Cottages at Palm Springs

Basic Services (1)Care and supervision defined in 87101(c)... (c) "Care and supervision" means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident' s physical health, mental health safety, or welfare would be endangered. Assistance medications, money mgmt, or personal care. This requirement is not met as evidenced by: Facility staff did not ensure bed rails were in the upright position which caused an immediate health safety and personal rights risk to persons in care.

87468.1- 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 has not been met as evidenced by: the Licensee did not seek timely medical attention for R1. This is a immediate health safety and personal risk to person's in care.

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 7 days of the occurrence of any of the events specified in (A) through (D) below... This requirement is not met as evidenced by: the licensee did not notify R1s responsible party of the incident, which posed a potential health, safety and personal rights risk to person's in care.

REPORTING REQUIREMENTS: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to...: (1) A written report shall be submitted to the licensing agency... within 7 days of the occurrence of any of the events specified in (A) through (D)... This requirement was not met, as evidenced by: Based on record review the licensee did not ensure a written report was submitted within 7 days regarding R1's elopment from the facility. This poses a potential threat to the health, safety and personal rights of the resident in care.

1569.49Civil penalties; regulations setting forth appeal procedures for deficiencies.(e) For a violation that the department determines resulted in the death of a resident, the civil penalty shall be fifteen thousand dollars ($15,000). This requirement was not being met as evidenced by: staff neglect, staff caused serious injuries to resident while in care. This poses an immediate health and safety risk to residents in care.

Section 87208 Plan of Operation (a) The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49 Based on record reviews and and interviews, the licensee did not comply with the section cited above which posed a potential health, safety or personal rights risk to persons in care.

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be... (3) Equipment and supplies necessary for personal care... (F) Basic laundry service Based on record reviews and and interviews, the licensee did not comply with the section cited above which posed a potential health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care (a)A plan for incidental medical and dental care shall be developed by each facility (2)The licensee shall provide assistance in meeting necessary medical and dental needs. This includes transportation which... Based on record reviews and and interviews, the licensee did not comply with the section cited above which posed a potential health, safety or personal rights risk to persons in care.

87625 (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 met as evidenced by: Based on LPA's record review, interviews, R1 was not accorded their right to be kept clean and dry, R1’s room was not free from odors from the Purewick machine.

Maintenance and operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not being met as evidenced by: Based on interview, and LPA observation, R1 was not accorded an environment that was not is disrepair. This is a potential personal rights risk to residents in care.

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: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not being met as evidenced by: Based on interview, and LPA observation, R1 was not accorded a safe environment by the shower seat being loose. This is a potential personal rights risk to residents in care.