Karen's Seniors Care Home, Inc.

Based on (record review)], the licensee did not comply with the section cited above in one three (persons)] didnot have proof of the 20 hours of annual required training on record, 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 in 2 out of 2 medication bottles contained more pills(9) than consistent with the start date of the medication and less pills (2) consistent with the start date of the medication, 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 one out of two bathrooms inspected the water temperature was measured above 120 degree F, which poses an immediate 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 R1 was admitted to the facility as total care and an exception is not on file which poses an immediate health, safety or personal rights risk to persons in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a)(20) To be protected from involuntary transfers, discharges, and evictions...shall comply with all eviction and relocation protections for residents...not by the resident.This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the above cited section, as R1 was sent to the hospital and facility designee refused to readmit R1, which posed an immediate personal rights risk to residents in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall...(1) The licensee shall arrange, or assist in arranging, for medical...conditions and needs of residents.This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as facility staff did not take action to have R1 transported to a medical facility for 10 hours after R1 fell and sustained a head injury, which posed an immediate health and safety risk to residents in care. Civil penalty issued.

87464 Basic Services.(f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code Section 1569.2(c).This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section as proper supervision was not provided to R1, resulting in falls and R1 sustaining multiple bruises, which posed an immediate health and safety risk to residents in care. Civil penalty issued.

87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the above cited section as an incident involving R1 that occurred at the facility around September 2020 and an incident on 02/16/2021 were not reported to CCLD, which posed a potential health and safety risk to residents in care.

All individuals subject to a criminal record... residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 87355 C …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.

87465(a)(1) A plan for incidental medical and dental care shall be developed by each facility. The plan shall...(1) The licensee shall arrange, or assist in arranging, for medical...conditions and needs of residents.This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above. The administrator did not take action to have R1 transported to a medical facility for 2 days after R1 fell off commode and was found on floor, which posed an immediate health and safety risk to residents in care.

87464(f)(1) Basic Services.(f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code Section 1569.2(c).This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. (R1) was not provided the proper supervision to ensure R1’s safety. R1 had a history of falls, which led to R1 sustaining fractures to tibia, fibula, proximal fibula to left leg from a fall(s), which posed an immediate health and safety risk to residents in care.