Winnetka Home Care

Plan of Operations: The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. This requirement is not met as evidenced by: Based on observations, record review, and interviews conducted, the facility did not follow its Plan of Operation. R1's had no documentation of insulin administration. R2's LIC 622 is not updated. R3 and R4 had no refill medication. R5 had documention of medication refusal. This poses a potential health, safety or personal rights risk to residents in care

General Food Services...(b)The following food service requirements shall apply:(7)Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement is not met as evidenced by: Based on observation and interview, one out of four Residents R1 with diabetes was served the regular meal plan which contains high sodium and sugar. This confirmed that R1 was not on a special diet plan. This poses a potential health and safety risk to resident in care.

Maintenance and Operations The facility shall be clean, safe, sanitary... 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; Based on observations and interview, LPM and LPA observed a mosquito and a large black insect on the wall in Room #4. Staff did not make sure the door was closed.This poses potential risk to the personal rights of the residents in care.

Maintenance and Operation(b) A comfortable temperature for residents shall be maintained at all times.This requirement is not met as evidenced by; Based on observations and interview, LPAs and LPM that the thermostat was turned off. The temperature in the common areas measured 65°F, and resident rooms measured approximately 67°F. This poses potential risk to the personal rights of the residents in care.

Personal Rights(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations.. This requirement is not met as evidenced by; Based on observations and interview, LPAs and LPM observed two residents smoking in the backyard while the sliding glass door remained open, which allowed smoke to enter the interior of the facility. Staff did not close the door. This poses potential risk to the personal rights of the residents in care.