Fil-am Home for Seniors Iii

Based on record review, the licensee did not comply with the section cited above in (1) out of (4) staff did not have a current CPR and First Aid certification on file which poses/posed 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 one (1) out of five (5) residents requires assistance with the administration of injectable medication Enoxaparin (blood thinner) every 12 hours 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 one (1) out of five (5) residents require assistance with the administration of injectable medication Lantus for Diabetes 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 in one (1) out of four (4) residents did not have a physciand order for bed rails which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review the licensee did not comply with the section cited above in one (1) out of five (5) residents did not have a prescribed medication Albuterol (as needed) 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 as two (2) out of four (4) residents did not have a TB examination on file 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. One (1) out of four (4) staff files did not contain TB test results or physical examinations, which poses/posed a potential health, safety, or personal rights risk to persons in care.

87608(a)(3)87608 Postural Supports(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions.(3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order.This requirement is not met as evidence by: LPA observed R1 with double half rails and Administrator stated that the facility did not have a doctor’s order for the half bed rails that were used for R1 and R6 bed which poses an immediate health, safety, or personal rights risk to persons in care.

87464(f)(1)(c) Basic Services:Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).H&S Code 1569.2(c) “Care and supervision” means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. This requirement is not being met as evidenced by:Based on interviews and record review, resident suffered 2 facial fractures while in care at the facility and facility failed to provide medical attention to resident. Lack of care and supervision by facility resulted in staff not knowing resident had facial fractures. The fractures were discovered when resident made visit to emergency room for unrelated health issues.

87465(a)(1) Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility...(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement is not met as evidenced by: Based on interviews and record review, facility did not contact PCP or arrange to have wound care specialist provide wound care to resident who was admitted to facility with two stage 1 pressure injuries on both heals and developed stage 3 pressure injury on coccyx while in care.

Based on observation, cleaning supplies were observed to be accessible in bathroom#1 sink cabinet, the licensee did not comply with the section cited above in 1 out of 6 residents which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, Licensee could not provide documentation of liability insurance when requested, the licensee did not comply with the section cited above in 6 out of 6 residents, staff and/or visitors which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, facility is not conducting drills at least quarterly,the licensee did not comply with the section cited above in 6 out of 6 residents, staff and/or visitors which poses/posed a potential health, safety or personal rights risk to persons in care.

a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not being met as evidenced by: LPA observed that the kitchen door(s) have locks on them. One door, is a sliding pocket door, that has a hook with a latch. The other door has a lock on the door knob.

(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. (1) The Infection Control Plan shall include all of the following: (F) 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 is not being met as evidenced by: LPA observed that staff #1 was not wearing his N95 mask properly on today's visit. And, Staff #1 was not wearing a mask on 12/29/22 visit and did not screen visitor, until prompted by administrator.

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. This requirement is not being met as evidenced by: LPA observed that facility front door, is locked and can only be unlocked with the key that only staff has access to.

a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not being met as evidenced by: LPA observed that the kitchen door(s) have locks on them. One door, is a sliding pocket door, that has a hook with a latch. The other door has a lock on the door knob.

(a) The department may deny an application for a license or may suspend or revoke a license issued under this chapter upon any of the following grounds and in the manner provided in this chapter:(3) Conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California. This requirement is not being met as evidenced by: LPA observed that staff #1 was not wearing his N95 mask properly on today's visit. And, Staff #1 was not wearing a mask on 12/29/22 visit and did not screen visitor, until prompted by administrator.

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. This requirement is not being met as evidenced by: LPA observed that facility front door, is locked and can only be unlocked with the key that only staff has access to.

Based on observation, no nightlight was observed in hallway leading to resident bathroom#2, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review,staff 2 (S2) was not associated with the facility, administrator/licensee was asked by this department to associate S2 on 12/07/2022 but did not comply, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on records review, staff1 (S1) was missing social security information on personnel records and copy of drivers license or birth certificate, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, medication for Resident #2 (R2) contained Acetaminophen that was not prescribed by a physican but was located in R2's medication storage box and client did not take medication as prescribed on 12/20/22, 12/21/22, 12/25/22 and 12/26/22, the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation,toliet paper was not observed in shared/resident bathroom#1, paper towels and toilet paper were not present in resident bathroom#2, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation,water temperature in resident bathroom#2 was measured at 121.6 degrees F, the licensee did not comply with the section cited above in which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, Administrator/Licensee could not provide such proof and stated liability insurance was expired, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, shared/resident bathroom#1 light was not working at the time of the visit. Sink and bath tub in shared/resident bathroom#1 was dirty with soap residue and hair, light in resident bathroom#2 was not working during the visit, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

87555(b)(9) General Food Service Requirements. Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and serviceThis requirement is not met as evidenced by: LPA and administrator observed items of expired food. (see list on 809) which poses a health and safety threat to residents in care

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: LPA and administrator observed refrigerator in garage in uncleaned condition which poses a health and safety threat to persons in care.

87705(f)(1) Care of Persons with Dementia. The following items shall be made inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to resident(s).This was not met as evidenced by: LPA and administrator observed knife in unlocked drawer in kitchen which poses a health and safety threat to residents in care.

Health Related Services. Prescription medications which are not taken with the client upon termination of services, or which are not to be retained shall be destroyed by the facility administrator, or a designated substitute, and one other adult who is not a client.This requirement was not met by evidence of: LPA and administrator observed medications listed on 809 that did not belong to residents and/or had expired which poses a health and safety treat to residents in care