Golden Flower Manor, Llc

Address and clearance obligations before facility work

87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) 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: Unidentified Individual 1 (UI1) was observed working in the facility upon LPAs arrival. UI1 does not have a criminal background clearance and was not associated to the facilities personnel roster. This poses a health and safety risk to residents in care.

Document behavioral expression and related causes

The licensee shall arrange a meeting with the resident, the resident’s representative.., when there is significant change in the resident’s condition,.., as specified in Section 87467, Resident Participation in Decision Making. This requirement is not being met as evidenced by: Based on record review, Licensee failed to ensure a re-appraisal was conducted and discussed with responsible party. This poses a potential health and safety risk to residents in care.

For any rate increase due to a change in the level of care.., written notice of the rate increase within two business days after initially providing services at the new level of care. The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. This req is not being met as evidenced by: Based on record review, Licensee failed to ensure a detailed explanation of services along with itemization of charges was provided. This poses a potential health and safety risk to residents in care.

Rate increase due to change in level of resident care; notice. For any rate increase due to a change in the level of care of the resident...notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. This requirement is not met as evidenced by: based on interview & record review the Licensee did not provide a statement including the itemization of charges. This poses a potential risk to the health & safety of residents in care.

87217 Safeguards for Resident Cash, Personal Property, and Valuables...(i) Upon discharge of a resident all… personal property and valuables of that resident… shall be surrendered to the resident, or his responsible person. This requirement is not met as evidence by: Based on interviews and observation licensee did not surrender personal property to resident or their responsible person.