All in Carehome

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.

87705 Care of Persons with Dementia(f) The following shall be stored inaccessible to residents with dementia: (2)Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants.This requirement was not met as evidence by:

87305 Alterations to Existing Building or New Facilities(a) Prior to construction or alterations, all facilities shall obtain a building permit.This requirement was not met as evidence by: LPA Ramirez observed a cloth room divider near corner of garage, that was sectioning off an area of the garage. LPA Ramirez observed a bed with linen, several shoes, and various articles of clothing in bags and boxes.

87303 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 met as evidence by:LPA Ramirez observed blaskish spots and stains in bathroom#3 shower, near toilet wall and around window frame.

Alterations to Existing Building or New Facilities:(a) Prior to construction or alterations, all facilities shall obtain a building permit.This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. There is a unpermitted room in the garage.

Maintenance and Operation:(a)The facility shall be clean, safe, sanitary and in good repair at all times...This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. The unpermitted room in the garage has been deemed a fire hazard by a Building Inspector and Code Compliance Officer

Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 of 4 residents medication not having record of dosages for several centrally stored medications, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in (4) of (4) residents without accurate records of centrally stored medications, which poses 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 building a room inside the garage without proper city permits/notification to licensing and using it as a live-in staff room, which poses a potential health, safety or personal rights risk to persons in care.

87468.1 Personal Rights of Residents in All Facilities(a)(2) To be accorded safe, healthful,and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by: LPA observed taht upon entry into the facility, Staff #1-2 were not wearing masks. Witnesses also indicate that during an unannounced visit to the facility on 9/29/22 and 6/14/22, Staff were not wearing masks which posed a potential risk for residents in care.

87470 - Infection Control Requirements..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. The requirement is not met as evidenced by: LPA's observations, interviews and records review. LPA observed that staff did not perform the Covid-19 protocols/screening for visitors upon entry to the facility which posed a potential risk for residents in care.

87305 Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all facilities shall obtain a building permit. The requirement was not met as evidenced by LPA observation- LPA observed there's a live in staff room in the garage which was not indicate on the facility sketch and administrator admitted there's no city permit.