Adult Care Oc Saturna

Per CCR 87211(a)(1) "A written report shall be submitted to the licensing agency (...) within seven days of the occurrence of any of the events specified in (A) through (D) below. (...) (A) Death of any resident from any cause regardless of where the death occurred"” This requirement is not met as evidenced by:No death or incident reports corresponding to the incidents evidenced during the investigation were found to have been submitted to the Department.

CCR 87355(e)(3) on Criminal Record Clearance “All individuals subject to a criminal record review (....) shall prior to working (...) in a licensed facility: (…) (3) Request a transfer of a criminal record clearance as specified in Section 87355(c)”. This requirement is not met as evidenced by:Per a review of the Guardian background clearance system, AA May Kwok was never associated to the present licensed facility. This constitutes an immediate risk to the health, safety and personal rights of individuals in care. Civil penalty assessed.

Per CCR 87466: “The licensee shall ensure that residents are regularly observed for changes in physical (..) functioning and that appropriate assistance is provided when such observation reveals unmet needs.” This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, resident R2 had been identified as a fall risk, with multiple occurrences of fall prior and on October 6, 2022. The lack of adequate precautions resulted in the resident becoming injured and requiring surgery. This constitutes an immediate risk to the health, safety and personal rights of individuals in care.

Per CCR 87606(c): "To accept or retain a person who is bedridden, other than for a temporary illness or recovery from surgery, a licensee shall obtain and maintain an appropriate fire clearance as specified in Section 87202, Fire Clearance." This requirement is not met as evidenced by: Based on facility observation and records review, resident R3 is assessed as bedridden, however the current fire clearance for the facility does not include any provision for bedridden residents. This constitutes an immediate risk to the health, safety and personal rights of individuals in care.

CCR 87465 (g) “Incidental Medical and Dental Care. The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health appropriate to the conditions and needs of residents.” This requirement is not met as evidenced by: Based on the evidence gathered, despite the repeated pain complaints, it was confirmed that facility staff did not obtain adequate medical attention for the residents’ needs which constitutes an immediate risk to the health, safety and personal rights of individuals in care.

Per CCR87468.2(a)(8): "(...)residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (8) To be free from neglect, financial exploitation, (...). This requirement is not met as evidenced by: Based on evidence reviewed, after activing administrator May Kwok obtained attorney-in-fact status access to two residents’ bank accounts, multiple payments were evidenced to have been made from those accounts for unrelated business and personal expenses. This constitutes an immediate risk to the health, safety and personal rights of individuals in care. Immediate Civil Penalty Assessed.

CCR 87507(g)(3)(C) regarding Admission Agreements: “Admission agreements shall specify the following: (C)Any fee that is charged prior to or after admission, shall be clearly specified.This requirement is not met as evidenced by: Based on evidence reviewed, facility staff obtained payments in excess of the actual amounts due for R1 and R2 totaling $97,038 of overpayments. This constitutes an immediate risk to the health, safety and personal rights of individuals in care.

CCR 87217(d)(2) “Except as provided in approved continuing care agreements, no licensee or employee of a facility shall: accept any general or special power of attorney for any such person”This requirement is not being met as evidenced by: Based on record review and interview, Licensee failed to ensure an employee of the facility was not designated as a power of attorney for R1. This poses an immediate health and safety risk to residents in care.