Golden Care Living Iii

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.This requierment was

Based on observation and record review, the licensee did not comply with the section cited above in not providing Resident 1 with medications as prescribed (R1 has a medication that is prescribed twice a day but the staff have only been providing this medication once a day) which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having an outside side door in disrepair and the kitchen window did not have a screen which poses a potential health and safety risk to persons in care.

Personnel Requirements (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided...facility require such additional staff for the provision of adequate services.This has not been met as evidenced by: Based on interviews and record review, the licensee did not have staff working between 8PM and 7AM to provide R1 with their care needs, which resulted in R1 developing a stage 3 pressure injury while in care.

Personnel Requirements (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided...facility require such additional staff for the provision of adequate services. This has not been met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above by not having night staff to assist R1 with their care needs, which poses a potential health, safety, and personal rights risks to persons in care.

Managed Incontinence (b) In addition... the licensee shall be responsible for the following: (1) Ensuring that residents who can benefit from scheduled toileting are assisted or reminded to go to the bathroom at regular intervals rather than being diapered. (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. This has not been met as evidenced by:Based on interviews and record review, the licensee did not comply with the section cited above by not ensuring that R1’s incontinent care needs were checked at night time, which poses a potential health, safety, and personal rights risks to persons in care.

Personnel Requirements (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This has not been met as evidenced by:Based on record review/interview (R2-R5) are incontinent and requires assistance with diaper changes. Facility did not have a night staff to meet (R2-R5) needs after 7pm. This violation which poses a potential health and safety to residents in care.

Based on record review, the licensee did not comply with the section cited above, LPA observed two empty medication bottles for Resident 5, there was no documentation on file indicating that facility attempted to assist R5 with attaning R5's medication, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having mold in bathroom 1, bedroom 2’s drawer in disrepair, kitchen cabinet in disrepair and no shower head in bathroom 3, which poses a potential health, safety or personal rights risk to persons in care.

Based on ecord review, the licensee did not comply with the section cited above in having an expired liability insurance which poses a potential health and safety risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in having a videoconferencing device dedicated for resident use, which poses a personal rights risk to persons in care.

87625 (b) (2) (3) Managed Incontinence: The licensee shall be responsible for ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence odors from incontinence.On Sunday, June 23, 2024 residents 1 and 2 were left in soiled diapers for an extended period because one of the staff did not report to work and was a no-showThe violation poses a potential health and safety risk to residents in care.

1569.2 (c) Health and Safety Code:The facility staff is responsible for providing care and supervision to meet residents’ needs, including assistance with daily living activities such as personal care, dressing, bathing, and managing incontinence of bowel and/or bladder. The staff failed to meet the resident’s daily personal care needs.The violation poses a potential health and safety risk to residents in care.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(16) To receive or reject medical care or other services. This was not met as evidenced by: Based on interviews with six witnesses (W1-W6), it was revealed that Healing Care Hospice agency was the selected and preferred hospice agency to provide hospice care services to R1. Two out of six witnesses revealed the visiting nurse from Healing Care Hospice agency attempted to visit and assess R1 on 12/30/2022 around 6:00 pm, but facility staff denied the nurse an entry to the facility. W5 revealed R1 was transferred to another facility on 1/5/2023 due to the facility’s refusal to use R1’s preferred and contracted hospice agency. This poses an immediate risk to health, safety and/or personal rights to residents in care.

Based on record review, the licensee did not comply with the section cited above, LPA did not observe results of TB examination for R2, R3, and R5, 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 did not observe a needs and service plan for residents 2 and 5, 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 did not observe Health Screening Reports (LIC 503) for Staff S2, S3, S5, S6, and S7, which poses 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 was unable to review onsite fire drills, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on recird review, the licensee did not comply with the section cited above, LPA did not observe a physician's report for resident 4, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA observation and interview of staff, the licensee did not comply with the section cited above, during today's visit staff stated that the facility does not provide common internet access device for residents' use, which poses a potential personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in two out of five staff records were unavailable on September 1, 2023 visit, which poses a potential safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above during today's visit, LPA observed bleach in the backyard, knives in the kitchen drawer, and cleaning solution under the kitchen sink and in the garage accessible to residents in care which poses a potential health, safety or personal rights risk to persons in care.

Based on interview of S3, the licensee did not comply with the section cited above in two out of five residents who shared room number three are not afforded privacy during routine hygiene care which poses a potential personal rights risk to persons in care.

Based on LPA's observation, there are no grab bars inside the shower in the common bathroom used by residents. This poses a potential health, safety or personal rights risk to persons in care.

Based on LPA's observation, the hot water temperature used by residents was measured more than 120 degrees F. The following hot water temperature in resident bathrooms were observed: common bathroom/ 122.3 degrees F; inside room #4 - 122.9 degrees F and between bedrooms #1 & #2, 122.1 degrees F. This poses an immediate health, safety or personal rights risk to residents in care.