Sterling Senior Community 8

Ensure hazardous items are locked and not unattended

Based on LPA observation, hedge shears and bolt cutters were unsecured outside next to the garage and Clorox wipes were left unsecured on the counter top in the bathroom which poses/posed a potential health and safety risk to persons in care.

Based on record review, S2 did not have verifiable training records to review which poses a potential health, safety or personal rights risk to persons in care.

Maintain records of centrally stored medication dosages

Based on LPA observation, R2 did not have all of their medications listed in the centrally stored medication record which poses a potential health and safety risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation(interview), the licensee did not comply with the section cited above in facility has plumbing that is exposed in hallway and facility threshold between kitchen area hallways and laundry exit needs to be shaved down to avoid tripping hazared which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain separate complete record for each resident

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met as evidenced by:Based on record review. LPA reviewed records of 4 out of 6 residents (R1-R6). Service records were incomplete (see LIC 9099-C). This poses a potential health, safety, and/or personal rights risk to persons in care.

87412 Personnel Recordsa) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:.... This requirement was not met as evidenced by: Based on record review, staff #3 had an incomplete personnel file and missing required licensing forms. (See LIC 9099-C) This violation poses a potential health and safety to residents in care.

87705 Care of Persons with Dementia(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. This requirement was not met as evidenced by:On 12/12/2023, LPA interviewed two staff (S1-S2). Interviews with S1 and S2 revealed there are two caregivers providing care and supervision to five residents during day shift from 7:00 AM through 7:00 PM. S1 and S2 stated an awake staff is placed to work overtime at night from 7:00 PM - 7:00 AM when any residents pose a restless behavior. Based on interview with S1 and S2 and LPA's records review, it was revealed that four residents (R1, R3, R5 &R6) need close supervision due to their medical conditions, however S1 and S2 stated there are no on-duty staff during night shift unless needed. This poses a potential health, safety, and/or personal rights 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 requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above. LPA identified window covering missing for room #6 and central stove burner not in working condition. The violaiton which poses/posed a potential health, safety or personal rights risk to persons in care

87465 Incidental Medical and Dental Care (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by:Based on observation, the licensee did not comply with the section cited above. LPA identified refrigerated medications for resident (R2&R5) not locked up storage accessible to other residents. The violaiton which poses/posed an immediate health, safety or personal rights risk to persons in care.