La Posada in Glendora

Based on observation, the licensee did not comply with the section cited above two restrooms did not have the required tempreature bathroom #1 126.6, and bathroom #2 95.2 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 Administrator file was not present during 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 two residents did not have TB results on file 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 three (3) out of five (5) residents have full bed rails and are not on hospice care 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 three (3) residents were missing medication listed on MAR log 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 and drills to review which poses/posed a potential health, safety or personal rights risk to persons in care.

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).This requirement is not met as evidenced by: Based LPAs observations, the licensee did not comply with the section cited above in that the desinfectant, knives and sharps were accessible to residents with Dementia and stored in the garage, which poses an immediate health, safety or personal rights risk to persons in care.

87303 Maintenance and Operation (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105-degree F (41 degree C) and not more than 120 degree F (49 degree C).This requirement is not met as evidenced by: Based LPA observation, the licensee did not comply with the section cited above as hot water temperature in resident’s bathroom measured at 124.1- and 124.5-degrees F during today’s visit, which poses an immediate health, safety or personal rights risk to persons in care.

87705 Care of Persons with Dementia (d) The licensee shall ensure that the facility has an auditory device... alert feature to monitor exits on exterior doors ... accessible to those residents who may be at risk for elopement...This requirement is not met as evidenced by: Based on LPAs observation and record review, the licensee did not comply with the section cited above in four (4) out six (6) residents with dementia who had access to the main entrance door and there was no operable auditory device which poses an immediate 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 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interviews, the licensee did not comply with the section cited above in 2 of 2 bathroom sinks which water temperature measured at 144.2*F and 141.4*F. LPA also observed that 2 of 2 showers were missing non-skid mats. Staff explained none were available at the facility, 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 1 of 2 staff having a criminal background clearance, but not associated to the facility, 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 2 residents not having a written order from a physician in their file for the medications they are currently taking, which poses a potential 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 1 resident with dementia did not have an updated medical assessment or reappraisal (last one was 08/26/19) which poses 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 in 1 kitchen knife left out on top of the counter next to the kitchen sink, accessilbe to persons in care. And floor cleaning soution was left unattended in one of the resident's rooms, accessible to residents in care 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 1 of 6 resident's files were not readily available at the facility for LPA to review, which poses 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 5 out of 6 residents which poses a potential health, safety or personal rights risk to persons in care. Resident #3's (R3) record did not include Quetiapine Fumarate 50 mg and Simvastatin 20 mg medication. Resident #2's (R2) record did not include Hydrocodone 325 mg and Escitalopram 20 mg medication. Resident #4 (R4), Resident #5 (R5), Resident #6 (R6) did not have a list of medications, but had medication present in the facility.

Based on observations and records reviewed, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Routine symptom screening (+/- temperature and symptom check) has been initiated at entry for all staff, residents, and visitors. This practice has a health and safety impact that includes, but is not limited to personal rights, health-related services, responsibility for providing care and supervision, and personnel requirements. LPA's and visitors were not screened during annual visits conducted on 9/10/21 and 9/15/21.