Follow-up on corrections·December 5, 2024

Citations

4 citations recorded^*CCLD

• 87457(c)(1)Type A

  Minimum appraisal documentation requirements

  87457 Pre-Admission Appraisal - General(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. (1) The appraisal shall include, at a minimum, an evaluation of the prospective resident's functional capabilities, mental condition and an evaluation of social factors as specified in Sections 87459, Functional Capabilities and 87462 Social Factors. This requirement was not met as evidenced by LPAs observation of resident's file. No pre appraisal or needs and service plan was obtained at the time of admission and not observed in file.

• 87303(a)Type B

  Maintain facility in clean, safe, sanitary condition

  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 observation of Room 10 observed with hole behind door in need of repair. Clutter in garage in need of removal. Refrigerator in garage in need of cleaning/repair. Hood vent observed open and in need of repair under kitchen cupboard. Bottom kitchen cupboard door broken and in need of repair/replacement.Front door observed broken and not properly latching. This poses a potential health safety and or personal rights risk to residents in care.

• 87465(h)(2)Type A

  Store centrally held medications in locked secure place

  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: LPA observation of medications observed unlocked/accessible in kitchen cupboard, kitchen refrigerator, in R6 closet and hallway cupboard. This poses an immediate health, safety and or personal rights risk to residents in care.

• 87468.1(a)(6)Type B

  Freedom to leave and not be locked in

  87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (6) 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 does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. This requirement was not met as evidence by LPA observation of R1's window observed locked with board preventing from opening R1's exit door observed blocked with chair preventing from exiting. Front door observed with lock at bottom of door.