Silvana Senior Care

Care of Bedridden Residents(c) To accept or retain a bedridden person, other than for a temporary illness or recovery from surgery, a facility shall obtain and maintain an appropriate fire clearance as specified in Section 87202(a). This requirement was not met as evidenced by: staff and client interviews acknowledge that R1 requires full assist with ADLs including repositioning. This poses an immediate threat to the health and safety of residents in care.

1569.185(a)(1)An application fee adjusted by facility and capacity shall be charged by the department for the issuance of a license to operate a residential care facility for the elderly. After initial licensure, a fee shall be charged by the department annually on each anniversary of the effective date of the license. This requirement is not met based upon outstanding Annual fee amount with late fee assessed. LIS payment history reviewed, which poses an potential health, safety and personal rights risk to residents in care.

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. This requirement was not met as evidenced by the facility utilizing the dining room as a staff living quarters.

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, facility did not ensure that resident files were complete and did not ensure R1's documents were seperate from another individual, which poses a potential health, safety, and personal rights risk to residents in care.

Request to forego resuscitative measures; policies to honor requests; conditions; facilities without established policies:Licensed residential care facilities for the elderly that have not established policies pursuant to subdivision (a), may keep an executed request to forego resuscitative measures form in the resident's file and present it to an emergency medical technician or paramedic when authorized to do so in writing by the resident or his or her legally recognized surrogate decision maker. The request may be honored by an emergency medical technician or by any health care provider as defined in Section 4621 of the Probate Code, who, in the course of professional or volunteer duties, responds to emergencies.