Hope Home Care for Elderly

Based on observation, interview, record review, the licensee did not comply with the section cited above in that the Administrator did not indicate the time in which residents' medications were administered in a given day which poses an immediate health, safety or personal rights risk to residents in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in that one of the residents, (R5) is not receiving hospice care has full bed rail that is prohibited which poses an immediate health, safety or personal rights risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in which 1 out of 6 residents' physician's report are past a year of its last exam which poses a potential health and safety risk to residents in care

87307Personal Accommodations and Services(C) No bedroom of a resident shall be used as a passageway to another room, bath or toilet.This requirement is not met as evidence by: LPA Ramirez observed a sliding door that leads to the backyard from this makeshift spare room. Entry into this makeshift spare room can be accessed through resident room#1 door entry and sliding door entry from backyard. Per Licensee Kim, former staff would stay in this area but, the area is now being utilized by the residents currently occupying bedroom#1 as an extra area to rest.

87705Care of Persons with Dementia(j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident.This requirement is not met as evidence by: • LPA Ramirez observed auditory devices in “OFF” mode and not operable during visit. LPA Ramirez advised staff and licensee to keep auditory devices in “ON” mode. LPA Ramirez observed auditory device on outside of dining room sliding door to be secured with clear tape. Staff later secured auditory device according to it’s original design.

87555General Food Service Requirements(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises.This requirement is not met as evidence by: Minimum of two (2) day supply of perishable food was not observed on the premises.

1569.605Liability insurance; coverage requirementsOn and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees.This requirement is not met as evidence by: Copy of Certificate of liability insurance provided to LPA Ramirez on 6/30/23 does not meet liability limits.

87305Alterations to Existing Building or New Facilities(a) Prior to construction or alterations, all facilities shall obtain a building permit.(b) The licensing agency may require the facility to acquire a local building inspection where the agency determines that a suspected hazard to health and safety exists.This requirement is not met as evidence by: Resident Room #1 was observed to be shared. LPA Ramirez observed a 7ft x 14ft beige room divider and a white door that led into a makeshift spare bedroom. Facility sketch also states “ two (2) non-ambulatory” and does not reflect room would be utilized for staff or as a spare room for residents.

87458 Medical Assessment: (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year.This standard is not met as evidency by: File review revealed that R-1 independently moved into this facility and resided at this facility from 12/28/2021 through 01/03/2022. During this visit, LPA observed R-1 did not have a Physician's Report on file. Per Administrator, R-1 was in the process of obtaining a Physical exam.