House of Hope Assisted Living, Inc

87615 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...: (1) Stage 3 and 4 pressure injuries. This requirement was not met as evidenced by: Based on interviews and record reviews, the licensee dod not comply with the section cited above by R1 developing multiple pressure injuries that included Stage III pressure injuries while under the facility care which posed an immediate health and safety risk to the resident in care.

Based on interview, record review, and observation, the licensee did not comply with the section cited above in staff S1 not being associated to the facility which poses an immediate health, safety, or personal rights risk to persons in care.

Based on observations and interviews, the licensee did not ensure that a staff file was completed and maintained at the facility for S1, which poses an immediate health, safety, or personal rights risk to persons in care.

This requirement is not met by evidence by: Based on record review, the licensee did not comply with the section cited above in 1 out of 1 staff Administrator Certification expired 9/13/24, which poses an immediate health, safety, or personal rights risk to persons in care.

87211 (a)(1)(A)Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports... including, but not limited to, the following:(1)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 in (A) through (D) below... This requirement is not met as evidenced by: Based on the LPA observation and interviews the licensee/administrator did not ensure resident reports to be submitted to CCLD from the above facility involving multiple incidents which poses an Immediate Health, Safety or Personal Rights risks to persons in care.

Criminal Clearance (f) Violation of Sec. 87355(e) shall result in an immediate... civil penalties(1)Subsequent violations within a twelve (12) mo. period will result in a civil penalty ($100)a day for a max of thirty 30 days.This requirement is not met as evidenced by Licensee failed to obtain criminal record association for S1. This is the second 2nd offense for S1.

Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility….readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by; Licensee did not ensure to maintain complete and current records for facility residents. This posses a potential health and safety risk to residents in care.

Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) to (7)... all requirements apply. (2) Knowledge of & ability to conform to the applicable laws...This requirement is not met as evidenced by. The Licensee failed to follow Title 22 Regulations regarding staffing requirements. This posses a potential health and safety riskto 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 R1's hospitalization on or before 05/02/24, which poses a potential health and safety risk to persons in care.

Criminal record clearance: (e) All individuals subject to a criminal record review... (1) Obtain a California clearance or a criminal record exemption as required by the Department.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above by hiring one (1) staff member on 05/13/2024 without fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.

87755 Inspection Authority of the Licensing Agency (c) The licensing agency shall have the authority to inspect, audit, & copy resident or facility records upon demand ...This requirement was not met as evidenced by: Based upon LPA's conversation with the Administrator, the resident records are locked in the administrator's office. The Administrator stated staff do not have access to the records.

87465 Incidental Medical & Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe & locked place that is not accessible to persons other than employees......This requirement was not met as evidenced by:. Based on LPA's observation a needle was sitting on the kitchen table, and the medications were not safely locked in a cabinet. Staff did not comply with the section cited above which poses a potential health, safety & personal rights risk to residents in care.