Family Choice Senior Living

Report specified resident events within seven days

Reporting Requirements 87211(a)(1)A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence...This requirement was not met as evidence by: Based on records reviewed and interview, LPA observed incident reports that were not submitted to the Regional Office regarding R1s fall.This poses a potential health, safety or personal rights risk to residents in care.

Facility personnel sufficiency and competence

Personnel Requirements 87411(a) (a) Facility personnel shall at all times be sufficient in numbers... In facilities licensed for sixteen or more, sufficient support staff shall be employed... Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering... This requirement was not met as evidence by:Based on record review and interviews, the facility personnel has not been at sufficient numbers due to not having support staff. Which poses a potential health and safety risk to residents in care.

General Food Service Requirements 87555(b)(16) In facilities licensed for sixteen (16) to forty-nine (49) residents, one person shall be designated who has primary responsibility for food planning, preparation and service. This person shall be provided with appropriate training. This requirement was not met as evidence by: Based on interview, observation and records review the facility did not have a designated cook with appropriate training and was pulling caregivers for cooking duties. This poses a potential health, safety or personal rights risk to residents in care.

87468.1(11) Personal Rights of Residents in All Facilities (11) To have their visitors... permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement was not met as evidence by: Upon interviews with R1 it was revealed that they wanted W1 to come visit them at the facility, but W1 was asked to leave by the AD upon arrival. This poses an immediate personal rights violation to residents in care.

Dignity in personal relationships

87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met as evidenced by: Facility staff witnessing Staff 5 ignoring questions from Resident 7, Staff members have witnessed S5 respond to R7 when other staff felt there should have been no response to the resident from S5. Staff 1 and Staff 5 have both been accused of yelling at R7.

Give PRN medication by physician order

Incidental Medical and Dental Care - 87465(c)(2) Once ordered by the physician the medication is given according to the physician's directions.The Licensee did not comply with the section cited above due to the presence of a missed medication dose in one resident's medication. LPAs observed the dose was signed off on the Medication Administration Record, indicating it was administered.

Maintain facility in clean, safe, sanitary condition

Maintenance and Operation: 87303(a) The facility shall be clean, safe, sanitary and in good repair at all times.The Licensee did not comply with the section cited above due to the presence of an accessible collapsed fence on the side of the house. This poses a potential safety risk to persons in care.

Facility personnel sufficiency and competence

87411 Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on record review, LPA determined R1 was found outside of the facility while seizing. R1 was transported to a hospital via EMS.

Based on record review, the licensee did not comply with the section cited above. The Licensee did not report Resident 1's elopement or hospitalization due to elopement. This poses a potential health, safety or personal rights risk to persons in care.

Knowledge of care and supervision requirements

The administrator shall have the qualifications specified in Sections 87405(d)... Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement is not being met as evidenced by: Based on interviews conducted, Licensee failed to ensure facility has a qualified administrator. Administrator allowed R1 to remain at hospital for 18 days without following up with licensing or hospital affecting R1's finances and/ or ALW. This poses an immediate health and safety risk.

Update reappraisal at required intervals

The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate... This requirement is not being met as evidenced by: Based on interviews conducted, Licensee failed to ensure R1 was re-assessed for suitability to return to the facility. R1 was re-assessed 18 days after potential discharge. This poses an immediate health and safety risk to residents in care.