Follow-up on corrections·May 9, 2024

Citations

5 citations recorded^*CCLD

• 87705(c)(5)Type B

  Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. Based on LPA's record review of R1's file the Physician's Report dated 02/02/2021 it was observed that the resident did not have an annual medical assesment, as required for Dementia residents; which poses a potential health and safety risk to residents in care.

• 87705(g)(1)Type A

  Care of Persons with Dementia (g) residents with dementia shall be allowed to keep personal grooming and hygiene items in their own possession, unless there is evidence to substantiate that the resident cannot safely manage the items. (1)Evidence means documentation from the resident’s physician that the resident is at risk if allowed direct access to personal grooming and hygiene items. Based on LPA's observation during the tour of the physcial plant at 11:18am in room number 1010 an open bottle of Listerine Antiseptic Mouthwash on the window seal was observered. The poses an immediate health/safety risk to the residents in care.

• 87303(a)Type B

  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 is not met as evidenced by: Based on observation and interview, LPA determined that the facilities phone lines, fax lines, backup power generator, and also dining room AC units have been damaged by individuals stealing their parts, which poses a potential health and safety risk for residents in care.

• 87468.1(a)(2)Type B

  Safe, healthful, comfortable accommodations

  (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidenced by: Based on observation and interview, LPA determined that homeless individuals have been entering the campus of the facility through holes cut into the fencing along the 101 freeway and also along the ICF building, which poses a potential health and safety risk to residents in care.

• 87211(a)(1)(D)Type B

  (a) Each licensee shall furnish to the licensing agency (...) (1) A written report shall be submitted to the licensing agency (...) within seven days of (...) (D) Any incident which threatens the welfare, safety, or health of a resident. Based on record review and interview, the LPA determined that the facility did not submit incident reports for events involving police being called to the facility, along with the phone, fax, AC unit, and backup generator being dismantled, which poses a potential safety risk to residents.