Tamalpais

87465 Incidental Medical and Dental Care(a):(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on document review and interview with Administrator, Licensee did not comply with the section cited above when R1 did not receive medication as prescribed. This poses an immediate health and safety risk to residents in care.

Based on LPAs record review and verification with CCL: Licensee did not ensure the regulation above due to S1 who was fingerprint cleared but NOT associated to this facility as required. LPA confirmed start date with staff ast 1/9/2024. This is an immediate risk to the Health & Safety of residents in care.

Based on staff files review, the facility did not ensure that all staff have current 1st aid. LPA learned that 2 of 2 staff (S1 & S2) does not have proof of current first aid certification which poses a potential health & safety risk to residents in care.

87465(a)(4) Incidental Medical and Dental Care. 87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on self-reported incident report and interview with Executive Director Paul Friesen, , Med Tech administered another resident’s medication to resident (R1) in care. Facility did not comply with the section cited above and did not administer medication to Resident as prescribed by their physician. This is an immediate health, safety and personal rights risk to residents in care.

A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by:Based on interview and record review, the licensee did not comply with the section cited above where resident was not assisted with medications per doctors orders, which poses an immediate health, safety or personal rights risk to persons in care.

87411(c)(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. Based on LPAs record review and interview the facility failed to ensure staff (S1, S2, S3 & S4) have first aid training which poses a potential health and saftey risk to residents in care.

87355 Criminal Record Clearance: (e) All individuals subject to a criminal record review...shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance...as required by the Department...This requirement was not met as evidenced by: Based on records reviewed, Administrator did not ensure the above regulation due to staff (S1) working and providing services in the facility without a fingerprint clearance as required. This is an immediate health, safety, and personal rights risk to residents in care.

*Based on observation the licensee failed to have hot water temperature between 105 & 120 F in 5 of 8 resident's bathrooms which poses an immediate Health, Safety risk for residents in care. LPA toured the facility w/ adm. and observed that 5 of the 8 hot water temperature ranged between 123.0 and 125.6 degrees F.

-Personal Rights of Residents in All facilities. To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night.This requirement was not met as evidenced by: Based on a review of photographic evidence, it was revealed that a facility van was blocking the entrance and exit which could prevent residents from leaving during an emergency. In addition, the County of Marin did not issue this guidance and the facility took it upon itself to create their own guidance by blocking the entrance and exit with a facility van. This was corroborated during an interview with the complainant, a witness and the facilities Executive Director.