Silvana Senior Care 4

87468.2(a)(4)87468.2 Additional Personal Rights of Residents . . . (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents . .(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement was not met as evidenced by: R1 being documented as a fall risk and not providing adequate supervision which poses an immediate health, safety, and personal rights risk to resident in care.

87465 Incidental Medical and Dental Care (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 . . . This requirement was not met as evidenced by R1 having an unwitnessed fall and staff not calling 911 for transport and evaluation which poses an immediate health, safety, and personal rights risk to resident in care.

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports. . .(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days . . .(D) Any incident which threatens the welfare, safety or health of any resident, . . .This requirement was not met as evidenced by R1 sustaining a fall and being sent to the hospital and the facility did not submit the required LIC624. This poses an indirect 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.

Based on record review, the licensee did not comply with the section cited above in 1 out of 2 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Reappraisals (a) 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 was not met based on records review and interviews. This posed a potential risk to resident.

Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: During inspection conducted by CCLD on 3/17/2022, LPAs observed staff not wearing face masks while inside the facility, which poses a potential health, safety, and personal rights risk to the residents in care.