Office review·July 17, 2023

Citations

4 citations recorded^*CCLD

• 87211(f)(1)Type B

  Reporting Requirements:Failure to comply with Section 87211(d), or Section 87211(e), or both, may result in a civil penalty of one hundred dollars ($100) for each day of the failure to provide the required notification, not to exceed two thousand dollars ($2,000)1) If a resident is relocated without the specified notification, and the resident suffers transfer trauma as defined in Section 87101, or other harm to their health or safety, the Department may suspend or revoke the license or other specified actions pursuant to Health and Safety Code section 1569.686(c) Licensee did not notify Resident #1's Conservator of relocation

• 87211(a)(1)(AType B

  (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: 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 (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. Licensee did not report Resident #1's hospitalization on 5/202/3

• 87506(b)(1Type B

  Resident Record- Each resident’s record shall contain at least the following information:(1) Resident's legal name and preferred name, as indicated by the resident.(2) Social Security number.(3) Gender identity and preferred pronoun, as indicated by the resident.(4) Dates of admission and discharge.(5) Last known address..(6) Birthdate.(7) Religious preference, if any, and name and address of clergyman or religious advisor, if any(8) Names, address, and telephone numbers of the resident’s representative, as defined in Section 87101(r), to be notified in case of accident, death, or other emergency.(9) Name, address and telephone number of physician and dentist to be called in an emergency.(10) Reports of the medical assessment specified in Section 87458, Medical Assessment, and of any special problems or precautions.(11) The documentation required by Section 87611 for residents with an allowable health condition.(12) Ambulatory status.(13) Continuing record of any illness, injury, or medical or dental care, when it impacts the resident's ability to function or needed services.(14) Current centrally stored medications as specified in Section 87465, Incidental Medical and Dental Care Services.(15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal.(16) Records of resident's cash resources as specified in Section 87217, Safeguards for Resident Cash, Personal Property, and Valuables.(17) Documents and information required by the following:(A) Section 87457, Pre-Admission Appraisal;(B) Section 87459, Functional Capabilities;(C) Section 87461, Mental Condition;(D) Section 87462, Social Factors;(E) Section 87463, Reappraisals; and(F) Section 87505, Documentation and Support.

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• 87507(a)(1Type B

  a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any. 1) The text of the admission agreement, including any attachments and modifications, shall be(A) Printed in black type of not less than 12- -point type size, on plain white paper. The print shall appear on one side of the paper only.(B) Written in clear, understandable, coherent, and unambiguous language, using words with common and everyday meanings, and shall be appropriately divided with each section appropriately titled.Resident #1 does not have an admission agreenmer

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