Bella Gardens

Based on [(observation), the licensee did not comply with the section cited above in screen located in doorway of bedroom number three (3) shall be re-screened in order to prevent any insects from entering the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

87211 Reporting Requirements (a) licensee shall furnish to the licensing agency such reports as the Department... (1) A written report shall be submitted to the licensing agency... within seven days..(A) Death of any resident from any cause regardless of where the death occurred... This requirement is not met as evidence by:Based on interview with licensee, Licensee failed to report incident with resident R1 admitted to hospital for change of health condition. This violation possesses a potential Health and Safety risk to residents in care.

87632 Hospice Care Waiver(2) The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services... This requirement is not met as evidence by:Based on interview with licensee, Licensee failed to report to CCL with resident R2 admitted at this facility as of 6/14/22. This violation possess a potential Health and Safety risk to residents in care.

87705 Care of Persons with Dementia (3) Fire and earthquake drills shall be conducted at least once every three months on each shift and shall include, at a minimum, all direct care staff. This requirement is not met as evidence by:Based on records review with the administrator, Licensee failed to show proof quarterly fire and eaarthquake drills are conducted. This violation possess 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.

87608 Postural Supports (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidence by:Based on interview with administrator, Licensee failed to show proof for full bed rails for (R4) who is not a hospice reisdent. This violation possess a potential Health and Safety risk to residents in care.

Based on [(observation), the licensee did not comply with the section cited above in [3] out of [3] [(disefectant solution, buther knife and sharp scissors) identified accessible to residents with dementia. The violation which poses an immediate 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. Resident #3 (R3) identified on hospice and admitted 06/14/22. The facility is only approved for (2) hospice waiver and is now operating with (3) hospice residents beyond the conditions and limitations specified on the license. This violation which poses an immediate health, safety or personal rights risk to persons in care.