Sonrisa Senior Living

Based on record review, the licensee did not comply with the section cited above in 4 of 4 staff files (S1-4), 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 of two med tech records reviiewed (S3-4) which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain cleanliness and prevent incontinence odors

Managed Incontinence(b) (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not based on statements. This posed a potential risk to the resident.

Maintenance and Operation (i) Facilities shall have signal systems which shall meet the following criteria: (1)(A) Operate from each resident's living unit. This requirement was not met based on records and statements.This posed a potential risk to a resident.

Regular observation and documentation of resident changes

Observation of resident- The licensee shall ensure that residents are regularly observed for changes... When changes such as ... physical health condition ... and brought to the attention of the resident's physician and the resident's responsible person...This requirement was not met based on statements that found responsible party was not notified timely of an infectious illness. This posed a potential risk to others.

Right to sufficient care and qualified staff

Additional Personal Rights of Residents in Privately Operated Facilities (a) ... residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, ...to meet their needs.This requirement was not met based on records and interviews which found that that for a period of time, there were insufficient staff to meet residents needs. This posed a potential risk to residents.

Infection Control Requirements (a) A licensee shall ensure that infection control practices are maintained... This requirement was not met based on interviews and records review witch founfd that the infection crol for this outbreak was not consistently and effectively implemented. Thisposed a risk to residents.

Assist residents with self-administered medication

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self- administered medications as needed. This requirement was not met based on statements and records that showed that the plan for medication administration compliance was not followed resulting in an immediate risk to R1

Oxygen Administration -(b) In addition to Section 87611(b), the licensee shall be responsible for the following: (1) Monitoring of the resident's ongoing ability to operate the equipment in accordance with the physician's orders. This requirement was not met based on records and interviews resulting n potential risk to the resident.

Assist residents with self-administered medication

Incidental Medical and Dental Care (a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met based on statements and records which found an incident of a resident being handed another's medication and an incident of a missed meication.This posed an immediate risk to residents.

Keep prescriptions in original containers

Incidental Medical and Dental Care (h)(5) Each resident's medication shall be stored in its originally received container. This requirement was not met based on statements that found medication was accepted into central storage and that those medications were no longer in their original container. This posed a potential risk to resident.