La Mirada Villa for the Elderly

Based on observation and interview, the licensee did not comply with the section cited above in 3 out of 6 residents, because there are 3 residents with half-bed rails but do not have a physician order for the rails, which poses a potential health, safety or personal rights risk to persons in care.

Keep administrator certification or recertification records

Based on record review, the licensee did not comply with the section cited above in 6 out of 6 residents, because the administrator does not have an active administrator's certificate, which poses a potential health and safety risk to clients in care.

Health screening and fitness requirements

Based on record review, the licensee did not comply with the section cited above in 2 out of 4 staff, because two staff members do not have a health screening in their records, which poses a potential health, safety or personal rights risk to persons in care.

(b) In addition to Section 87611(b), the licensee shall be responsible for the following: (1) Monitoring of the resident's ongoing ability to operate the equipment in accordance with the physician's orders.This regulation is not met as evidenced by: Based on observation, staff/client interviews and a review of physician orders, LPA determined that facility staff did not monitor resident's ability to operate oxygen equipment and could not provide an order for 1 out of 5 residents (R1), which poses a potential health and safety threat to residents in care.

Assist residents with self-administered medication

(a) A plan for incidental medical and dental care shall be developed by each facility. (...) (4) The licensee shall assist residents with self-administered medications as needed.This regulation is not met as evidenced by: Based on staff/client interviews and a review of medication records, LPA determined that facility staff did not administer medications as prescribed or obtained discontinue orders for 2 out of 5 resdients (R1 - R2), which poses an immediate health and safety threat to residents in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. (4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on medication review, 3 out of the 6 residents were not receiving their medications as prescribed by the physician which poses an immediate health and safety risk to residents in care.

Facility personnel sufficiency and competence

87411 Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement is not met as evidenced by: Based on medication review, 3 out of the 6 residents were not receiving their medications as prescribed by the physician which poses an immediate health and safety risk to residents in care.

Obtain baseline medical assessment before resident admission

Based on record review, the licensee did not comply with the section cited above in 2 out of 4 clients, as Resident #1 and Resident #2 who both have a dementia diagnosis did not have a physician's report completed within the past year, which poses a potential health, safety or personal rights risk to persons in care.

First aid training requirements

Based on record review, the licensee did not comply with the section cited above in 1 out of 4 staff, as one of the staff members did not have a CPR certificate on file, which poses a potential health, safety or personal rights risk to persons in care.

Include required health screening documents

Based on record review, the licensee did not comply with the section cited above in 2 out of 4 staff members, as 2 staff did not have a completed health screening with TB clearance on file, which poses a potential health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

Based on record review, the licensee did not comply with the section cited above in 2 out of 4 residents, as 2 residents did not have their medications supplied at the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Request a transfer of criminal record clearance

Based on record review, the licensee did not comply with the section cited above in 2 out of 4 staff members, as 2 of them were not associated, which poses an immediate 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 5 out of 5 staff members, because staff have not conducted annual retraining on topics related to dementia care, hospice care, postural supports, and restricted health conditions, which poses a potential health, safety or personal rights risk to persons in care.