Leo's Assisted Living Ii

1569.10 RCFE; license or permit; necessity No person, firm, partnership, association, or corporation within the state.....without a current valid license or current valid special permit...This requirement is not met as evidenced by: Based on interviews conducted, LPAs were informed that R1, R2, R3, were receiving elements of care and supervision, which posed an immediate health and safety risk or personal rights risk to residents in care.

87458 Medical Assessment (c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses. Based on interview and record review, the licensee did not comply with the section cited above by not ensuring the diagnoses of Resident #1 (R1) were listed in their medical assessment which poses a potential Health, Safety, or Personal Rights risk to persons in care.

87412 Personnel Records (g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review.This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by not producing recent staff trainings for audit which poses a potential Health, Safety, or Personal Rights risk to persons in care.

87355 Criminal Record Clearance (c) A licensee... may... transfer of a criminal record clearance... by providing... (1) A signed Criminal Background Clearance Transfer Request, LIC 9182This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by not submitting the LIC 9182 for Staff #1 (S1) which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

87411-Personnel Requirements - General-(d):experience shall provide knowledge of and skill in the following, as appropriate for the job....effective job performance.. Skill and knowledge required to...supervision,.This requirement is not met as evidenced by: Based on LPA interview with staff, the administrator did not have staff available to communicate with residents and emergency personnel effectively which poses a potential risk to the residents in care.

Based on record review, the licensee did not comply with the section cited above in (2) out of (4) residents did not have a physician's report on file which poses a potential health and safety risk to persons in care.which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interviews and record reviews, conducted by LPA, the licensee did not comply with the section cited above by failing to notify CCLD regarding R4's hospitalization on or before 12/23/2024, which poses a potential health and safety risk to persons in care.

Based on observation during physical plant tour at 11:25 AM, one (1) out of four (4) residient was observed to have a bed rail in bed and there is no physician's order on file 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 (1) out of (4) physical assessment/TB test which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on (observation) (interview) (record review)], the licensee did not comply with the section cited above innot assuring that R1's prescibed medications were given as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.

All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working... 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 evidence by:Based on interviews and review of the personnel file one staff(S3) is not associated to the facility.This poses a potential risk to residents in care.

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:(1) Obtain a California clearance or a criminal record exemption as required by the Department This requirement is not met as evidence by:Based on interviews and review of the personnel file one staff(S2) is not background cleared to the facility.This poses a potential risk to residents in care.

Requirements(a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)...This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPA, the licensee did not comply with the section cited above by failing to notify CCLD regarding the five (5) incidents that occured on 10/3/23 and 10/6/23 which poses a potential health and safety risk to persons in care.

87506 Resident Records: (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility...This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. Resident records were incomplete and or missing documents, which poses/posed a potential health, safety or personal rights risk to persons in care.

Except as specified in Section 87611(a), the licensee shall be permitted to accept or retain a resident who has a healing wound..(3)... pressure injury must have the condition diagnosed by a physician or an appropriately skilled professional. (B) All aspects of care performed by the medical professional and facility staff shall be documented in the resident's file. This requirement is not met as evidence by: Based on interviews and file review the facility is not documenting all aspects of care for R1 This poses a potential risk to residents in care.

§1569.605 Liability insurance; coverage requirements On and after July 1, 2015...This requirement is not met as evidence by: Based on records reviewed, and interview with the administrator facility does not have current liability insurance coverage.

All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working... 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 evidence by: Based on interview and review of licensing report summary facility Designee is not associated to the facility. No documentation to associate staff/designee has not been submitted.This poses a potential risk to residents in care.

Except as specified in Section 87611(a), the licensee shall be permitted to accept or retain a resident who has a healing wound under the following circumstances:(1) When care is performed by or under the supervision of an appropriately skilled professional. This requirement is not met as evidence by:Based on interview staff are providing wound care and staff are not appropriate skilled wound care professionals.This poses a potential risk to residents in care.

