Arvilinh Home Care

Based on LPA's review of records, Residents did not have updated physician's report. Some residents have changes in conditions and still have outdated physician's reports on file. One resident physician's report states the resident is "bedridden" but the resident is no longer on hospice and no longer bedridden. This poses as a potential health and safety risk to residents in care.

Based on observation, staff interview, and record review, the licensee did not comply with the section cited above as two out of two staff providing direct care and supervision have not completed 20 hours of training, including six hours specific to dementia care, and four hours specific to postural supports, restricted health conditions, and hospice care, before working independently with residents, which poses a potential health, safety and personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as two out of two staff providing direct care and supervision do not have twelve hours of dementia care training, six of which shall be completed before a staff member begins working independently with residents, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and AD admission, the licensee did not comply with the section cited above as disaster drills are not currently being conducted which poses a potential safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as two out of two staff files do not idenify on-the-job training, and documentation does not consist of a statement or notation, made by the trainer, of the content covered in the training, which poses a potential health, safety and personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as one out of three staff files were not available for review and one out of three staff files reviewed did not contain a health screening, which poses a potential health and personal rights risk to persons in care.

Based on observation and AD admission, the licensee did not comply with the section cited above as staff hours worked are not being documented, which poses a potential health, safety and personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as one out of four resident files does not contain an appraisal which includes an evaluation of the resident's functional capabilities, mental condition and an evaluation of social factors which poses a potential health, safety and personal rights risk to persons in care.

Based on observation and staff interview, the licensee did not comply with the section cited above as all resident medication is prepared a week in advance and transferred from its original container to a weekly medication organizer, which poses a potential health and safety risk to persons in care.

Based on observation and AD admission, the licensee did not comply with the section cited above as Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) 20” x 26” in size is not posted in the main entryway or anywhere else at the facility which poses a potential health, safety and personal rights risk to persons in care.

Based on observation, record review, AD admission, the licensee did not comply with the section cited above as one out of two staff providing direct care and supervision upon LPA's arrival does not have criminal record clearance or an exemption, which poses an immediate health, safety and personal rights risk to persons in care.

87615 Prohibited Health Conditions(a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly. (2) Gastrostomy tubes. This requirement is not being met as evidenced by: Licensee admitted a resident with a prohibited health condition (G Tube). The licensee did not notify the regional office or request an exception before admitting the resident.

87468.2 Additional Personal Rights(a) residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodationsThis requirement is not met as evidence by; LPA observed and obtained a picture of cameras in four out of five resident rooms.

87355 Criminal Record Clearance(e) All individuals subject to a criminal record review shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department This requirement is not met as evidence by;LPA conducted interviews and a record review of the facility on Guardian and determined an uncleared individual was presently working at the facility.

Based on (observation and interview, the licensee did not comply with the section cited above in 4 out of 5 residents which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above in 3 out of 3 bathrooms where the hot water measured over 120 degree F which poses an immediate health, safety or personal rights risk to persons in care.