Lambert Home Care

87465 Incidental Medical and Dental Care(c)...facility staff...shall...(3) ...record...each dose... in the resident's record.This requirement is not met and evidence by: Based on LPAs interviews, review of documents obtained and observations, facility had incomplete documentation of medications given to each resident. Facility administrator was unable to provide confirmation whether or not medications were given. This poses an immediate health and safety risk to residents in care.

87465 Incidental Medical and Dental Care(a) A plan for incidental medical...care shall be... in... compliance with the following:(6) When requested by the... Department, a record...shall be maintained by the facility.This requirement is not met as evidence by: Based on LPAs interviews, review of documents obtained and observations, facility had incomplete documentaion of medications given to each resident. Facility adminsitrator was unable to provide confirmation whther or not medications were given. This poses an immediate health and safety risk to residents in care.

87465Incidental Medical and Dental Care(h) The following requirements shall apply...(4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws.This requirement is not met as evidence by: Based on LPAs interviews, review of documents obtained and observations, facility had multiple oral and topical medications that were expired. It was also observed that on two shelves in the medication pantry, the facility mixed both the current and past residents medications. Facility administrator provided confirmation that the expired ointment, is stilll being used on resident. This poses an immediate health and safety risk to residnets in care.

Based on observation and record review, the licensee did not comply with the section cited above in one out of three medical records, which poses an immediate health and safety risk to persons in care. Senna 8.6mg was given to R2 without a doctor's order, that was prescribed to a different resident who is no longer at the facility.

Based on record review, the licensee did not comply with the section cited above which pose a potential health, safety and personal rights risk to persons in care.Per staff interview and record review, disaster drills are not being conducted.

Based on observation and record review, the licensee did not comply with the section cited above in two out of three resident records, which poses a potential safety rights risk to persons in care. Resident 1 and 2 have hospice beds with 1/2 rails with no doctor orders.

87224(d)(1) Eviction Procedures. The notice to quit shall include the following information…effective date of the eviction.. resources available to assist in identifying alternative housing a statement informing residents of their right to file a complaint… The exact statement as specified in H&SC 1569.683(a)(4). This regulation was not met as evidence by: Written eviction notice to R1 did not have required language. This poses an immediate risk to resident in care.

Based on observation the licensee did not comply with the section cited above in failed to ensure scissors and Lysol cleaning spray were inaccesibile to residents with Dementia. R1 has a diagnosis of Dementia which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in Licensee failed to ensure medications are inaccessible to persons other than employees which poses an immediate health, safety or personal rights risk to persons in care.

Incidental Medical and Dental services. Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not being met as evidenced by: Based off information provided Licensee failed to ensure medications are inaccessible to persons other than employees. This poses an immediate health and safety risk to residents in care.

The following shall be stored inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not being met as evidenced by: Based on observation, Licensee failed to ensure Knives, scissors and Windex were inaccesible to residents with Dementia. R3 has a diagnosis of Dementia.This poses an immediate health and safety risk to residents in care.

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 being met as evidenced by: Based on observation and interview, Licensee failed to ensure S1 has criminal record clearance before working in the facility. LPAs observed S1 in the facility with a syringe in hand. S1 exited the facility before LPAs could speak with S1. This poses an immediate health and safety risk to residents in care. CIVIL PENALTY ASSESSED.