Good Hands Loving Care-yorba Linda

Per CCR 87608(a)(5)(B): "Under no circumstances shall postural supports include (...) limiting the use of a resident's hands or feet. (...)(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care". This requirement is not met as evidenced by: Based on evidence submitted and records reviewed, it was determined that R1's bed had been equipped with full rails in the absence of hospice placement and appropriate physician orders. This constitutes an immediate risk to the health, safety and personal rights of residents in care

Per CCR 87705(c)(1): (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (1) The facility has a nonambulatory fire clearance for each room that will be used to accommodate a resident with dementia(...)" This requirement is not met as evidenced by: Based on observation and records reviewed, all four current resident are non-ambulatory even though the facility is only cleared for 3 ambulatory and 3 non-ambulatory. This constitutes an immediate risk to the health, safety and personal rights of residents in care.

Per CCR87615(a)(2): "Persons who require health services for or have a health condition including (,...) those specified below shall not be admitted or retained in a residential care facility for the elderly: (2) Gastrostomy tubes". This requirement is not met as evidenced by: Based on staff statements and records reviewed, resident R1 was admitted and stayed at the facility while being treated from dysphagia with a G-tube. This deficiency constitutes an immediate risk to the health, safety and personal rights of residents in care.

Per CCR 87616(a) "As specified in Section 87209, Program Flexibility, the licensee may submit a written exception request if he/she agrees that the resident has a prohibited (...) health condition but believes that the intent of the law can be met through alternative means". This requirement is not met as (...) evidenced by: Licensee did not submit and/or obtain a written exception request prior to admitting resident R1.

Per CCR 87632(a)(1): " In order to (...) retain terminally ill residents and permit them to receive care from a hospice agency, the licensee shall have obtained a facility hospice care waiver from the Department. [which include] Specification of the maximum number of terminally ill [residents]". This requirement is not met as evidenced by: Based on records reviewed and facility visit, there are four residents currently receiving hospice care even though the facility's waiver is only for three residents. This consitutes an immediate risk to the health, safety and personal rights of individuals in care.

Based on observation and record review, the licensee did not comply with the section cited above. LPA observed R1, R2, R3, and R4 are diagnosed with Dementia and did not have their current medical assessment. R1, R2, and R3 did not have a current Appraisal Needs and service plan. R6 did not have a medical assessment at the time of visit. This poses a potential health, safety or personal rights risk to persons in care.

(a) Each licensee shall furnish...reports as the Department may require, including, but not limited to...(2) Occurrences, such as epidemic outbreaks... which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours… to the local health officer when appropriate. This requirement is not being met as evidenced by the facility failing to properly report to the Regional Office a COVID outbreak that started October 4, 2023. This poses a potential health and safety risk to residents in care.