Personnel Requirements - General 87411(d)(3).. experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance.. Skill and knowledge required to provide necessary resident care and supervision,... This requirement is not met as evidenced by: Based on LPA interview with staff, the administrator did not have staff available to communicate with residents and emergency personnel effectively which poses a potential risk to the residents in care.

§1569.605 Liability insurance; coverage requirements On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees.This requirement is not met as evidence by: Based on records reviewed, facility does not have current liability insurance coverage.

87555 General Food Service Requirements (b) The following food service requirements shall apply: (5) Meals shall consist of an appropriate variety of foods and shall be planned with consideration for cultural... backgrounds and food habits of residents.This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above in 3 out of 5 residents which posed a potential risk to the Health, Safety, or Personal Rights to persons in care.

87307 Personal Accommodations and Services (a)...The following provisions shall apply: (3) ...the licensee shall assure: (A) A bed... shall be equipped with good springs, a clean and comfortable mattress, available pillow(s) and lightweight warm bedding.This requirement is not met as evidenced by: Based on interviews and observations, the licensee did not comply with the section cited above in 3 out of 5 residents which posed a potential risk to the Health, Safety, or Personal Rights to persons in care.

87411 Personnel Requirements - General(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual trainingThis requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above in 2 out of 2 employees which posed a potential risk to the Health, Safety, or Personal Rights to persons in care.

87506 Resident Records (c) All information and records obtained from or regarding residents shall be confidential. (1) The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent. This requirement is not met as evidenced by: Based on observations and interviews, the licensee did not comply with the section cited above in 1 out of 5 residents which poses a potential Health, Safety, or Personal Rights risk to persons in care.

87464 Basic Services (f) Basic services shall at a minimum include: (3) Three nutritionally well-balanced meals and snacks made available daily, including low salt or other modified dietsThis requirement was not met as evidenced by: Based on observations and interviews, the licensee did not comply with the section cited above in 3 out of 5 residents which poses a potential Health, Safety, or Personal Rights risk to persons in care.

87411 Personnel Requirements - General(d) All personnel shall... have related experience in the job assigned to them. (3) Skill and knowledge required to provide necessary resident care... including the ability to communicate with residents.This requirement is not met as evidenced by: Based on observations and interviews, the licensee did not comply with the section cited above in 2 out of 2 employees which poses a potential Health, Safety, or Personal Rights risk to persons in care.

87355 Criminal Record Clearance(e) All individuals subject to a criminal record review... 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)This requirement is not met as evidenced by: Based on file review, the licensee did not comply with the section cited above in 2 out of 3 employees which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

87411 Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement is not met as evidenced by: Based on interviews and observations, the licensee did not comply with the section cited above in 1 out of 2 employees which posed a potential Health, Safety, or Personal Rights risk to persons in care.

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (5) ...medication shall be stored in its originally received container. No medications shall be transferred between containers.This requirement is not met as evidenced by: Based on observations, the licensee did not comply with the section cited above in 1 out of 3 residents which posed a potential Health, Safety, or Personal Rights risk to persons in care.

87412 Personnel Records (g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review.This requirement is not met as evidenced by: Based on observations the licensee did not comply with the section cited above for 2 out of 8 employees which poses a potential Health, Safety, or Personal Rights risk to persons in care.

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator...The administrator shall be on the premises a sufficient number of hours to permit adequate attention to the management ... of the facility.This requirement is not met as evidenced by: Based on observations the licensee did not comply with the section cited above in 1 administrator which poses a potential Health, Safety, or Personal Rights risk to persons in care.

87355 Criminal Record Clearance(e) All individuals subject to a criminal record review... 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)This requirement is not met as evidenced by: Based on file review, the licensee did not comply with the section cited above in 1 out of 1 employees which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

87506 Resident Records(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 residents which poses a potential Health, Safety, or Personal Rights risk to persons in care.