Westminster Terrace

The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not being met as evidenced by, Photographic evidence shows R1's floor in their room was not clean. This poses a potential health, safety and personal rights risk to residents in care.

(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidence by Based on LPA's review of records Resident 1 (R1) is unable to leave the facility unassisted and eloped from the facility. This poses an immediate health and safety risk to residents in care.

87465 Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall ... (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on LPA’s interviews, record review, and observations, the facility failed to ensure that Resident 1 (R1) received proper assistance with self-administered medications, as R1 was administered medication intended for another resident, resulting in a medication error. This poses an immediate health and safety risk to residents in care.

(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidence by Based on LPA's review of records Resident 1 (R1) is unable to leave the facility unassisted and eloped from the facility in which the resident was found far away from facility and was hospitalized. This poses an immediate health and safety risk to residents in care.

Reporting requirements ... Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours ... the local health officer when appropriate. This requirement is not met as evidenced by:Based on a report received by CCLD from Orange Public Health Care Agency in regards to infection control of an outbreak. This could pose as a potential health and safety risk to residents in care.

87303 Maintenance and Operation (e)(2) Faucets used by residents for personal care...shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F and not more than 120 degree F. This requirement was not met as evidence by: Based on observations and interviews conducted the hot water tested between 91.2 to 102.3 degrees Fahrenheit. This poses a potential health, safety or personal rights risk to persons in care.

"A theft and loss program shall be implemented [which] shall include (...):(c) Documentation of lost and stolen resident property with a value of twenty-five dollars ($25) or more (...) and, upon request, the documented theft and loss record for the past 12 months shall be made available (...) (...) to the State Department of Social Services(...) in response to a specific complaint." This requirement was not met as evidenced by the absence of a facility log being maintained, which constitutes a potential risk to the healh, safety and personal rights of residents in care.

Per CCR 87307(a)(3)(C) "the licensee shall assure provision of: Clean linen(...). The quantity shall be sufficient to permit changing at least once per week or more often when indicated to ensure that clean linen is in use by residents at all times. " This requirement is not met as evidenced by: Based on interviews conducted and a tour of the facility's physical plant, it was observed that multiple living units had either soiled linen or absent linen altogether. This constitutes a potential risk to the health, safety and personal rights of residents in care.