Royalist Home Care

Give PRN medication by physician order

Based on observation, interview and record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. Resident 2 (R2) is prescribed Donepezil for bedtime only. LPA observed Donepezil was given to R2 in the AM per AD instruction.

Document each PRN medication dose taken

Based on observation, interview and record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. LPA observed R4 log does not match medications. R4 log has not been signed off by staff when medication is being administered.

Based on observation and interview, the licensee did not comply with the section cited above in which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in one out of two staff members not obtaining a valid CPR and first aid certification which poses a potential health and saftey risk to persons in care.

Resident record must include minimum required items

Based on an interview and record review, R1's resident file only contained a signed admission agreement, emergency ID contact information and did not have information commonly found on a physician's report, needs and services plan, functional capabilities assessment, and preappraisal which poses a potential health, safety or personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

Based on interviews conducted, R1 is unable to reposition themselves or independently transfer themselves to and from bed, requires cosistent repositioning by staff every two (2) to three (3) hours and is bedbound. Per a STD. 850 dated 2/22/2024, the facility has a fire clearance for six (6) non-ambulatory elderly residents, which poses an immediate health, safety or personal rights risk to persons in care.

Maintain and operate facility under definitive plan

Based on an interview with Administrator Asawadilokchai and review of the Facility Sketch (LIC 999), the "office" is being used as Resident 2's (R2's) bedroom and resident "Bedroom 4" is being used as a staff room. Administrator reported they also installed a toilet in R2's room ("office") after the facility's fire inspection on 2/22/2024.which poses/posed a potential health, safety or personal rights risk to persons in care.

Administrator reported the facility a mortar and pestle to crush R1's medication and camouflages it in their apple sauce at the request of R1's family. The administrator reported the facility does not have a physician's order to crush/camouflage R1's medication and R1 is not cognizant to provide consent, which poses a potential health, safety or personal rights risk to persons in care.

87355(e)(1)(2) Criminal Record Clearance-All individuals subject to a criminal record review shall obtain a California clearance or a criminal record exemption as required by the Department or request a transfer of a criminal record clearance as specified in Section 87355 prior to working, residing or volunteering in a licensed facility. This requirement was not met as evidenced by:Licensee allowed "boyfriend" to stay in the facility overnight without a fingerprint clearance. This poses an immediate health and safety risk to residents in care.