The Redwoods

Health screening and fitness requirements

87411(f)Personnel Requirements – General All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. This requirement is not met as evidenced by: Based on review of records, Staff S3 & S4 did not have a health screening report, including TB test and results & S2 did not have TB results. the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.

Staff training in personal care activities

87411(C)(1) Personell Requirements, General- All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. Based on LPA's staff record reviews, staff S1 lack required first aid certification, the licensee did not comply with the section cited above in [1] out of [3], which poses/posed a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

87303(e)(2) Maintenance & Operation. Hot water provided for the use of resident shall be maintained between 105 and 120 degrees F.This requirement is not met as evidenced by:Based on observation the facility did not have hot water temperature between 105 &.. .. 120 degrees F in 6 of 12 resident's bathroom faucets ( 3 in memory care at 128 and up) which poses an immediate Health and Safety risk for residents in care. LPA & facility dir. at retesting observed hot water temperature between 99.5 (1) & 120.9 and up in 5 others. degrees F.

87415 Night Supervision (a) The following persons providing night supervision from l0:00 p.m. to 6:00 a.m...shall be available as indicated below to assist in caring for residents in the event of an emergency...(5) In facilities required to have a signal system, at least one night staff person shall be located to enable immediate response to the signal system. This requirement was not met as evidence by: Based on interview and document review, Administrator did not ensure that R1 was assististed in a timely manner.

Provide resident hot water for personal care

Based on observation the facility failed to have hot water temperature between 105 & 120 degrees F in 5 of 7 resident's bathroom faucets which poses an immediate Health and Safety risk for residents in care. LPA observed hot water temperature between 113.7 & 135.5. degrees F.

Limit staff assistance with self-administered drugs

87465(a)(5): Incidental Medical and Dental Care Services. The facility shall assist residents with self-administered medications when needed.This requirement is not met as evidenced by: Based off self-reported incident report and interview with Administrator and MSW, the Nurse provided R1, R2’s medication. The facility failed to ensure R1's medication was given as prescribed by doctor which poses an immediate health and safety risk to resident in care.

1569.312(d) Being aware of the resident's general whereabouts, although the resident may travel independently in the community. Based on review of incident report and interview with Administrator, this requirement has not been met as evidence by: Facility reported that R1 left facility unassisted. LPA gathered statements and documents from Administrator and Social Worker. R1's Physician Report states that R1 cannot leave facility unattended. This is a potential risk to the health and safety of residents in care.

Limit staff assistance with self-administered drugs

87465(a)(5)Incidental Medical & Dental Care. This requirement isnot met as evidenced by: Based on interviews & record reviews facility didn't comply w/section cited above in 2 out of 4 residents for which medications were not filled in a timely matter which poses an immediate health & safety risk to persons in care.Dep. learned that R2 had meds that werenot filled timely in August,April,May of 2022;R3 in May, June and July 2022. (see copies)

Reporting requirements

87211 Reporting Requirements - This requirement is not met as evidenced by:Based on interview & file review facility didn't comply w/this section for 4 of 4 residents which posses potential health, safety, personal rights risk to residents in care.Depart.learned that there were multiple incident reports for R1,R2,R3, &R4 that were not submitted to CCL such as refusal of meds, missing meds, 911calls w/&/out residents being transported to ER(copies)

87628Diabetes This equirement is not met as evidenced by: Based on observation,interview, & record review licensee didn't comply w/section cited above in 1outof1 resident w/diabetes which poses an immediate health & safety risk to persons in care.Resident R1 has LIC 602 stating that R1 is not able to administer insulinshots or glucose testing.Per interviews & file review R1 has self administer injections& glucose testing.