Harmony Home Care

87507 Admission Agreements (c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative...no later than seven days following admission...This requirement is not met as evidenced by: Based on interviews, observation, and record reviews, the Licensee admitted having falsified (R1’s) Admission Agreement by illegally signing another person's name or initials on the legal contract. This violation poses a potential health and safety risk to residents in care.

87623 Indwelling Urinary Catheter (a) The licensee shall be permitted to accept or retain a resident...requires the use of an indwelling catheter.. (1) Ensuring that insertion and irrigation of the catheter shall be performed by an appropriately skilled professional. (2) Ensuring that the bag and tubing are changed by an appropriately skilled professional... (B) There shall be written documentation by an appropriately skilled professional outlining the instruction... procedures delegated... This requirement is not met as evidenced by:Based on interviews, observation, and record reviews, the Licensee failed to provide as evidence a catheter care was performed by a skilled professional nor provided an outlining instruction of procedures in a written care plan. This violation poses a potential health and safety risk to residents in care.

87466 Observation of the Resident - The licensee shall ensure that residents are regularly observed for changes... and that appropriate assistance is provided... when such observation reveals unmet... When changes such as... deterioration of mental ability or a physical health condition... are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician. This requirement is not met as evidenced by:Based on interviews, observation, and record reviews, the Licensee was aware of (R1's) history of pressure injuries and retained (R1) with a stage 3 prohibited health condition and failed to ensure proper care, such as hospice or home health care services, were provided for the wounds. This violation poses an immediate health and safety risk to residents in care.

87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to... shall not be admitted or retained in a residential care facility for the elderly:(1) Stage 3 and 4 pressure injuries. This requirement is not met as evidenced by: Based on interviews, observation, and record reviews, the Licensee was aware of (R1's) pressure injuries and retained (R1) with stage 3 wounds and failed to ensure proper care, such as hospice or home health care services, were not provided. This violation poses an immediate health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above. LPA observed staff prescribed medications left exposed and accessible to residents in care in a vacant resident room. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. LPA observed Resident #1 had no current Physicians Report since 2023. No current Medical Assessment LIC 602A and resident is diagnosed with NCD. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review the licensee did not comply with the section cited above. LPA identified Resident #3 admitted without a Medical Assessment for Residential Care Facilities for the Elderly (LIC 602A) on file. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and review the licensee did not comply with the section cited above. LPA identified Resident #3 had full bed rails and did not have physician’s orders on file. Resident was not on hospice. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

87355 Criminal Record Clearance - All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working... (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by:Based on record review and interview, there's evidence Staff #3 is did not have Criminal Record Clearance prior to working at the facility. This violation which is an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. LPA identified (Residentt #2) did not have an appraisal of individual service needs and CCL forms not fill out completely. This violation which poses/posed 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. LPA identified Room #5 window screen had a hole. The common bathroom shower area did not have a shower curtain for privacy. This violation which poses/posed 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.LPA observed cob webs in hallways. LPA identified old sofa in the driveway that has not been discarded in several years. These violaitons which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record revew)], the licensee did not comply with the section cited above. LPA identified Resident #3 was missing documentation of Gabapentin 300mg for the entire month of August 2023 in (MAR). This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on (observation) (record review)], the licensee did not comply with the section. LPA identified Resident #2 with dementia, did not have current annual medical and needs and appraisal assessement for 20223. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. LPA identified Resident #1 who was admitted in June 2023 was missing documentation and support in service file. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional, and social functioning and that appropriate assistance is provided when such observation reveals unmet needs...This requirement is not met as evidenced by: Based on interview and record reviews, (S1) admitted such changes in (R1’s) health condition failed to seek timely medical attention on 05/08/23 and 05/23/22, which poses a potential health and safety risk to residents in care.

87405(b)(2) Administrator - Qualifications and Duties. (b)The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by:Based on interview and record reviews the Licensee/Administrator failed to adhere to Title 22 regulations, resulting to multiple deficiencies cited, which poses a potential health and safety risk to residents in care.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department... (B) Any serious injury... occurring while the resident is under facility supervision. (D) Any incident which threatens the welfare, safety or health of any resident...This requirement is not met as evidenced by: Based on interview and record review, and interviews, the administrator did not comply with the section cited above. The facility failed to send written incident reports to CCLD. This violation poses a potential health, safety, or personal rights risk to persons in care.

87507 Admission Agreements(e) The licensee shall provide a copy of the signed and dated current admission agreement, and all subsequent signed and dated modifications, to the resident or the resident's representative...This requirement is not met as evidenced by: Based on the interview and record review and interviews, the administrator did not comply with the section cited above. The facility failed to provide a copy of the admissions agreement to (R1's) family representative. This violation 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. LPA identified at 2:02pm mediation closet was unlocked and accessible to residents in care. This violation poses an immediate health, safety or personal rights risk to persons in care.

Based on (observation), the licensee did not comply with the section cited above . LPA identified stove hood, oven, and dishwasher filled with dirt grime and grease. The appliances are unsanitary. This violation which poses/posed 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 . LPA identified bathroom #2 with a missing window screen. This violation which poses/posed 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. LPA identified cleaning solutions and sharp kitchen ojects in unlocked drawers and cabinets accessible to residents in care. This violation which poses an immediate health, safety or personal rights risk to persons in care.

87303 Maintenance and Operation. The facility shall be clean, safe, sanitary, and in good repair at all times. Maintenance shall include the 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:LPA observed on 08/03/21 the bathroom wall, lighting fixtures, refrigerator, and dishwasher all covered with dirt, grime and bacterial germs. This poses potential personal rights, health and safety risks to the persons in care.