Follow-up on corrections·February 7, 2023

Citations

6 citations recorded^*CCLD

• 87207Type A

  Prohibit false or misleading facility statements

  False Claims 87207: No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement was met as evidenced by: Upon arrival to facility, L/AD Mai CONTINUED... CONT...indicated Caregiver had just left to go get bread to eat. During interview conducted with caregiver, Caregiver indicated she had not been present at facility since 2/2/23. This was verified with L/AD Mai. This poses an immediate risk to residents in care.

• 87211(a)(2)Type A

  Report serious outbreaks and major accidents

  Reporting Requirements-87211(a)(2)(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(2) Occurrences, such as epidemic outbreaks...which threaten the welfare, safety or health CONT... of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This requirement was not met as evidenced by: During today's record review for R1, LPA Quiroz observed resident's discharge

• 87303(a)(1)Type A

  Keep bath, laundry and kitchen floors clean

  Maintenance and Operation (87303)(a)(1):(a) The facility shall be clean, safe, sanitary and in good repair at all times... for the safety and well-being of residents, employees and visitors.(1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. CONTINUED... This requirement is not being met as evidenced by, between 9:53am-12:50pm while LPA Quiroz toured facility along with L/AD Mai, LPA Quiroz observed food particles and grease stains on the kitchen stove, kitchen counters, sink area and food crumbs on the kitchen floor area CONT...

• 87307(d)(6)Type A

  Passageways and stairways kept clear

  87307(d)(6)Personal Accommodations and Services(d)The following space and safety provisions shall apply to all facilities:(6)All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: While LPA Quiroz toured facility along CONT with L/AD Mai, LPA Quiroz observed excessive amount of storage items in garage area and back yard east side location of facility premises but not limited to: window panels, gardening tool items varying in sizes from small to large, unused items,gallons of paint CONTINUED...

• 87506(b)(10)Type A

  Include medical assessment and special precautions

  (b) Each resident’s record shall contain at least the following information:(10)Reports of the medical assessment specified in Section 87458, Medical Assessment, and of any special problems or precautions.This requirement was not met as evidenced by:During today's record review CONT... LPA Quiroz did not observe physician reports for R1 and R2. This was verified wtih L/AD Mai who indicated not having physician reports for R1 and R2 indicating they were admitted without a physician report. This poses an immediate risk for residents in care.

• 87705(f)(1)(2)Type A

  87705(f)(1)(2):Care of Persons With Dementia(f) the following shall be stored inaccessible to residents with dementia:(1) Knives, matches, firearms, tools, and other items that could constitute a danger to the resident(s). (2) OTC medication, supplements or vitamins, alcohol, cigarettes & CONTINUE... CONT...toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by while LPA Quiroz conducted tour along with L/AD Mai between 9:53am-12:50pm, LPA Quiroz observed pair of scissors in kitchen area, diabetic CONT...