Newport Beach Memory Care

Based on record review, the licensee did not comply with the section cited above as one admission agreement reviewed was found to be missing, two were missing both sets of signatures and another one was missing a signature from the responsible party. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as at least three separate taps tested during the present visit were found to be dispensing water above 120F which poses/posed a potential health, safety or personal rights risk to persons in care.

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. The requirement is not being met as evidenced by the presence of only two staff members working and the Wellness Director covering for a Med Tech who called off during a January 17, 2024 initial complaint visit.

87355 Criminal Record Clearance (e) "All individuals subject to a criminal record review...(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 evidenced by:Based on observations and interviews, S1 was not fingerprint cleared prior to working or visiting the facility which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

The California Code of Regulations Section 87608(a)(2) states that: "Postural supports shall be fastened or tied in a manner that permits quick release by the resident." This requirement is not met as evidenced by:On multiple documented instances, residents were found to be unable to bring (...) (...) the legs of the recliner seat down, contributing to a fall incident. This constitutes a potential risk to the health, safety and personal rights of the individuals in care.

The California Code of Regulations Section 87405(a) Administrator - Qualifications and Duties states that: "(...) When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible." This requirement was not met as evidenced by: Based on interviews conducted and records reviewed, when the former Administrator's resignation, no official designation of responsibility was made. This deficiency posed a potential risk to the health, safety and personal rights of individuals in care

The California Code of Regulations Section 87303(a) on Maintenance and Operation states that: "The facility shall be (...) in good repair at all times."This requirement was not met as evidenced by: Based on interviews conducted, an unspecified number of individual heating units were stated to have been non-functional, causing the previous administrator to provide heat by means of unauthorized floor heating units that were later removed before heating was repaired. This deficiency posed a potential risk to the health, safety and personal rights of individuals in care.

The California Code of Regulations Section 87506(a) on Resident Records states that: "The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility (...) readily available to facility staff and to licensing agency staff." This requirement is not met as evidenced by the missing file observed for resident R6.This deficiency poses a potential risk to the health, safety and personal rights of the individuals in care.

The California Code of Regulations Section 87507(f) regarding Admission Agreements indicates that : "The licensee shall comply with all applicable terms and conditions set forth in the admission agreement(...)"This requirement is not met as evidenced by: Based on observation, file review and interviews conducted, no refund has been issued in excess of the 15-day agreement upon admission. The licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.

Each licensee shall furnish to the licensing agency such reports... including, but not limited to, the following: Occurrences, such as epidemic outbreaks.. which threaten the welfare, safety or health of residents.., shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. Based on interviews conducted, Licensee failed to ensure covid cases were reported to Licensing or Public Health. This poses an immediate health and safety risk to residents in care.

Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not being met as evidenced by: Based on observation, Licensee is not screening visitors to the facility. Facility was given an advisory on 04/12/2022 to begin screening visitors. This poses a potential health and safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in two out of three physician reports. R1 and R3 do not have updated physician reports. This poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in three out of three stairwells. All three stairwells do not have an evacuation chair which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. Facility does not have any emergency water on-site which poses a potential health and safety risk to persons in care.