Orange County Care Home Ii

Per CCR 87224(d)(1) The notice to quit shall include the following information: (B) Resources available to assist in identifying alternative housing and care options (...). This requirement was not met as evidenced by: Based on records reviewed, the notice served to R1's responsible party did not include the necessary elements detailed in Title 22. This constitutes a potential risk to the health, safety and personal rights of individuals in care.

Allowing diabetic residents based on self-management ability

Based on observation, interview and record review, the licensee did not comply with the section cited above as one resident using insulin self-injection has been assessed to be unable to manage injections in their physician report. This discrepancy poses/posed a potential health, safety or personal rights risk to persons in care.

Regular observation and documentation of resident changes

Per CCR 87466: "The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs." This requirement is not met as evidenced by: Based on records and interviews, it was evidenced that a discrepancy between R1's medical assessment and their functional capabilities was not flagged and brought to their physician's attention. This constitutes a potential risk to health, safety and personal rights of residents in care.

Assist residents with self-administered medication

87465(a)(4) – Incidental Medical and Dental CareFacility staff shall assist residents with self-administration of prescription medications as needed ... shall be given in accordance with the physician’s instructions. Based on interviews and records review, the facility failed to follow physician instructions for (R1)despite clear instructions to administer only Lantus prior to R1's fasting laboratory appointment. This posed an immediate health and safety risk to resident in care.

Dispose of unused medications with required witness

87465 … (i) Prescription medications which … are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record… This requirement was not met as evidenced by: Based on admission, the licensee destroyed R1’s 20MG Atorvastatin in February 2025 but did not keep a record, which poses a potential health risk to persons in care.

RCFE complaint poster posting requirements

87468 Personal Rights… (c) Licensees shall prominently post (2) … (A) … the Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) … 20" x 26" in size and be posted in the main entryway of the facility… Based on observation, the licensee did not ensure the PUB 475 was the correct size and in the entryway of the facility, which poses a potential personal rights risk to persons in care.

Arrange appropriate medical and dental care

87465 Incidental Medical and Dental Care (a) … (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on documents and admission, the licensee received multiple doses of the same medication for R1 but did not address this issue with R1’s family, doctor, or pharmacy, which poses a potential health risk to persons in care.

Keep prescriptions in original containers

Based on observation conducted during a tour of the physical plant and an interview with the administrator, the licensee did not comply with the section cited above as medication has been prepared in advance until February 28, 2024. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record reviewed during the facility visit, the licensee did not comply with the section cited above in three instances. Two residents have beds with half rails with no physician order and one bed is equipped with full rails in spite of the resident not being on hospice. This poses/posed a potential health, safety or personal rights risk to persons in care.

Notify agency before locking doors or gates

Based on observation conducted during the facility visit, the licensee did not comply with the section cited above in one instance of supplements being left accessible in the room of a resident. The resident is not diagnosed with dementia but other residents are, which poses/posed a potential health, safety or personal rights risk to persons in care.

Per the Health & Safety Code: "(c) "Care and supervision" means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, or welfare would be endangered. (...) This requirement is not met as evidenced by: Based on interviews conducted, no routine checks of the resident's hygiene were implented after it became evident that nightly incontinence was present. This poses an immediate to the health, safety and personal rights of residents in care.

Check incontinent residents during high-risk periods

CCR Section 87625(b)(2) on Managed Incontinence states that "(...) the licensee shall be responsible for (...) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night". This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, facility staff had adopted the practice of stacking diapers at night rather than conduct routine checks. This poses an immediate risk to the health, safety and personal rights of residents in care.

Store centrally held medications in locked secure place

Type A 02/28/2022 CCR 87465(h)(2) Incidental Medical and Dental Care Services. Centrally stored medications shall be kept in a safe locked place that is not accessible to persons ther than employees responsible for the supervision of the medication. This requirement is not met as evidenced by: LPAs observed 24hr supply of prepared medication being stored in an unlocked drawer.