Mesa Del Mar Elderly Care Home

Based on LPA observation and record review, three out of four residents do not have a physician's order for bed rails which poses a potential health and safety risk to persons in care.

Based on record review, there is no documented evidence of annual training for S1 which poses a potential health and safety risk to persons in care.

Based on LPA observation, four out of five auditory exit alarms, exit pathway by bedroom 4 is not clear of debris, and latch on exit gate by bedroom 4 does not have a pull string to open the gate which poses a potential health and safety risk to persons in care.

Based on LPA observation, window screen by dining room and screens on sliding doors for bedrooms 1, 2, and 3 are damaged and not in good repair which poses a potential health and safety risk to persons in care.

Based on LPA observation, whater temperature measured between 131.5 and 134 degrees F which poses an immediate health and safety risk to persons in care.

All facilities shall have a qualified and currently certified administrator...

Based on observation, the licensee did not comply with the section cited above< LPA observed the outlet in the living room does not have a protective plate and the outlet wires are visible which poses a potential safety rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, LPA observed the emergency exit in bedrooms 3 and 4 were locked and could not be opened by residents which poses an immediate safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, LPA observed liquid cleaner stored outside of it's original container. Purple cleaner (Fabuloso) was stored in 3 Windex bottles and had not additional labels to identify their contents. which posea potential health and safety risk to persons in care.

87507 Admission Agreements(c) Admission agreements shall be signed and dated... by the resident or the resident’s representative... and the licensee or the licensee’s designated representative... Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. This requirement was not met as evidenced by:Based interview confirmation and document review, the licensee did not ensure the admission agreement was properly completed and signed by the licensee or a designated representative.

87224 Eviction Procedures(c) The licensee shall, in addition to either serving the required thirty (30) days notice, sixty (60) days notice or... three (3) days notice on the resident, notify or mail a copy of the notice to quit to the resident's responsible person. This requirement was not met as evidenced by: Based on interview confirmation, the licensee did not ensure the eviction process was followed according to regulation guidelines which poses an immediately personal rights risk to persons in care.

Basic Services-Basic services shall at a minimum include: (1)Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code. 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, safety, or welfare would be endangered.This requirement was not met as evidenced by: On 10/23/22 R1 left the facility unattended without staff being aware. This poses an immediate health and safety risk to residents.