Serra Sol

The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first... This requirement is not being met as evidenced by, R1's last care plan (reappraisal) was completed on January 3, 2023, which is 12 months and 2 weeks after the previous care plan (reappraisal) which poses a potential, health and safety risk to the Resident (R1).

Care Of Persons With Dementia 87705(e)(5) Facility staff shall ensure the continued safety of residents if they wander away from the facility...This requirement is not met as evidence by: Resident 1 left the facility unattended on June 23, 2021 for approximately 30 minutes which poses an immediate health, safety and personal rights risk to residents in care.

...All food shall be selected, stored, prepared and served in a safe and healthful manner.This requirement is not being met as evidenced by; LPA observed 12 cans of expired soup stored in the kitchen food storage area. This poses a potential health and safety risk to residents in care.

(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. (D)Any incident which threatens the welfare, safety or health of any resident, This requirement was not met as evidenced by, staff reported R1 had an unknown that was not reported to the Agency, this poses a potential health, safety and/or personal rights risks to residents in care.

To have prompt access to review all of their records and to purchase photocopies. Photocopied records shall be promptly provided, not to exceed two business days, at a cost not to exceed the community standard for photocopies. This requirement was not met as evidenced by, Based on interviews the facility did not provide the requested documents within two business days, once requested. This poses a personal rights risk to residents.

Based on record review, the licensee did not comply with the section cited above in 2 out of 5 resident files (Resident 1 and Resident 2) which poses/posed a potential health, safety or personal rights risk to persons in care.

(21)To have prompt access to review all of their records and to purchase photocopies. Photocopied records shall be promptly provided, not to exceed two business days, at a cost not to exceed the community standard for photocopies. This requirement was not met as evidenced by, the facility did not provide Resident 1's medication administration records and resident notes. This poses a potential health and safety risk to residents.