Care Janella

87705 Care of Persons with Dementia (d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement...This requirement is not met evidenced by: Based on observations and interviews, LPA observed four out of five auditory devices were not working: room #4 auditory device was not working, room #2 window auditory device was not in placed, and living area and garage auditory devices were turned off. This poses a potential 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. LPA observed Staff#2 (S2), Staff#3 (S3), and Staff#4(S4) do not have any training available at the time of the inspection visit. This poses a potential 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. LPA observed that the facility did not have a record of emergency drills and administrator stated they did not have any records of emergency quarterly drills. This poses a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above. LPA Observed the faucet on the right side of the outside facility was leaking, the window screen needs to be replaced in Resident#3, and the outdoor gate door on the left side needs to be self-closing and self-latching.This poses a potential health, safety or personal rights risk to persons in care.

87305 Alterations to Existing Building or New Facilities (b) The licensing agency may require the facility to acquire a local building inspection where the agency determines that a suspected hazard to health and safety exists. This requirement was not met as evidenced by: Based on LPA's observations and interviews, the addition of the staff bedroom was not cleared by the local fire authority which poses an immediatel Health, Safety, or Personal Rights risk to persons in care.

87355 Criminal Record Clearance (e) "All individuals subject to a criminal record review...(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance..." This requirement is not met as evidenced by: Based on observations, interviews, and record review, one out of the three individuals, S1, was not associated prior to working at the facility which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

87355 Criminal Record Clearance (e) "All individuals subject to a criminal record review...(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department..." This requirement is not met as evidenced by:Based on observations, interviews, and record review, two out of three individuals, S2 & V1, were not fingerprint cleared prior to working or visitng the facility which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Personnel Requirements - General(g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall:(2) Request a transfer of a criminal record clearance as specified in Section 87355(c). This reguirement was not met as evidenced by a unassociated individual present during a visual inspection of the garage are. LPA Haley, the House manager, and Staff 2 observed the unassociated individual in the garage around 11:50AM. This poses an immmediate safety risk to residents in care.