Vista Harden Ranch

Based on record review, the licensee did not comply with the section cited above in facility staff records are in multiple locations and not easily accessible to LPA's for review. which poses/posed a potential health, safety or personal rights risk to persons in care.

87411 Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. The following requirement has not been met as evidenced by: LPA's reviewed records documenting staff taking as long as 57 minutes to respond to resident signal system, which poses a potential, health, safety, or personal rights risk to residents in care.

87465 Incidental Medical and Dental Care (a) 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: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. The following requirement has not been met as evidenced by: Based on records review, facility staff observed wound on resident 1 on 07/14/24, and resident 1 was admitted to hospital with stage 4 wound on 07/17/24, which poses an immediate health, safety, or personal rights risk to residents in care.

87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility (4) The licensee shall assist residents with self-administered medications as needed. The following requirement has not been met as evidenced by: Reporting Party provided photos of several medications throughout Resident 1's bedroom, which poses a potential, health, safety, or personal rights risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in 4 out of 4 Memory care residents record reviewed did not have a current updated medical assesment, which poses/posed a potential health, safety or personal rights risk to persons in care.

(c) “Care and supervision” means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes assistance with taking medications, money management, or personal care. Facility did not provide Care and Supervision for Resident 2 as he left the facility on 04/17/2022 which poses an immediate health, safety, or personal rights risk to residents in care.

87465 Incidental Medical and Dental Care (a) 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:(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. The following requirement has not been met as evidenced by: Resident 1 had a documented ongoing cough for several days without medical treatment, which poses an immediate health, safety, or personal rights risk to residents in care.

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:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.The following requirement has not been met as evidenced by: Based on LPA observation Resident 1 was fully exposed to residents in common area which poses a potential, heakth, safety, or personal rights risk to residents in care.

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(2) Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. The following requirement has not been met as evidenced by: Based on interviews and records reviewed the facility did not report the COVID outbreak on December 20, 2022 to State Licensing or facility visitors which poses a potential health, safety, or personal rights risk to residents in care.