Carmelo Park

Facility personnel sufficiency and competence

87411 (a) Personnel Requirements – General - Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not observe das evidenced by: Based on records reviewed and interviews conducted, facility staff left R1 on the ground after finding R1 trapped by his torso between the bed's side rail and the mattress. This resulted in R1 sustaining temporary paralysis on the left side of his body, rhabdomyolysis, as well as bruising, skin tears, and swelling, which poses an immediate health and safety concern to the resident.

Early illness recognition

87411(d)(5) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (5) Knowledge necessary in order to recognize early signs of illness and the need for professional help. Based on records reviewed and interviews conducted, facility staff failed to seek medical services after they found R1 trapped from a fall at 0500 hours. Staff placed R1 on the floor and waited until the house manager called EMS at 0740 hours, which poses an immediate health and safety concerns to the resident.

Furniture, Fixtures, Equipment, and Supplies1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).... LPA measured / tested hot water at 123.5 degrees F. Licensee failed to assure hot water meeting Title 22 regulation of 105-120 degree F. This poses a health and safety risk to resident in care.

Maintain facilities for fire and panic safety

87203 Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met based on: Observation, The facility failed to maintained in conformity with the regulations adopted by the State Fire Marshal. The "Fixed System" in the kitchen. This system is scheduled for a semi-annual maintenance and LPA observed that the last service was on 6/29/21 and the Riser Service is outdated for both the five year and the annual, last annual was 2018 and the last five year service was 2015. This is a zero tolerance violation.

(5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment... Based on record review and interview, R1,R2 and R3 does not have an updated medical assessment/physician's report.