Happy Home Care for Elderly

Based on observation, interview, record review, the licensee did not comply with the section cited above in which the facility accepted (1) resident, (R3) who is bedridden but did not notify Licensing and did not obtain an appropriate fire clearance approved by the city/county fire departmen which poses an immediate health, safety or personal rights risk to residents in care.

Based on observation, the licensee did not comply with the section cited above in that the water temperature readings in bathroom #1 were 99.5 degf (9:55am), 99.3 deg F (10:02am) and 93.3 deg F (10:09am) and bathroom #2 were 95.9 deg F and 95.5 deg F which did not meet the Title 22 regulation which poses/posed a potential health, safety or personal rights risk to residents in care.

87411 Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement is not met as evidenced by: Staff #1 did not have the competency to provide care to meet the needs of the residents which poses an immediate health, safety, and personal rights to residents in care.

(h) The administrator shall have the responsibility to:(8) Have the personal characteristics, physical energy and competence to provide care and supervision and, where applicable, to work effectively with social agencies. This requirement was not met as evidence by: Licensee provided unauthentic CPR/First Aid training for S1.

1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have...(21)To have prompt access to review all of their records...not to exceed two business days...This requirement is not met as evidenced by: The licensee did not provide Resident #1's record to legal representative within 2 working days which poses a potential personal rights risk to resident in care.

87355Criminal Record Clearance(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:(1) Obtain a California clearance or a criminal record exemption as required by the Department orThis requirement is not met as evidence by: Licensee Jung Kim failed to obtain required criminal record clearance or a criminal record exemption from the State Department of Social Services before S1’s gainful employment at the facility, direct contact with residents in the facility and residing in the facility.

Based on record review, Licensee/Administrator Kim could not provide LPA Ramirez with proof of renewed certificate, the licensee did not comply with the section cited above in 4 out of 4 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, LPA Ramirez did not observe sufficent two day supply of perishable foods for four residents, the licensee did not comply with the section cited above in 4 out of 4 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, proof of liability insurance did not meet the above mentioned limits, the licensee did not comply with the section cited above in 4 out of 4 residents and guests, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, kitchen cabinets contained caked yellowish and brown spatter stain, 3-inch crack in bedroom #4, 3x3 inch circular hole on shared bathroom#2, overgrowth of weeds and grass in backyard, the licensee did not comply with the section cited above in 4 out of 4 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not record complete dates regarding training, the licensee did not comply with the section cited above in 4 out of 4 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, licensee could not provide LPA Ramirez with proof of any drill, the licensee did not comply with the section cited above in 4 out of 4 residnets which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintenance and OperationThe 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: LPA observed outside gate locked with a locking mechanism that can only be opened with a numerical code. Based on observation and interview, the licensee did not comply with the section cited, which poses an immediate health, safety or personal rights risk to persons in care.

LPAs observed both outside gates locked with a locking mechanism that can only be opened with a numerical code. Based on observation and interview, the licensee did not comply with the section cited, which poses an immediate health, safety or personal rights risk to persons in care.

LPAs observed medication discrepancies for R1, R1 is being administered Vitamin D without a prescription, Vitamin C without a prescription label, and Probiotic without a prescription label.LPAs observed medication discrepancies for R2, R2 Nattokinase 2,000 FUS without a label and C-1000 Antioxidant without a label. Based on observation, interview and record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (16) To receive or reject medical care or other services. This standard is not met as evidence by: R-1 was admitted to this facility on 03/28/2020 for wound care. Visits were conducted on 04/14/2020, 04/17/2020, 04/21/2020, 04/24/2020, 04/28/2020 and 05/01/2020. Per Adm, R-1 received televisit consultations prior to visits. Adm was only able to provide evidence of communication via text for 04/08/2020, 04/10/2020 and 04/11/2020. Adm was unable to provide evidence on any televisits nor visits prior to 04/08/2020.

Incidental Medical and Dental Care:(e)For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. This standard is not met as evidence by: Adm indicated R-1 had ointment to be applied to the wound when R-1 was discharged from the Skilled Nursing Facility to this facility. Adm did not have any supporting evidence for this treatment/medication. Adm provided a prescription order for R-1 dated 04/21/2020 for ointment. There are no medication orders for wound treatment medication prior to 04/21/2020 on file.