Epic Assistance Care Home

Based on observation, the licensee did not comply with the section cited above in spite of a Technical Violation Advisory Note issued in May 2024. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on staff interviews and records reviewed, the licensee did not comply with the section cited above as two staff members on duty during the visit did not possess a current CPR/First Aid certificate which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and measurements conducted during the visit, the licensee did not comply with the section cited above as one faucet was found to deliver water at 138F which poses/posed a potential health, safety or personal rights risk to persons in care.

The California Code of Regulations Section 87470(b)(3) on Infection Control Requirements states that: “There shall be separation and care of residents whose illness requires separation, including quarantine or isolation, from others.” This requirement was not met as evidenced by: Interviews and licensee admission that staff members with confirmed COVID-19 diagnosis kept on providing care and supervision without the facility having reported a Critical Staffing Shortage.

The California Code of Regulations Section 87211(a)(2) on Reporting Requirements states that: "Occurrences, such as epidemic outbreaks (...) shall be reported within 24 hours (...) to the licensing agency". This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, multiple staff members and resident contracted COVID in November 2022 and were not reported to the Department. This constitutes a potential risk to the health, welfare and personal rights of the residents in care.

Based on record review, Licensee failed to ensure verification of staff training is maintained. Two out of two staff do not have documentation of required training. This poses a potential health and safety risk to residents in care.

Based on record reviewed, the licensee did not comply with the section cited above in that three out of six Physician's Reports indicated a confirmed Dementia diagnosis yet were dated by up to two years prior, which poses an immediate health, safety or personal rights risk to persons in care.

The California Code of Regulations Title 7 Section 6151(e)(3) indicates that: "Portable fire extinguishers shall be subjected to an annual maintenance check. " This requirement is not met as evidenced by:Based on observation and record review, fire extinguisher maintenance is out of date since August 2022 which poses a potential Health, Safety, or Personal Rights risk to persons in care.

The California Code or Regulations Section 87705(c)(5) on the Care of Persons with Dementia states that: "Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, (...) This requirement is not met as evidenced by: Based on review, the four resident records observed to include an outdated physician report for residents with confirmed dementia diagnoses, which poses a potential Health, Safety, or Personal Rights risk to persons in care.