Village Lane Residence

87224(a)(4) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice.... the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident. This requirement is not met as evidence by: Based on the investigation, refusal to allow R1 to return back to the facility following a discharge which constitutes an unlawful eviction, which poses a potential health, safety, and personal rights violation to the residents in care.

87217(e) Cash resources and valuables of residents which are handled by the licensee for safekeeping shall not be commingled with or used as the facility funds or petty cash, and shall be separate...facility’s funds and valuables. This requirement is not met as evidence by: Based on record review and interview, the licensee failed to safeguard R1’s cash resources by purchasing a new wheelchair which constitutes misuse of resident cash resources, which poses an immediate health, safety, and personal rights violation to residents in care.

87465(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical....Sections 87469(c)(2), (c)(3), or (c)(4). This requirement is not met as evidence by: Based on the investigation, staff did not provide timely medical care to R1 following a fall, which poses a potential health, safety, and personal rights violation to residents in care.

87211(a)(1)(B) Each licensee shall furnish to the licensing agency such reports as the Department may require, including…This report shall include the resident's name, age, sex and date of admission; date and nature of event… Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision. This requirement is not met as evidence by: Based on interviews and records reviewed, the facility did not report unexplained injury and bruising after R1’s fall, which poses a potential health, safety, and personal rights violation to the residents in care.

(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5).... Through interview and review of records it was learned that the home did not issue a 30-day written notice before refusing to take R1 back into the home.

The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training...training requirements shall also include an additional 20 hours annually This regulation is not met as evidenced by: through record review it was found that staff at the facility received training in December 2022 and in January 2024, but technically did not receive any training in calendar year 2023.

All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physical not more than six (6) months prior to or seven (7) days after employment or licensure.This requirement was not met as evidenced by: through review it was found that staff S1 was hired in 2021 and did not have a TB clearance until March 2024.

(4) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Resident R1 has a prescription for a nutritional supplement. Prescription specifies 1 tablet per day. However, the actual bottle of supplement does not have a dosage listed.