Primecare Bellflower

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above as during tour LPA observed a large bottle of fabuloso (with disinfectant inside) under the sink in the client restoom (unlocked cabinet). This restroom is located between bedroom #1 and kitchen with two doors one that exits in kitchen and other door that enters bedroom. which poses an immediate health, safety or personal rights risk to persons in care.

Update reappraisal at required intervals

Based on record review, the licensee did not comply with the section cited above as R1's physician report indicates that resident is bedridden (resident currently resides in room #1 which is not cleared for bedridden residents), per administrator this is an error on physician report as resident is non-ambulatory not bedridden, this poses a potential health, safety or personal rights risk to persons in care.

Require physician-written PRN medication directions

Based on observation and record review, the Administrator did not comply with the section cited above in that the facility staff administers PRN medications without proper label from the Pharmacy and not listed on the Physician's medication order which poses an immediate health, safety or personal rights risk to residents in care.

First aid training requirements

Based on interview and record review,, the Administrator did not comply with the section cited above in that during the staff file review staff #1 (S1) did not have a valid 1st Aid/CPR card on file which poses/posed a potential health, safety or personal rights risk to residents in care.

Document each PRN medication dose taken

Based on interview and record review, the Administrator did not comply with the section cited above in that the facility staff administered eight (8) medications for Resident #1 for a.m. cycle but was not recorded on MAR properly which poses an immediate health, safety or personal rights risk to persons in care.

Call 9-1-1 for imminent health threats

87465 Incidental Medical and Dental Care: (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis...This requirement is not met as evidence by: Based on documents review, and interviews conducted Licensee failed to contact 911 in a timely manner which poses an immediate health, safety, or personal rights risk to the persons in care.

Safe, healthful, comfortable accommodations

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities shall...:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidence by: Based on documents review, and interviews Licensee failed to ensure R1 did not sustained a subdural hematoma to the head which poses an immediate health, safety, or personal rights risk to the persons in care.

Enumerated rights; severability. Residents of residential care facilities for the elderly shall have all of the following rights: To have prompt access to review all of their records and to purchase photocopies. Photocopied records shall be promptly provided, not to exceed two business days, at a cost not to exceed the community standard for photocopies. This requirement was not met by evidence of: Based on records review resident (R1's) responsible party requested resident records on September 13, 2021. Licensee provided resident records on September 17, 2021, exceeding the 2 working days per health and safety code of regulations.

Require physician order and label for PRN medication

87465 Incidental Medical and Dental: (e) For every prescription andnonprescription PRN medication... there shall be a signed, dated written order from a physician,... maintained in the residents file, and a label on the medication....This requirement is not met as evidence by: Based on observation licensee did not ensure all PRN medication for R3, and R5 have a physician's prescription and label this poses an immediate Health, Safety, or Personal Rights risk for persons in care.

Store disinfectants separately from food supplies

87309 Storage Space: (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked.This requirement is not met as evidence by: Based on observation facility did not ensure all sharps and chemicals were kept under lock at all times which poses an immediate health, safety, or personal rights risk for persons in care.

Maintain physician order documentation in resident record

87608 Postural Supports: (a) ... 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....This requirement is not met as evidence by: Based on observation facility did not ensure to kept, or obtain a physician's request for full bed rails for 4 out of 5 residents which poses an immediate health, safety, or personal rights to the persons in care.