Bayshire Yorba Linda

87411 (c)(3)(D)All RCFE staff who assist residents... shall receive initial and annual training. The training shall include... the following: (D)Policies and procedures regarding medications, including the knowledge in Section 87411(d)(4)...This requirement is not met evidenced by Based on observation, the licensee did not comply with the section cited above. LPA observed S1 administered a medication to R1 according to Controlled Drug Administration Record of R1. This poses an potential health or safety risk to persons in care.

87465(a)(4) A plan for incidental medical ... shall be developed by each facility. The plan shall encourage routine medical ... for assistance ... by compliance with... The licensee shall assist residents with self administered medications as needed.This requirement is not met evidenced by: R1 missed prescribed insulin medication from 2/4/2025 to 2/10/2025, due to staff mismanagement of R1’s medications, which resulted in hospitalization. R1 was subsequently diagnosed with diabetic ketoacidosis, severe anemia, and seizures. This poses an immediate health and safety risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above. LPAs observed an Envio Care Natural Disinfectant spray bottle and Betco Smoke & Odor Spray Bottle that were not locked away and were accessible for residents in the staircase across from room 126, This poses a potential health, safety or personal rights risk to persons in care.

87411 Personnel Requirements- General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69This requirement is not met as evidenced by: Based on observations, record review, and interviews, seven out of seven staff did not complete their initial training and their annual 2025 training. This poses a potential health, safety, and/or personal rights risk to residents in care.

87303(e)(2) Faucets used by residents... shall be maintained to automatically regulate the hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above. LPA observed that rooms 103, 112, and 135 water temperature measured above 120 degrees F. This poses an immediate health or safety risk to persons in care.

Based on observations, record review, and interview, one out of eight staff, S1 did not have valid TB test in their records, which poses a potential health, safety, and/or personal rights risk to residents in care.

Based on observations, record review, and interview, four (4) out of nine (9) residents, R1, R2, R3, and R4 medications were not given according to physician’s directions which poses a potential health, safety, and/or personal rights risk to residents in care.

87355 (e)(1) Criminal Record Clearance(e) 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:(1) Obtain a California clearance or a criminal record exemption as required by the Department… This requirement is not met as evidenced by document review. Staff 1 (S1) and Staff 2 (S2) have not been properly cleared and associated to the facility prior to working in the facility as required. This poses an immediate health and safety risk to residents in care.

87468.1 (a)(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 is not being met as evidenced by staff interviews and document review that confirmed, Staff 1 (S1) restrained Resident 1 (R1) by grabbing the resident by the arms and confined the resident to their wheelchair. This poses an immediate health and safety risk to residents in care.