Giana's Home #1

Based on record review the licensee did not comply with the section cited above in two (2) out of six (6) residents did not have TB test on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation during the facility walkthrough, LPA tested the hot water temperatures in three (3) restrooms. Two (2) restrooms accessible to residents measured hot water temperatures exceeding 130°F, which is outside the required range of 105°F–120°F.

Based on observation, the Licensee did not comply with the section cited above, as the kitchen cabinet door and kitchen cabinet drawer did not have a lock, which posed an immediate health and safety risk to persons in care.

Based on observation and record review, licensee did not comply with the section cited above in one (1) out of six (6) residents, R4 did not have a physician’s order for a bed rail, which posed a potential health and safety risk to persons in care.

Based on record review, the Licensee did not comply with the section cited above, as the Licensee did not adhere to the approved fire clearance permitting one (1) bedridden resident; however, the facility had two (2) bedridden residents.

Based on observation, the licensee did not comply with the section cited above in 5 out of 5 residents, staff and or visitors, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 5 out of 5 residents, staff and or visitors, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, keys to unlock cleaning supplies was observed to be resting on top of vanity mirror, the licensee did not comply with the section cited above in 2 out of 5 residents, which poses an immediate health, safety or personal rights risk to persons in care.

Infection Control Requirements. An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. The Infection Control Plan shall include all of the following: Staff shall demonstrate knowledge of and skill in infection control, as appropriate to the job assigned and as evidenced by safe and effective job performance. This requirement was not met evidenced by:Based on interviews conducted on 9/30/2022 a visitor observed staff (S1) not wearing a mask, and put a mask on 5 minutes after the visitor entered the facility; which poses an immediate health, safety or personal rights risk to persons in care.

Alterations to Existing Building or New Facilities. Prior to construction or alterations, all facilities shall obtain a building permit.This requirement was not met evidenced by: Based on physical plant inspection it was observed that the Office room was converted into a live-in staff room for 2, and a additional live-in staff room was constructed inside the garage without obtaining a city permit or notifying Community Care Licensing; which pose a potential health and safety risk to persons in care.

Based on observation. LPA and administrator observed 2 bathroom sinks that were back up which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation. the side door latch to the door on the right side of the home is broken 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 in 4 of 5 counts which poses an immediate health, safety or personal rights risk to persons in care.