Routine inspection (multi-day)·September 27, 2022

Citations

8 citations recorded^*CCLD

• 87355(e)(1)Type A

  Submit and maintain current mailing address

  Based on LPA Montoya’s interview with the Administrator (S1) on 9/23/22, S3 started working on 9/23/22 without a background clearance. LPA Montoya and LPA Gibb observed S3 is working in the facility in blue scrub uniform. Based on review of S3’s timesheet, she began working on 9/14/2022 to date. On 9/27/22, LPA returned to the facility and observed S3 is working again without background clearance. The administrator failed to ensure S3 obtained a California background clearance prior to working or volunteering. This poses an immediate health, safety or personal rights risk to persons in care.

• 87303(a)Type B

  Maintain facility in clean, safe, sanitary condition

  Based on observation, the licensee did not comply with the section cited above. LPA Montoya and LPA Gibb observed three stove burners are not operable; the sliding door in the kitchen and the screen door are not in good repair; doorbell is broken off the wall; a missing kitchen cabinet; a fire extinguisher mounted in the laundry room was last serviced on 2/15/2018. This poses a potential health, safety or personal rights risk to persons in care.

• 87303(e)(2)Type A

  Provide resident hot water for personal care

  Based on LPA's observations, the licensee did not comply with the section cited above. The water temperature in the common bathroom is 124.4 degree Fahrenheit and the water temperature in bedroom # 3 is 124.00 degree Fahrenheit. This poses an immediate health, safety or personal rights risk to persons in care.

• 87307(d)(7)Type B

  Based on observation, the licensee did not comply with the section cited above. The fireplace in the family room is not properly screened which poses a potential health, safety or personal rights risk to persons in care.

• 87405(d)(2)Type A

  Conformance with applicable laws and regulations

  Based on LPA Montoya’s interview with the Administrator (S1), S3 started working on 9/23/22 without a background clearance. LPA Montoya and LPA Gibss observed S3 is in the facility in blue scrub uniform. Based on review of S3’s timesheet, S3 worked on 9/14/22-9/18/22 and based on interview with R1 and R2, S3 continued to work on 9/19/22, 9/20/22 and 9/23/22. The administrator failed to ensure S3 obtained a California background clearance prior to working or volunteering which poses an immediate health, safety or personal rights risk to persons in care.

• 87405(d)(5)Type A

  Based on observation and interview, record review, the licensee did not comply with the section cited above. The administrator (S1) stated S3 just started working on 9/23/2022 when asked by LPA Montoya. Based on LPA Montoya’s interview with two residents (R1 and R2), and review of S3’s timesheet, S3 began working at the facility on 9/14/2022 and continued to work until LPA's visit day. This poses an immediate health, safety or personal rights risk to persons in care.

• 87458(a)Type B

  Obtain baseline medical assessment before resident admission

  Based on observation, interview and record review, the licensee did not comply with the section cited above. Resident #1 has no Physician’s Report on file. This poses a potential health, safety or personal rights risk to persons in care.

• 87465(h)(5)Type B

  Keep prescriptions in original containers

  Based on observation and interview, the licensee did not comply with the section cited above. Medication is dispensed to another container one week prior to administration per Staff 2. This poses a potential health, safety or personal rights risk to persons in care.