Alhambra Villa

Based on observation, the licensee did not comply with the section cited above The toilet at the end of the facility towards the back is leaking which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. One resident's pre admission Appraisal was not completed and blank which poses/posed a potential 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. LPA observed several cans of food had expired which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. Several residents did not have labels on their medications which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation AND record review, the licensee did not comply with the section cited above several resident's medications did not have labels (details provided to Licensee) which poses/posed a potential health, safety or personal rights risk to persons in care.

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 standard has not been met as evidence by: During initial and subsequent visits LPA inspected kitchen refrigerator and observed the kitchen refrigerator was in disrepair with the crack in the middle of the bottom shelf making it difficult to open the drawers beneath it.

87309 Storage Space and Access(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This requirement was not met as evidence by: Based on record review, the licensee did not comply with the section cited above as, Disinfectants and cleaning solutionswere observed to be stored under an unlocked cabinete under the kitchen sink, the door that separates kitchen from living room was observed to also be unlocked and open during visit from 11am-1:30pm, with staff entering and exiting kitchen, leaving area accessible to residents. which poses an immediate health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement was not met as evidence by: Based on record review, the licensee did not comply with the section cited above as, Medication for Resident #1 is missing from facility, all original containers for routine medication were not at facility and it was expained that the medication is stored at Residents families residence, which poses an immediate health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.This requirement was not met as evidence by: Based on record review, the licensee did not comply with the section cited above as, Medication for Resident #1 is outside of the original containers and prepacked for a total of 8 consecutive days in a separate medication container packaging dated Sunday through Mondays 8am,9am,2pm and bed, which poses an immediate health, safety or personal rights risk to persons in care.

(a) A facility shall be deemed to be an “unlicensed residential care facility for the elderly” and “maintained and operated to provide residential care” if it is unlicensed and not exempt from licensure, and any one of the following conditions is satisfied:(1) The facility is providing care and supervision, as defined by this chapter or the rules and regulations adopted pursuant to this chapter.(2) The facility is held out as, or represented as, providing care and supervision, as defined by this chapter or the rules and regulations adopted pursuant to this chapter.(3) The facility accepts or retains residents who demonstrate the need for care and supervision, as defined by this chapter or the rules and regulations adopted pursuant to this chapter.(4) The facility represents itself as a licensed residential facility for the elderly.This requirement was not met as evidenced by: Current operator Kim, Hyo Sook stated she has taken over day to day operations of Evergreen Senior Care without an approved License. LPA observed Residents #1-#14 require elements of care and supervision. This poses a potential risk to the health and safety of the residents in care.