complaint·June 30, 2023

Citations

6 citations recorded^*CCLD

• 87355(e)(1)Type A

  Criminal Record Clearance: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department or Based on record review, LPA found that S1 did not have an approved clearance to provide care to residents. This is an immediate risk to residents in care.

• 87211(a)(1)(A)Type B

  Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(A) Death of any resident from any cause regardless of where the death occurred, including but not limited to a day program, a hospital, en route to or from a hospital, or visiting away from the facility. This requirement was not being met as evidenced by: Based on staff interview, Licensee indicated that the death report for R1 was not submitted to the Department. This is a potential health and safety risk to residents in care.

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• 87468.1(a)(16)Type B

  Personal Rights of Residents in All Facilities:(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(16) To receive or reject medical care or other services. This requirement was not being met as evidenced by: Based on LPA interview with Licensee, Licensee indicated that they contacted Hospice to intiate services for R1. This is a potential personal rights risk for residents in care.

• 87506(d)Type B

  Resident Records(d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement was not being met as evidenced by: Based on the lack of resident record for R1, Licensee could not prove that R1's records were being dispensed as required. This is a potential health and safety risk for residents in care.

• 87625(b)(3)Type B

  Managed Incontinence:(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:(3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not being met as evidenced by: Based on observation and staff interview, LPA found that R1 had incontinent challenges and those needs were not being met by Licensee. This is a potential personal rights risk to residents in care.

• 87633(h)(4)Type B

  Hospice Care of Terminally Ill Residents:(h) For each terminally ill resident receiving hospice services in the facility, the licensee shall maintain the following in the resident’s record: (4) A copy of the resident’s current hospice care plan approved by the licensee, the hospice agency, and the resident, or the resident’s Health Care Surrogate Decision Maker if the resident is incapacitated. This requirement was not being met as evidenced by: Based on document review, and LPA observation, and staff interview, R1 did not have any records related to the needs, and care that R1 had received by the Licensee. This is a potential health and safety risk to residents in care.

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