A Faithful Home of Cerritos

Perform physical examination with diagnosis and exam results

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

Allow licensing inspection and controlled record removal

Based on interview, the licensee did not comply with the section cited above in 2 out of 2 staff files was not available for review, which poses/posed a potential health, safety or personal rights risk to persons in care.

Health screening and fitness requirements

Based on record review, Staff #2 (S2’s) file did not have a health screening which poses a potential health, safety, or personal rights risk to persons in care.

Based on record review, Resident #2 (R2) and Resident #3 (R3’s) file physician’s report has a Dementia diagnosis that are over a year old which poses a potential health, safety, or personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

Based on record review, LPA observed Resident #6 (R6’s) file did not have an updated medical assessment which poses a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation (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 was not met as evidence by: LPA observed a large bubble on the ceiling of R1’s room, interviews with 2 out of 3 residents, 2 out of 3 staff and 1 family memeber confirmed that they have observed the leaks in R1’s room during the rainy season.

80087 Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.This requirement was not met as evidence by: During visit on 11/12/24 LPA toured R1's room and observed a large bubble in the ceiling of R1's room. 2 staff confirmed there had been a leak in room during rainy season, 2 residents also confirmed leak, R4's family member also confirmed leak. Although Administrator provided a roofing inspection that was conducted 11/14/24, this roof inspection did not disclose inspection of the noticeable bubble in ceiling of R1's bedroom. During visit on 11/22/24 LPA observed bubble on ceiling of R1's room still present, and new damage to R1's recess lighting.

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (6) To make choices concerning their daily lives in the facility. This requirement was not met as evidenced by:Based on interviews R1 was unable to make the decison concerning how long they can use the bathroom. The bathroom time for R1 include showers, washing their face and having a bowel movement , which is potentially a health safety, or personal rights risk to persons in care.

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (6) To make choices concerning their daily lives in the facility. This requirement was not met as evidenced by:Based on interviews R1 was unable to make the decison concerning their daily lives, which is potentially a health,which poses an immediate health, safety, or personal rights risk to persons in care.

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, the licensee did not comply with the section cited above in which the Licensee did notensure R1's dresser is in good repair, 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 in 5 out of 6 residents has dementia but the physcians report is over a year old or do not have a date, which poses/posed a potential health, safety or personal rights risk to persons in care.

Living accommodations aligned with facility function

87307(a) Personal Accommodations and Services. Living accommodations and grounds shall be related to the facility's function. The facility .... provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. On 4/14/21 bedroom # 5 was observed to be used by resident. On the facility sketch it is listed as a live-in staff room. During tele-inspections on 4/14/21 & today 2 beds were observed in the garage that are being used by live-in staff. Staff (S2) confirmed that they are used facility caregiver staff.

87705(c)(4)(A ) Care of Persons with Dementia.( A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. Based on observations on dates 4/14/21 & today LPA observed 2 beds in the garage with linens, as well as personal staff items/clothing. Staff (S2) acknowledged sleeping/resting in the bed. S2 occasionally works alone during night hours. Pictures were taken. NOTE: Per pre-licensing visit room #5 was designated as a live-in staff room. However, it is presently being used by a resident.