Follow-up on corrections·October 24, 2024

Citations

8 citations recorded^*CCLD

• 87211(a)(2)Type B

  Reporting Requirements. Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency.Licensee did not report the resident who left the facility unassisted to Community Care Licensing Division as of today's visit.

• 87457(a)Type B

  Pre-Admission Appraisal - General. Prior to admission, the prospective resident and his/her responsible person, if any, shall be interviewed by the licensee or the employee responsible for facility admissions This was not met as evidenced by, a review of R2's file there was not a pre-admission appraisal completed. There was one that had White-Out on it with R2's name written on top but someone else's name on the form.

• 87463(a)Type A

  Reappraisals. The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition... This was not met as evidenced by the appraisal has not been updated to address the resident wandering and leaving the facility unoticed by staff

• 87705(j)Type A

  Care of Persons with Dementia. The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This was not met as evidenced by: LPAs observed the audio alerts were not working and Licensee stated the batteries die quickly so she put chairs to block the entrance so staff can hear the chairs move.

• 1569.312(e)Type A

  Basic services requirements. Every facility required to be licensed under this chapter shall provide at least the following basic services: Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. Licensee failed this by a resident leaving the facility through the side gate unnoticed by staff. This is an immedate health and safety risk to residents

• 87203Type A

  Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. Licensee failed to meet this because the front door was blocked by two chairs and the sliding glass door had a wood rod placed at the bottom in the track to prevent the door from being opened. This is an immediate risk to residents.

• 87307(d)(6)Type A

  Personal Accommodations and Services. The following space and safety provisions shall apply to all facilities: All outdoor and indoor passageways and stairways shall be kept free of obstruction. Licensee failed to meet this because the front door was blocked by two chairs and the sliding glass door had a wood rod placed at the bottom in the track to prevent the door from being opened. This is an immediate risk to residents.

• 87465(g)Type A

  Incidental Medical and Dental Care. 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 crisis... Licensee failed this because a resident left the facility unassisted and the Licensee did not call for emergency services for at least 30 minutes. This poses an immediate risk to residents.

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