, but did not have home health until 05/24, R1's family member was not made aware until 05/31/23, which posed an immediate health risk to R1

87615(a)(1) Prohibited Health Conditions (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... (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 comply with the above cited section, as R1 had documented stage 3 pressure injuries as well as total ADL care and R1 was not admitted to hospice care at that time, which posed an immediate health risk to persons in care.

87464 Basic Services (f) (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking...Postural SupportsThis requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section as S1 did not transfer R1 per R1's care plan, which resulted in R1 falling, sustaining injury, and R1 passed away as a result, which posed an immediate health and safety risk to persons in care.

Based on observation during medication review, the licensee did not comply with the section cited above as counts for 2 (two) of R1's medications do not match and the documentation does not reflect the discrepancy, which poses a potential health risk to persons in care.

87217 (b) Safeguards for …Personal Property, and Valuables.Every facility shall... safeguard residents'... personal property and valuables which have been entrusted...The licensee shall give the residents receipts for all... This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as personal items of R1 went missing while in care, which posed a potential health, safety and personal rights risk to residents in care.

1569.312(a) Basic services requirements. Basic services shall at a minimum include: (a) Care and supervision as defined in Section 1569.2. This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Facility staff neglected to supervise R1 during meals, which posed a potential health and safety risk to residents in care.

87464(f)(1) Basic Services. Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement is not met as evidenced by: Based on interview and records review, the licensee did not comply with the section cited above, as the facility failed to ensure that R4 did not leave the facility unassisted per the physician report, which poses an immediate health and safety risk to residents in care.

87465(d)(3) Incidental Medical and Dental Care. The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record.This requirement is not met as evidenced by: Based on medication review, the licensee did not comply in the section cited above for 2 out of 3 (R2, R3) residents as it pertains to documentation for assisting residents with the self-administration of PRN medication, which poses an immediate health and safety risk to residents in care.

87705(g)(1) Care of Persons with Dementia. … Residents with dementia shall be allowed to keep personal grooming and hygiene items … unless there is evidence to substantiate that the resident cannot safely manage the items. This requirement is not met as evidenced by:Based on observation and record review, the licensee did not comply in the section cited above for one out of three residents (R1), which poses an immediate health and safety risk to residents in care.

87705(f)(1) Care of Persons with Dementia. (f) The following shall be stored inaccessible... Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, as razors were observed accessible in Room 53, which poses an immediate health and safety risk to residents in care.

87411(f) Personnel Requirements – General. … Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician ....This requirement is not met as evidenced by: Based on file review, the licensee did not comply to the section cited above for three out of five staff (S1, S2, S3), which poses a potential health and safety risk to residents in care.

87355(d) Criminal Record Clearance. All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement (LIC 508 [Rev. 1/03]) under penalty of perjury.This requirement is not met as evidenced by: Based on file review, the licensee did not comply to the section cited above for two out of five staff (S1, S2), which poses a potential health and safety risk to residents in care.

87466 Observation of the Resident. When changes … are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person…This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above, as staff did communicate changes to hospice staff in a timely manner, which poses an immediate health and safety risk to residents in care.

87464(f)(4) Basic Services. Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident … with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications.This requirement is not met as evidenced by: This requirement is not met as evidenced by:Based on interview and record review, the licensee did not comply with the section cited above, as staff were unable to meet R1’s care needs on multiple occasions, which poses an immediate health and safety risk to residents in care.

87465(d)(3) Incidental Medical and Dental Care. The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record.This requirement is not met as evidenced by: Based on medication review, the licensee did not comply in the section cited above for three out of five (R1, R2, R3) residents as it pertains to documentation for assisting residents with the self-administration of PRN medication, which poses an immediate health and safety risk to residents in care.

87411(f) Personnel Requirements - General. (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.This requirement is not met as evidenced by: Based on record review, the licensee did not comply in the section cited above in three out of ten staff (S2, S3, S7) need TB results, which poses a potential health and safety risk to residents in care.

87355(e)(1) Criminal Record Clearance. (e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department...This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply in the section cited above for two staff (S1, S2), which poses an immediate health and safety risk to residents in care.

87411(f) Personnel Requirements - General. (f) Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure.This requirement is not met as evidenced by: Based on record review, the licensee did not comply in the section cited above as for four staff (S1, S6, S7, S8) need a health screening and three staff (S1, S3, S8) need TB results, which poses a potential health and safety risk to residents in care.

87411(a) Personnel Records. The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.This requirement is not met as evidenced by: Based on record review, the licensee did not comply in the section cited above for four out of ten staff (S2, S3, S6, S7), which poses a potential health and safety risk to residents in care.

87464(f)(4) Basic Services. Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing...This requirement is not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above as R1's hygiene needs were not met, which poses a potential health and safety risk to residents in care.

87211(a)(1)(D) Reporting Requirements. A written report shall be submitted to the licensing agency... 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 the investigation, the licensee did not comply with the section cited above, as the presence of a rash on five residents was not reported to CCL in February 2021, which posed a potential health and safety risk to persons in care.

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities. Residents shall have all of the following...: 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 requirement is not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above, as staff failed to provide proper care to R1 after administering insulin, resulting in R1 becoming hospitalized, which poses an immediate health and safety risk to residents in care.

87615(a)(1) Prohibited Health Conditions. 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 … (1) Stage 3 and 4 pressure injuries.This requirement is not met as evidenced by: Based on interview and records review, the licensee did not comply with the section cited above, as R1 was retained in the facility with a stage III pressure injury, which poses an immediate health and safety risk to residents in care.

Additional Personal Rights of Residents in Privately Operated Facilities. Residents shall have all of the following personal rights: 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 requirement is not met as evidenced by:Based on the investigation, the licensee did not comply with the section cited above, as R1 was pushed by R2 and sustained multiple injuries due to lack of care and supervision, which poses an immediate health and safety risk to residents in care.