Assisted Living & Wellness - Naomi

87305 Alterations to Existing Building or New Facilities (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 has not been met: The licensee did not furnish the department with a final inspection report, city permits for the occupancy class code, therefore, an updated fire safety inspection will be requested with the City of Arcadia Fire Department to ensure the residents health and safety.

(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) This requirement has not been met by evidence of: Based on record review of the LIC 500 and the LIS Facility Personnel Report Summary that staff #1 (S1 S7) is not cleared to work at facility which poses an immediate health risk to persons in care.

87204 Limitations - Capacity and Ambulatory Status (a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity. This requirement has not been met by evidence of: Based on observations LPA observed a total of (7) residents. LPAs observed with staff #1 (S1) that Resident #1 (R1 - R7) are receding under Assisted Living and Wellness -Naomi. The facility is licensed for an age range 60 and over. Approved for one (1) ambulatory and five (5) bedridden in rooms numbers 1,2,3,5, and 6 only. Hospice waiver approved for six (6). Facility is operating beyond the conditions and limitations specified on the license. Facility is providing care and supervision for (7) residents despite being licensed and approved for (6) residents. This poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and file review, it poses/posed an immediate health, safety or personal rights risk to persons in care.

Based on medication review, the Licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Hot water temperature was in a range of 151.1 degrees Fahrenheit at the kitchen sink and 131.4 degrees Fahrenheit at the bathroom sink which was not within Title 22 Regulation guidelinesBased on observation, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.