Saint Benedict Care Llc

Based on observation, the licensee did not comply with the section cited above in two out of two bathrooms, which poses an immediate risk to residents in care. LPA observed Bathroom #1 and Bathroom #2, measured between 126.6 and 129.6 degrees F.

Basic Services 87464(f)(1)Basic services shall at a minimum include: Care and supervision defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement was not met as evidence by: The Department reviewed medical records for R1 that states that R1 had a stage 4 pressure injury upon admission to the hospital that facility staff was caring for. This poses an immediate health, safety and personal rights risk to residents in care.

Prohibited Health Conditions 87615(a)(1)(a) Persons who require health services for or have a health condition including, but not limited to... shall not be admitted or retained... (1) Stage 3 and 4 pressure injuries. This requirement was not met as evidence by: The Department reviewed R1s medical records stating that R1 had a Stage 4 pressure injury upon admission. 2 of 2 staff informed LPA that staff were treating the wound only. This poses an immediate health and safety risk to residents in care.

Based on observation and interview, the licensee did not comply with the section cited above. LPA observed Cascade bottle and Palmolive bottle stored under a sink with a lock that was not working. Caregiver stated it has not been working for a few months. This poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above. LPA observed a bed in the garage, and the staff corroborated another staff member was sleeping in the garage. This poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above. LPA observed staff bedroom was missing a smoke detector. This poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above, LPA observed R1's Reappraisal dated 3/18/2022, R2's Reappraisal dated 1/5/2023, R3's Reappraisal dated 5/20/2022, and R4's Reappraisal dated 5/28/2022. This poses a potential health, safety or personal rights risk to persons in care.

87618(b)(3)(C) Oxygen Administration - Gas and Liquid:(b)In addition to...(3)Ensuring that the use of oxygen equipment meets the...:(C)Smoking shall be prohibited where oxygen is in use. This requirement is not met as evidenced by CONT This requirement is not met as evidenced by: On today's date, on or about 3:40pm as LPA Quiroz was walking towards entrance of facility, LPA Quiroz detected cigarette smell coming from the garage area. LPA Quiroz observed garage door opened, and observed (CG1) inside the garage area.

(CCR)-87217(d)(3):Safeguards for Resident Cash, Personal Property, and Valuables (d) Except as provided in approved continuing care agreements, no licensee or employee of a facility shall:(3)become substitute payee for any payments made to any persons. This requirement is not met as evidenced by:CONT On 1/31/2022 L/AD Uldarico Almiranez had Resident 1(R1) sign a hand written letter to change social security benefits from (R1) to facility representative. This was verified with (L/AD)Almiranez indicating "To make sure I got paid for his share of cost because if R1 got it he wouldn't pay his share CONT...

87705(f)(2):(f)The following shall be stored inaccessible to residents with dementia:(2) Over-the-counter medication, nutritional supplements or vitamins, alcohol,...cleaning supplies and disinfectants.This requirement was not met as evidenced by: At 2:09pm, LPA Quiroz...CONTINUED BELOW... observed R4's 2 bottles of medications on top of table in living room area while R5 was laying on recliner in livingroom area. This poses a potential risk for residents in care.

87468.1Personal Rights of Residents in All Facilities(3)To be free from punishment, humiliation, intimidation, abuse... interfering with daily living functions such as eating, sleeping, or elimination.This requirement was not met as evidenced by, at 3:26pm LPA Quiroz observed locked refrigerator with lock. Caregiver Guevara indicated "We lock it because Resident 1 (R1) gets up at night and eats everything inside the refrigerator. He forgets he eats, so we lock it." This poses a potential risk for residents in care.