Wellness Assisted Living

Maintain records of centrally stored medication dosages

Based on interview and record review, the licensee did not comply with the section cited above. Centrally stored Medication Records (LIC22) was not updated for 6 out of 6 residents. This poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain required personnel records for staff

Based on interview and record review, the licensee did not comply with the section cited above. S2 has Insufficient qualifications. LIC 501 is incomplete 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. LPA observed that medication records are inconsistent with medication audit which poses/posed a potential health, safety or personal rights risk to persons in care.

Resident care and supervision skills

Based on interview, the licensee did not comply with the section cited above. S1 couldn't answer any of LPA's questions. This poses/posed a potential health, safety or personal rights risk to persons in care.

Prohibition on using other rooms as bedrooms

Based on observation, the licensee did not comply with the section cited above. LPA observed that staff are using resident closet in Room#2 to store clothes and other personal items which poses/posed a potential health, safety or personal rights risk to persons in care.

Early illness recognition

87411-Personnel Requirements - General-(d)(5) Knowledge necessary in order to recognize early signs of illness and the need for professional help Based on interviwes staff were unable to recoginze ealrly signs of illness which led R1 to hospitalization.

Care and supervision as defined by statute and rules

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 has not been met as evidenced by The licensee failed to ensure staff provided adequate observation regarding R1’s change in condition, and adequate records pertaining to R1’s health and care which led to R1’s hospitalization. This poses as an immediate health and safety risk to the resident in care.

On-the-job training requirements

87411-Personnel Requirements (d)All personnel shall be given on the job training or have related experience in the job assigned to them. This requirement has not been met as evidenced by: Based on records review S2 doesn't have in service training. This poses a potential risk to the residents in care.

Resident care and supervision skills

87411-Personnel Requirements - General-(d)(3)Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents.,.This requirement is not met as evidenced by: Based on interviwes staff was unable to communicate with LPA, Staff was using translation device. This poses a potential risk to the residents in care.

Maintain facility in clean, safe, sanitary condition

Based on observation the licensee did not comply with the section cited above. LPA observed dining room ceiling had water stains and cracks in ceiling. This poses/posed a potential 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 in. LPA observed missing training for S1 and S2. This poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain personnel records at facility location

Based on observation , the licensee did not comply with the section cited above. Administrator designee had no physical file at the facility. This poses/posed a potential health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

Based on observation and record review, the licensee did not comply with the section cited above. which poses an immediate health, safety or personal rights risk to persons in care. R1's centrally stored medication and destruction record is missing all information regarding the medication name and start date. R2's centrally stored medication and destruction record is missing the start date. R3 Buprenorphine Medication was missing doses for March 11,12,13, and 14. The medication is instructed to take one tablet daily. LPA also observed that Quetiapine is missing 56 tablets.

Requirements for locking exterior exits

Based on observation, the licensee did not comply with the section cited above in one (1) out of 3 (three) facility bathrooms having cleaning chemicals under an unlocked sink cabinet which poses an immediate health, safety or personal rights risk to persons in care.

Passageways and stairways kept clear

87307(d)(6) Personal Accommodations and Services(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction.This requirement is not met as evidence by: Based on a credible source and the acknowledgement by the Administrator; There was a lock installed on the top right corner of the front exit door. The lock obstructs the exit should the exit be needed due to an emergency. This is an immediate health and safety risk to all residents in care.