Tracy's Boarding Care - Lassen

87705 Care of Persons with Dementia(e) Licensees..5) Facility staff shall ensure the continued safety of residents if they wander away from the facility without violating.. Personal Rights of Residents in All Facilities.. Additional Personal Rights of Residents in Privately Operated Facilities.This requirement is not met as evidenced by: Based on the observation, interviews andrecord reviews, the licensee did not ensure one out of three staff at the facility to be on duty at night and supervise the care of the residents of dementia have which poses a potential Health, Safety or Personal Rights risks to person in care.

87211 (a)(1)(A)Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports... including, but not limited to, the following:(1)A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below... This requirement is not met as evidenced by: Based on the LPA observation and interviews the licensee/administrator did not ensure resident reports to be submitted to CCLD from the above facility involving multiple incidents which poses a potential Health, Safety or Personal Rights risks to persons in care.

87211 (a)(1)(A)Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports... including, but not limited to, the following:(1)A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below... This requirement is not met as evidenced by: Based on the LPA observation and interviews the licensee/administrator did not ensure resident reports to be submitted to CCLD from the above facility involving multiple incidents which poses a potential Health, Safety or Personal Rights risks to persons in care.

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia...(4)There is an adequate number of direct care...safety and health care needs… (A) In addition to... specified in Section 87415, Night Supervision, a facility with fewer than 16...at least one night staff person...This requirement is not met as evidenced by: Based on the observation, interviews andrecord reviews, the licensee did not ensure one out of three staff at the facility to be on duty at night and supervise the care of the residents of dementia have which poses a potential Health, Safety or Personal Rights risks to person in care.

Maintain physician order documentation in resident record

A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order.This requirement is not met as evidenced by: Based on observation the licensee failed to ensure that Resident has a written order for postural support placed in Residents file. This poses an immediate 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 the LPA's observations, staff/ resident interviews, the staff did not ensure the residents to have a clean and sanitary facility including rooms, common areas clean of roaches thus ensuring the facility was clean, which poses a potential Health, Safety or Personal Rights risks to persons in care.

Dignity in personal relationships

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: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met by: Based on the observations and interviews the licensee did not ensure oneout of five residents at the above facility to receive visitation rights which poses animmediate Health, Safety or Personal Rights risks to person in care.