complaint·April 28, 2021

Citations

6 citations recorded^*CCLD

• 87724(a)Type B

  Eviction Procedures: The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5). This requirement was not being met as evidenced by: Licensee confirmed that R1 was given 1 week to relocate if he/she was not going to be admitted to hospice. This posed a potential health and safety risk to resident in care.

• 87203Type B

  Fire Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not being met as evidenced by: During a facility inspection on 4/28/21, LPA Mullen observed a hall closet and a pantry being used as staff bedrooms. This poses a potential health and safety risk.

• 87211(a)(1)(D)Type B

  Reporting Requirements: 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. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not being met as evidenced by: Incidents involving resident 1(R1) whereby resident was in a highly agitated state and whereby 911 was called and R1 was sent to the hospital were not reported to the Department.

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• 87456(a)(2)Type B

  Evaluation of Suitability for Admission: (a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (2) Perform a pre-admission appraisal. This requirement was not being met as evidenced by: Licensee stated a pre-admission’s appraisal was not completed for R1 prior to admission to the facility.

• 87465(a)(6)(D)Type B

  Incidental Medical and Dental Care: 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: (6) Facility staff, except those authorized by law, shall not administer injections, but staff designated by the licensee may assist persons with self-administration as needed. Assistance with self-administered medications shall be limited to the following: (D) Assistance with self-administration does not include forcing a resident to take medication, hiding or camouflaging medications in other substances without the resident's knowledge and consent, or otherwise infringing upon a resident's right to refuse to take a medication. This requirement was not being met as evidenced by: The licensee stated R1’s medication was being hidden in R1’s food as R1 did not like taking the medication.

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• 87468.1(a)(6)Type A

  Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly shall have all of the following personal rights: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. This requirement was not being met as evidenced by: During a facility inspection on 4/28/21, LPA observed the front door to have three locks on the interior of the front door. In addition, LPA observed a keyed deadbolt on the front door. This poses an immediate health and safety risk to residents in care.

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