Assisted Senior Care Facility

Personnel Records:(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. (2) Documentation of staff training shall include:This requirement is not met as evidenced by: Based on interviews and record review the licensee did not comply by not making sure all trained staff followed the "in service" training knowledge and conducted daily body checks on R1 for the history of skin breakdown which poses a potential health and safety risk to residents in care.

Reappraisals: (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary....... the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical...This requirement is not met as evidenced by: Based on interview and record reviews, licensee did not comply with the section cited above. Administrator completed partial reappraisals for R1 on 04/30/2025 upon observing the stage 3 ulcer on R1's buttocks area, which poses/posed a potential health and safety risk to resident in care.

Basic Service: (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 record reviews the licensee failed to provide care and supervision to R1 who developed stage 3 ulcers residing at the facility which poses a potential health and safety risk to residents in care.

87611(a) General Requirements for Allowable Health Conditions (a) Prior to accepting or retaining a resident with an allowable health condition as specified in Section 87618… Section 87631, Healing Wounds; licensees… shall obtain Department approval:This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by not obtaining an approval from the department for R1's prohibited health condiction (stage 3 pressure wound) which was discovered on 04/28/25 this poses an immediate health, safety or personal rights risk to persons in care.

87615(a) 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. Based on record review & interviews the licensee did not comply with the section cited by R1 developing stage 3 ulcers while under the facility care. This poses an immediate health and safety risk to the resident in care.

Based on observations the caregiver medications were unlocked in a resident closet as well as other medications accessible in all of the residents bedrooms' closets. The Administrator did not ensure that the centrally stored medications were locked and inaccessible to resident in care. This poses an immediate health and safetyhazard to residents in care.