Newcomb Guest Manor

Based on record review, the licensee did not comply with the section cited above in 1 out of 6 staff members, because 1 staff did not have active CPR training on file, which poses 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 in 2 out of 6 residents, because 2 residents did not have a reappraisal conducted within the past year, which poses a potential health, safety or personal rights risk to persons in care.

(b) The following food service requirements shall apply: (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 evidenced by: Based on interview and observation, LPA determined that there was not a sufficent 2-day supply of perishable foods within the facility for residents, which poses a potential health and safety risk for residents 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:(1) To have (...) telephone conversations (...) and meetings of resident and family groups. This regulation is not met as evidenced by:Based on interviews, LPA determined that the resident had not been allowed to speak with their family members on the phone when they called the facility, which poses a potential health and safety risk to residents in care.

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (11) To have their visitors (...) permitted to visit privately during reasonable hours (...) provided that the rights of other residents are not infringed upon.This regulation is not met as evidenced by: Based on interviews conducted, LPA determined that R1 has been denied visitation from his family members during his stay at the facility, which poses a potential health and safety risk to residents in care.

(b) The following food service requirements shall apply: (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 evidenced by: Based on interview and observation, LPA determined that there was not a sufficent 2-day supply of perishable foods within the facility for residents, which poses a potential health and safety risk for residents in care.

Based on observation, the licensee did not comply with the section cited above in 5 out of 5 residents, because all 3 restrooms had a hot water temperature that fell below the required range of 105 - 120 degrees Fahrenheit, which poses 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 in 1 out of 5 staff, because 1 staff does not have a health screening/physician's report in their file, which poses a potential health, safety or personal rights risk to persons in care.

Criminal Record Clearance. (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c). Based on record review and interviews conducted staff (S4) began working at the facility in late Dec. 2022, and as of today has not been associated to the facility. In addition, former staff (S5's) boyfriend was residing at the facility without criminal record clearance; which poses an immediate health, safety or personal rights risk to persons in care.

Personal Accommodations and Services. (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations .... (2) Resident bedrooms shall ... (A) Bedrooms shall be large enough to allow for easy passage between and comfortable usage of beds and other required items of furniture specified below, and any resident assistant devices such as wheelchairs or walkers. Based on observation, three (3) out of four (4) resident bedrooms had doorways that were narrow in size. Assist devices could not safely exit the room door if there was a door. This poses a potential health, safety or personal rights risk to persons in care.

Personnel Requirements - General(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: This requirement was not met evidenced by: Based on interviews conducted the findings indicate that former live-in staff (S5) allowed boyfriend to sleep at the facility. Staff (S5) and boyfriend were heard having sex and arguing on multiple times; which poses an immediate health, safety or personal rights risk to persons in care.

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 evidenced by: Based on observation, flooring trim transitions were observed througout the facility, as well as, raised concrete pavers in the backyard that contained nails that were sticking out. The north side yard door exit had a lock that required a key; which poses a potential health, safety or personal rights risk to persons in care.