D & L Residential Care Home 2

(c) A facility shall conduct a drill at least quarterly for each shift...Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by:Based on record review, there are no current logs for emergency drills conducted, last emergency drill logged was 12/2023, which poses a potential health and safety risk for residents in care.

Based on record review, the licensee did not comply with the section cited above in Infection control plan was not provided at the time of visit which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in missing R#3 admissions agreement, physicians' report which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintenance and OperationsThe 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 item was not met as required: When LPA arrived to the facility she observced space heaters in the living room dinning room of the faclity which poses a health and safety risk to the residents in care.

Criminal Record ClearanceAll 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 or... This evidence was not met as required..during the meeting with the residents and administrator it appears that staff Bong Narcisco Jr. was not cleared/associated to the facility and posed a health and safety threat to the residents in care.

Based on record review, the licensee did not comply with the section cited above in four (4) out of six (6) residents did not have a physicians order for bed rails which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. Bathroom #2 grab bar in shower was broken Bathroom #2 was observed to have unlocked cleaning supplies.Based on observation two (2) out of six (6) resident rooms auditory devices were not working which poses an immediate health, safety or personal rights risk to persons in care.

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

Based on record review, the licensee did not comply with the section cited above in five (5) out of five(5) staff files all missing employee rights, tb tests, and criminal statements which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above . Infection Control Plan was not provided at time of visit which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in five (5) out of five (5) residents did not have updated physicians reports, personal rights and conset for medical treatments forms which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in last emergency drill was conducted in April of 2023 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review,, the licensee did not comply with the section cited above in five (5) out of five (5) staff did not have any traing in files which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, and interview the licensee did not comply with the section cited above. Facility has 3 bedridden residents and only permitted one which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. Facility has failed to update residents records that define the resident as ambulatory or non ambulatory or bedridden which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. Resident files are missing updated Admission Agreements which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. Shower faucet is leaking which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. Facility did not have plan of operation at facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, and interview the licensee did not comply with the section cited above. Facility has 3 bedridden residents and only permitted one which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and medication review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.