Wellbe Home

Document required significant condition changes

Based on interview and record review, the licensee did not comply with the section cited above in 3 out of 4 resident files reviewed as the last Appraisal/Needs and Service was completed for Resident #2 on 2/28/24, Resident #3 on 2/28/24 and Resident #4 on 5/10/24 and no annual reassesment have been conducted since, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above since a copy of the first aid manual was requested from the Administrator and was advised that the facility did not have one.] which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as no physicians orders were observed in any of the residents' files] which poses/posed a potential health, safety or personal rights risk to persons in care.

Onsite food stock levels for nonperishables and perishables

Based on observation, the licensee did not comply with the section cited above per review of food in the pantry and refrigerator that there were insufficient perishable and non-perishables foods. There were 3 green and 1 red bell peppers, 2 plastic containers of water melon, 2-1/3 quarters of milk, yogurt in the refrigerator, 3 bananas and 3 apples in the pantry. Small cans of vegetables and soups were in the pantry, which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above per tour of bedroom #3, the blinds on the door leading outside were observed either missing a slate or broken as it did not close correctly to allow the resident in care privacy in the bedroom which poses/posed a potential health, safety or personal rights risk to persons in care.

80026(h) Safeguards for Cash Resources, Personal Property, and Valuables of Residents (h) Each licensee shall maintain accurate records of accounts of cash resources... entrusted to his/her care, including, but not limited to the following:This requirement was not met as evidenced by: Based on interviews conducted, the licensee did not comply with the section cited above, as the facility failed to ensure clients P and I records were up to date, which poses a potential personal rights risk to residents in care.

Facility personnel sufficiency and competence

Based on documents reviewed, the licensee did not comply with the section cited above. As the licensee failed to ensure there was an adequate amount of staff, which poses a potential health and safety risk to residents in care.

Freedom to leave and not be locked in

87468.1(a)(6) Personal Rights of Residents in All Facilities: To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department.

87202 Facility Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.