Eastvale Senior Home Care Ii

Based on observation and record review, the licensee did not comply with the section cited above by not ensuring Resident #3 (R3) medication was properly labeled, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above by not ensuring a hospice care waiver increase was sent and approved by licensing department which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above by not ensuring Resident #2 (R2) and Resident #3 (R3) PRN medication was properly documented, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above by not ensuring a reapprasial was completed for Resident #1 and Resident #3, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above by not ensuring R1 and R3 have a completed needs and services plan which poses a potential health, safety or personal rights risk to persons in care.

87355(e)(1) Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall...facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department orThis requirement is not met as evidenced by: Based on observations and recordreview, the Administrator did not comply with section cited above by not obtaining a criminal record clearance for Staff #1 (S1) prior to working at the facility, whichposes an immediate health, safety, or personal rights risk to persons in care.

87411 Personnel Requirements - General (d) All personnel shall be given on the job training or have related experience in the job assigned to them... (5) Knowledge necessary in order to recognize early signs of illness and the need for professional help.This requirement is not met as evidenced by: Based on observation and interviews, the licensee did not comply with section cited above by not ensuring R1 received care from an appropriate skilled professional and having staff care for R1 instead, which poses an immediate health, saftey, and personal rights risk to residents in care,

87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs... Based on observation and interviews, the licensee did not comply with section cited above by not ensuring R1's responsible party was notified of change of condition in R1, which poses an immediate health, saftey, and personal rights risk to persons in care.

87468.2 Additional Personal Rights of Residents in Privately Operate Facilities (a) In addition to the rights listed... (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient...This requirement was not met as evidenced by: Based upon review of facility and other records, observations, and interviews with pertinent individuals, licensee failed to ensure that R1 was provided with care, supervision, and services required. As a result, R1 sustained an unstageable pressure injury while at facility. This violation posed an immediate health and saftey risk to residents in care.

87615 Prohibited Health Conditions (a) ) Persons who require health services for or have a health condition...(1) Stage 3 and 4 pressure injuries.This requirement was not met as evidenced by: Based on observations and interviews, the licensee did not comply with section cited above by not ensuring that R1 was relocated due to pressure injury and or notified licensing department, which poses an immediate health, saftey and personal rights risk to residents in care.

87467 Resident Participation in Decisionmaking (a) Prior to, or within two weeks of the resident’s admission, the licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident... Based on observation and record review, the licensee did not comply with section cited above by not ensuring R1 had a completed care plan while living at the facility, which poses an immediate health, safety and personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by not ensuring Resident #1 (R1), Resident #2 (R2), Resident #3 (R3) and Resident #4 (R4) have a Reapprasial plan, which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with section cited above by not ensuring Resident #3 and Resident #4 have a completed Apprasial/Needs and Services Plan, which poses 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 by not ensuring for daily medications for residents are documented in MAR, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having full bed rails for Resident #3 (R3) with no hospice care services or doctor order, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with section cited above by not ensuring PRN administration is documented correctly in MAR (Medication Administration Record), which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by having toilet bowl bleach cleaner located underneath Resident #1 (R1) and Resident #2 (R2) bathroom sink unlocked, which poses an immediate 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 by 1 out of the 4 dementia residents do not have their annual medical assesment which poses an immediate health, safety or personal rights risk to persons in care.