Ana's Residence Care Facility

87411 Personnel Requirements – General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69This requirement is not met as evidenced by: Based on observation, interview, and record review, the Licensee did not comply with the section cited above, as 1 staff did not complete their initial 40 hours of training and 3 staff did not meet the annual training requirements, which poses/posed a potential health, safety, or personal rights risk to persons in care.

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. ...This requirement is not met as evidenced by: Based on observation, the Licensee did not comply with the section cited above as 1 bedridden resident was residing in Bedroom #1 not approved for bedridden residents, which poses an immediate health and safety risk to persons in care.

87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 87355(c). (f) Violation of Section 87355(e) shall result in an immediate assessment of civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days by the department.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above. S1 was not associated to the facility yet worked at the facility from 01/01/2024 to 01/13/2024, which posed an immediate health and safety risk to residents in care. Immediate $500 civil penalty assessed.

Hospice Care Waiver (d)(2)If the Department grants a hospice care waiver it shall stipulate terms and conditions of the waiver as necessary to ensure the well-being of terminally ill residents and of all other facility residents, which shall include…the following requirements: (2) The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility…This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above. There is no evidence or confirmation that the licensee submitted a notification for R1’s 01/11/2024 initiation of hospice care services, which posed a potential health and safety risk to residents in care.

87465(a)(1) Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement is not met as evidenced by: Based on interviews and medical records, the licensee did not comply with the section cited above. The licensee/administrator or staff did not seek medical attention when R1 complained of abdominal and back pain, which posed an immediate health and safety 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.S1 failed to adequately assist R1 resulting in R1 sustaining a T11 compression fracture while in care,which posed an immediate health and safety risk to residents in care.