Balboa Island Board & Care

Keep administrator certification or recertification records

Based on interview and record review, the licensee did not comply with the section cited above, which poses a potential health and saftety risk to persons in care. Records reviewed and interviews conducted revealed the facility does not have a current administrator as the former administrator admitted not completing CEU courses required prior to June 2022.

Address and clearance obligations before facility work

Based on the review of the Department's Guardian rosters, S1 was not associated to the facility during their employment which poses an immediate Health, Safety, and/or Personal Rights risk to persons in care.

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above as there were no available disaster prepeardiness plan or infection control plan available for review; which poses a potential health and safety risk to persons in care.

Maintain required personnel records for staff

Based on record review, the licensee did not comply with the section cited above in one out of three staff members not having an availiable staff file to review; which poses a potential health risk to persons in care.

Resident record must include minimum required items

Based on record review, the licensee did not comply with the section cited above in one out of two residents not having an available resident record for review; which poses a potential health risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as there were no available disaster prepeardiness plan or infection control plan available for review; which poses/posed a potential health and safety risk to persons in care.

Health screening and fitness requirements

Based on record review, the licensee did not comply with the section cited above in one out of three staff members no having a staff file with all required documentation; which poses a potential health risk to persons in care.

Notify agency before locking doors or gates

87705 :Care of Persons with Dementia (f)(1)(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement was not met as evidence by: Kitchen cabinet where knives are kept locked was unlocked. Caregiver Rose Breton indicated "It's broken, doesn't work." This poses an immediate risk to residents in care.

87303 Maintenance and Operation (2)Faucets used by residents for personal care...not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement was not met as evidence by: At 12:10pm, LPA Quiroz recorded water temperature to be 139.1 in resident hallway restroom. L/AD Barton indicated "I knew it was high, it's a new heater. I will call plumber and schedule him to bring water temperature down." This poses an immediate risk to residents in care.