Sea Cliff Assisted Living

Health and Safety Code 1569.2(c) provides: "Care and supervision" means the facility assumes responsibility for (...) ongoing assistance with activities of daily living. Assistance includes assistance with personal care. This requirement is not met as evidenced by: Based on observation (...) of photographs, interviews conducted and records reviewed, it was assumed that the home health services included services not included in R1's plan of care. This constitutes an immediate risk to the health, safety and personal rights of residents in care.

Per CCR87307(a)(2) on Personal accomodations: "Bedrooms shall be large enough to allow for easy passage between and comfortable usage of beds and other required items of furniture specified below, and any resident assistant devices such as wheelchairs or walkers". This requirement is not met as evidenced by: Based on observation, the partitioned half of R1's unit did not allow easy passage via wheelchair on the sides of the bed. This constitute a potential risk to the health, safety and personal rights of individuals in care.

Keep window screens clean and in repair

Based on observation, the licensee did not comply with the section cited above. LPAs observed sliding door screen in the dining room is in need of repair which poses/posed 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 two staff who are not criminally cleared and associated to the facility which poses an immediate health, safety or personal rights risk to persons in care. CIVIL PENALTY ASSESSED.

Based on record review, the licensee did not comply with the section cited above. LPAs were provided falsified health screen documents and staff confirmed the documents had been falsified which poses an immediate 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 three out of six staff who do not have required training. Staff #2,3 and 6 do not have required training: 8 hours Dementia and 4 hours of postural supports, hospice and restricted conditions which poses a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above. LPAs observed discoloration on walls and doors as well as a sink backing up which poses/posed a potential health, safety or personal rights risk to persons in care.

Certified administrator requirements and substitute coverage

Based on observation, the licensee did not comply with the section cited above. Facility does not have a designated back up administrator during today's visit and staff from the skilled nursing are assisting LPAs which poses a potential health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

Based on record review, the licensee did not comply with the section cited above in three out of three residents without physician orders for bed rails 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 five out of six without a health screen/ TB which poses a potential health, safety or personal rights risk to persons in care.

Limit operations to licensed capacity

Based on record review, the licensee did not comply with the section cited above. R1 is non-ambulatory per physician report and is residing on the second floor. Facility license indicates non-ambulatory residents must be on the first floor. This poses an immediate health and safety risk to persons in care.

Maintain facility in clean, safe, sanitary condition

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This req is not met as evidenced by: Based on observation, Licensee failed to ensure facility is in good repair. LPA observed two windows in need of repair. This poses a potential health and safety risk to residents in care.

Obtain required California clearance or exemption

All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:Obtain a California clearance or a criminal record exemption as required by the Department..This req is not met Based on record review and interview, Licensee failed to ensure S1 has a criminal background check. This poses an immediate health and safety risk to residents in care. CIVIL PENALTY ASSESSED

Care and supervision as defined by statute and rules

Basic services shall at a minimum include:Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c). This req is not met as evidenced by: Based on interviews conducted, Licensee failed to ensure incontinence care is being provided to residents. This poses an immediate health and safety risk to residents in care.

Obtain required California clearance or exemption

Based on observation and record review, the licensee did not comply with the section cited above. LPA identified staff #1-#5 (S1-S5) not have criminal record clearance transfer. Staff did not have an LIC 9162 on file nor transferred on CDSS Guardian. This violation which poses an immediate health, safety, or personal rights risk to persons in care.

Keep bathing and hygiene facilities in operating condition

Based on observation, the licensee did not comply with the section cited above. LPA identified bathroom cabinet sink with a missing/brokern door in resident's room #164. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section. LPA identified resident #7 & #8 were administered diabetic insulins injections by a non- appropriately skilled professional staff daily. This violation which poses an immediate health, safety, or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above. LPA observed (1) cleaning solution "clorox bleach and (2) sharp scissors in resident rooms accessible to residents in care. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above. Staff #2 -#5 did not have First Aid/CPR certificate on file. This violation which poses a potential health, safety, or personal rights risk to persons in care