Vip Senior Living Llc

Based on observation and interview, the licensee did not comply with the section cited above in the facility had broken drawers, door handles, closet doors, window blinds, and ceiling water damage 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 in the staff restroom had unsecured cleaning supplies and the kitchen drawer had an unsecured butcher knife and hammer which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in the facility did not have emergency food which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 2 residents' medications were not properly documented which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 2 residents did not have PRN Authorization Letters which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in medications were unsecured in the dining room cabinets which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in the facility did not have a sufficient supply of non-perishable food 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 in 4 out of 4 restroom sinks did not measure within the required range which poses an immediate health, safety or personal rights risk to persons in care.

87506 Resident Records: (c) All information and records obtained from...(1)The licensee shall be responsible for storing active and inactive records ...This requirement has not been met as evidenced by: Based on interview and records review, the licensee did not comply with the section cited above as R1’s records were not provided to R1’s Responsible Party and/or designated representative which poses a potential health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above in one (1) out of (1) one shaded covering 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 in four (4) out of four (4) resident medications were presorted 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 in one (1) emergency exit gate/ self latching gate does not open / close properly which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as vermon was visible in kitchen area 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 in one (1) resident is not in the correct room for bedridden which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee failed to ensure the hot water temperature was within the required range (tested between 125.3- 130.6 degrees) which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above as 2 of 5 resident medications reviewed contained inconsistencies with their medication amounts remaining and amounts documented as administered on the centrally stored which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in cockroaches were observed in the kitchen cabinet which poses 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 2 residents files reviewed did not contain a current medical assessment and both residents have a dementia diagnosis, which poses a potential health and personal rights risk to persons in care.

87211 (a)(1)(A) Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports...1)A written report shall be submitted to the licensing agency...(A)Death of any resident… This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above as the facility is not following reporting requirements by not reporting R1’s death to CCLD which poses a potential health, safety and personal rights risk to persons in care.

87355(e)(2) Criminal Record ClearanceAll individuals subject to a criminal record review pursuant to ...shall prior to working... (2) Request a transfer of a criminal record clearance...This requirement is not met as evidenced by: Based on record review and interview the licensee did not comply with the section cited by not transferring the criminal record clearance for S1 to this facility prior to employment which poses an immediate health, safety and personal rights risk to persons in care.

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 and comfortable accommodations... This requirement was not met as evidenced by: Based on observations from LPA and a credible witness, the licensee did not comply with the section cited above, as staff were not were not following COVID-19 health and safety protocols, including not wearing a mask, which poses an immediate personal rights risk to residents in care.

Based on observation, the licensee did not comply with the section cited above as the hot water temperature was not within the required range (tested at 132.1 degrees) which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as there were disinfectants accessible, which poses an immediate health, and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, as a baby gate blocks access for the residents to enter the kitchen, which poses a potential personal rights risk to residents in care.

Based on observation, the licensee failed to ensure the hot water temperature was within the required range (tested at 129.0 degrees) which poses an immediate health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above, as there were disinfectants accessible, which poses an immediate health, safety or personal rights risk to persons in care.