Velvet Care

Prohibited Health Conditions (a) Persons who require health services for or have health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by; The licensee admitted and retained R1 with Unstageable, Stage 3, 4 Pressure injuries. This poses an immediate health and safety risk to residents in care.

A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs… This requirement is not met as evidenced by. The licensee did not follow specific instructions to assist R1 as provided by the health care professionals. This poses an immediate health and safety risk to residents in care.

Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by; The licensee admitted and retimed R1 with Stage 3 Pressure injuries. This poses an immediate health and safety risk to residents in care.

The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident. This requirement was not met as evidenced by: Based on LPA record reviews, facility administartor does not have re-appraisal for R1 brusing while in care which poses an immediate health and safety risk to residents in care.

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by: Based on LPA record reviews, observation, & interviews, R1 bruses was developed at the facility while in care which poses an immediate health and safety risk to residents in care.

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on LPA observation facility failed to schedule a dentist appointment for R1 where their teeth was graying close to black due to gingivitis.

Maintenance and operation: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met. as evidenced by: LPA and LPM observed the facility screen was in disrepair. This poses a potential health and safety risk to residents in care.

(b) (1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours... restricted health conditions, and hospice care... before working independently with residents. This was evident by LPM and LPA review of records for S3. This poses a potential health and safety risk to residents in care.

Incidental medical and dental Care: The following requirements shall apply to medications which are centrally stored:Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the medication. supervision of the centrally stored. This requirement is not met by staff leaving a pill in a covered cup for R4 in the kitchen counter that is accessible to the residents in the facility. This poses a potential health and safety risk to residents in care.

Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) to have a reasonable level of personal privacy in accommodations, medical treatment, personal care and ... of resident and family groups. This requirement is not met as evidenced by: LPA and LPM did not observe camera surveillance to having audio and looking into S1 bedroom. This poses a potential health and safety risk to residents in care.

Ensuring that the use of oxygen equipment meets the following requirements: "No Smoking-Oxygen in Use" signs shall be posted in the appropriate areas.This requirement is not met as evidenced by: LPA and LPM did not observe 'oxygen in use' sign. This poses a potential health and safety risk to residents in care.