Blessed Homecare 2 Roseville

87412 Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This was not met by evidenced by: Licensee allowed staff S1 to work 1 shift without proper paperwork on file.

87465 Incidental Medical and Dental Care(h)The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This poses an immediate health and safety risk to residents in care. This was not met as evidenced by: LPA and LPM observed medications to be unlocked in kitchen drawer.

87309 Storage Space and Access(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This poses an immediate health and safety risk for residents in care. This was not met as evidenced by: LPA and LPM observed knives to be unlocked in kitchen, cleaning solutions unlocked outside and under sink in bathroom.

87465 Incidental Medical and Dental Care (4) The licensee shall assist residents with self-administered medications as needed. This poses an immediate health and safety risk to residents in care. This was not met as evidenced by: records reviewed indicated that medications for Resident R1 were not being dispensed correctly.

87465(h)(1)(C)(h)The following requirements shall apply to medications which are centrally stored: (1)Medications shall be centrally stored under the following circumstances:(C)Because of potential dangers related to the medication itself, or due to physical arrangements in the facility and the condition or the habits of other persons in the facility, the medications are determined by either a physician, the administrator, or Department to be a safety hazard to others. This poses an immediate health and safety risk to residents in care. This regulation was not met as evidenced by: LPA observed R1's prescription medications to be left in an open box on R1's side table in their room exposed to residents in care.

87458 Medical Assessment (c) The medical assessment shall include...: (1) A physical examination...indicating the licensed medical professional's diagnosis... and results of an examination... (A) Communicable tuberculosis. This poses a potential health and safety risk to the residents in care. This was not met as evidenced by: Based on records reviewed and interviews conducted, R1 did not have a Tuberculosis test completed prior to moving into facility.

87456 Evaluation of Suitability for Admission (a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall... (2)Perform a pre-admission appraisal. (4) Execute the admissions agreement. This poses a potential health and safety risk to residents in care. This was not met as evidenced by: Based on records reviewed and interviews conducted, R2 did not have an admission agreement or pre-admission appraisal completed prior to moving in.

The licensee shall notify the Department, in writing, within thirty (30) days of the hiring of a new administrator. The notification shall include the following:Name and residence and mailing addresses of the new administrator. This was not met as evidenced by: Based on interview, it was learned that there is no current administrator for this facility and the Department was not notified. This poses a possible risk to the residents in care

87405 Administrator - Qualifications and Duties. All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person... This was not met as evidenced by: Based on interview, it was learned that there is no current administrator for this facility. This poses a possible risk to the residents in care.

87211: Reporting Requirements: Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence This was not met as evidenced by: Based on interview, it was learned that facility did not report resident leaving facility unnoticed. This poses a possible risk to residents in care.

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.

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.

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.

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

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

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.

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.

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.

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

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

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

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

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

Based on record review, the licensee did not comply with the section cited above in 1 out of 3 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 3 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in six out of six resident files are missing the inventory list which poses a potential personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above because there is no proof of staff training which poses/posed a potential health, safety or personal rights risk to persons in care.LPA did observed staff worked at a previous residential care facility for the elderly prior to this facility.

Based on record review, the licensee did not comply with the section cited above in the staff records are incomplete. They are missing training logs, and criminal record statements, which poses/posed a potential health, safety or personal rights risk to persons in care.

cited in error. All staff have criminal record clearance

Based on record review, the licensee did not comply with the section cited above in there are no staff training logs which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the license did not comply with the section cited above because the personnel records lack verification which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in based on none of the residents having pre-appraisals in the file poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above because none of the residents have written pre-appraisals which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above none of the residents have individual service needs plans which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in the resident files are incompletewhich poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in residents are missing emergency contact information which poses a potential health, safety or personal rights risk to persons in care.

This was cited in error. NO deficiency

Based on record review, the licensee did not comply with the section cited above because there is no proof staff received the training and by whom which poses/posed a potential health, safety or personal rights risk to persons in care.LPA did observed staff worked at a previous residential care facility for the elderly prior to this facility.

cited in error. NO deficiency

Based on record review, the licensee did not comply with the section cited above because there are no staff training logs which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above because there is no proof of staff training which poses/posed a potential health, safety or personal rights risk to persons in care. Caregiver did describe to LPA the process of the training the licensee gave her regarding medication

Based on record review, the licensee did not comply with the section cited above because there is no proof of staff training which poses/posed a potential health, safety or personal rights risk to persons in care. Caregiver did describe to LPA the process of the training the licensee gave her regarding medication