Avery Garden Assisted Living Inc.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not completing the required yearly reappraisal for Resident #2 (R2) at the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above by not having Staff #2 (S2), Staff #4 (S4), Staff #7 (S7) and Staff #8 (S8) complete the required additional eight (8) hours of dementia training as required by subdivision (a) of Section 1569.626 which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not conducting the required earthquake drill on all shifts at the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not transferring Staff #3 (S3) criminal record clearance to the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having Staff #2 (S2), Staff #3 (S3), Staff #4 (S4) and Staff #8 (S8) complete their First Aid Certification and maintain it in their file which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having a completed Health Screening Report for Staff #7 (S7) as S7 does not have TB Test Result/Information on S7 file which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having a record/documentation or written order from R2's physician indicating the need for half bed rail for R2's mobility. which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having Staff #8 (S8) and Staff #7 (S7) complete the required six (6) hours of dementia training as required by subdivision (a) of Section 1569.696 before working independently with residents which poses a potential health, safety or personal rights risk to persons in care.

Bed rails that extend the entire length of the bed are prohibited except for residents .... hospice care and have a hospice care plan that specifies the need for full bed rails.The facility has not met this requirement as evidenced by LPA observed that R1 has full bed rails on their bed. R1 is not on receiving hospice services. This poses a risk to the health and safety of residents in care.