Wellspring Manor Senior Care Inc

Request a transfer of criminal record clearance

Based on observation and record review, the licensee did not comply with the section cited above for Staff #5 (S5) which poses a safety risk to persons in care. LPA observed S5 working in the faciliy but S5 was not associated to the facility.

Based on record review, the licensee did not comply with the section cited above for staff which poses a potential health and safety risk to persons in care. LPA observed training records for January 2024.

Annual routine visit with medical professional

Based on record review, the licensee did not comply with the section cited above for four out of five residents which poses a potential health risk to persons in care. Residents #1 - #3, and #5 did not have an annual assessment nor decline notice of an annual assessment on file.

Maintain required personnel records for staff

Based on observation, interview and record review, the licensee did not comply with the section cited above.LPA met with Staff #1 and reviewed records of S#1, S#2, and S#3 which were missing Health Screening Report/Tuberculosis (TB) Clearance (LIC 503)-facility personnel, 1st Verification of first aid training for staff providing care, LIC9052 etc., which poses/posed a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observation and interview, the licensee did not comply with the section cited above. LPA's observation- LPA and S#1 observed the hot water: At 2:15 PM, LPA measured the hot water temperature in bathroom #4 at 140.1 F degrees, which is not within Title 22 regs and poses an immediate danger to the health and safety of five (5) out of five (5) residents in care..

1569.652 Termination of admission agreement upon death of resident... refund of fees paid; notice of contract termination and refunds (c) A refund of any fees paid in advance covering the time after the resident’s .. removed from the facility shall be issued... responsible for the fees or, if the deceased resident paid the fees... within 15 days after the personal property is removed. This requirement was not met as evidence by:Based on observations and interviews conducted, Licensee charged R1 a deposit fee and advance fee and did not issue a refund within 15 days This is a potential health and safety risk to clients in care.

Maintain facility in clean, safe, sanitary condition

(a) 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 was not met as evidenced by: During LPA's tour of the facility, LPA observed the garage is cluttered with boxes, frame frame, used wheelchairs, oxygen tank and other miscellaneous items.

Obtain required California clearance or exemption

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement was not met as evidenced by: Based on LPA's interview with S4, he began working in this facility on 8/22/2022 on a part-time basis. S4 stated he works on Mondays and Tuesdays, 6:00 am:7:00 pm. S4 stated he is a caregiver and he provides ADL care to residents. During LPA's interview with Staff#2, S4 has a background clearance under a different facility. S2 stated he has not submitted a transfer of clearance for S4 to CCLD.

Requirement for building permit before construction

87305 Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all facilities shall obtain a building permit.This requirement is not met as evidenced by: On 11/12/2021, based on LPA's interviews with five staff (S1-S5), the floor tiles in the common restroom were removed and new tiles were installed. On 11/16/2021, LPA Montoya observed the restroom has new floor and wall tiles. The administrator admitted she did not inform CCLD prior to construction. This poses a potential risk to health, safety or personal rights risk to residents in care.

Based on LPA's observation and interview, the licensee did not comply with the section cited above. LPA did not observe a carbon monixide detector anywhere in the facility. Administrator stated there is a working detector but a staff took it off from the outlet. This poses an immediate health, safety or personal rights risk to persons in care.

Passageways and stairways kept clear

Based on LPA's observations and photos taken, items of potential hazards are stored in outdoor walkways. LPA observed two unrolled garden hoses, pails, brooms, chairs, old cabinet, bicycle, etc.

Based on LPA's observation, interview, and record review, the licensee did not comply with the section cited above. Residents #2 & #3 have memory care needs. The licensee failed to ensure auditory devices in bedroom #2 and the sliding door in the living room are operable. This poses a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on LPA's observation, the licensee did not comply with the section cited above. The hot water temperature in the common bathroom used by residents was measured at 136.8 degrees F. This poses an immediate health, safety or personal rights risk to persons in care.