First Choice Senior Living

87405 Administrator - Qualifications and Duties (h) The administrator shall have the responsibility to: (4) Recruit, employ and train qualified staff…This requirment was not met as evidenced by: Based on administrator interview and personnel records review, it was found that staff have not receive the required training. It was found that administrator was unaware of the requirments for staff training. This is a potential personal right, health or saftey risk to the residents in care.

(h) The following requirements shall apply to medications which are centrally stored:(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees...This requirment was not met as evidenced by: Based on observation and staff interview, it was found that resident and staff medications are kept unlocked in the facility fridge. The facility has a designated fridge for medications that was found to be unlocked. This is an immediate health, saftey or personal rights risk.

(b) The following food service requirements shall apply: (9)Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirment was not met as evidenced by: Based on observation LPA found (1) jar of pasta sauce that had green fuzzy spot inside the jar. The jar jad last been given to the residents The staff threw the jar away immediately. This poses an immediate personal rights, health or saftey risk to residents in car.

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (C) No bedroom of a resident shall be used as a passageway to another room, bath or toilet. This requirement is not met as evidenced by: the master closet being made into a room for staff, and the pantry being a passage way leading to bedroom # 3. This poses an immediate health and safety risks to persons in care.

Incidential Medical and Dental Care: (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes...This requirement was not met evidence by: During a review of residents file no record of centrally stored resident prescriptions were observed for resident #1, 2, 3,4,&5.This poses an immediate health and safety risk to residents in care.

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 1/27/2022, LPA's observed a hall closet and the kitchen pantry being used as staff bedrooms. This poses a potential health and safety risk.

(a) 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 requirement was not being met as evidenced by: During visit to facility on 1/27/2022, LPA's observed the front door to have a keyed deadbolt prevently individuals from exiting the facility.This poses an immediate health and safety risk to residents in care.

(h) The following requirements shall apply to medications which are centrally stored:(5)Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.This requirement is not met evidence by: LPA observed Resident #6's medications to be stored in a daily pill container rather than the prescription bottle. This poses an immediate health and safety risk to residents in care.

87506(a) Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information.This requirement was not met evidence by: Based on a review of resident records, Resident #1 through #5 were incomplete and missing required documents. This poses an immediate health and safety risk to residents in care.

(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 requirement was not being met as evidenced by: During a facility inspection on 1/3/2022, LPA observed the front door to have three locks on the interior of the front door. In addition, LPA observed a keyed deadbolt on resident bedroom #1 and #2. This poses an immediate health and safety risk to residents in care.

(a) In addition, Personal Rights of Residents in All Facilities...this requirement is not met as evidenced by licensee did not ensure sufficent PPE, COVID-19 screening protocols and practices for all staff, residents and visitors the personal rights of persons in care to safe and healthful to the health, welfare, and safety of persons in care, as required by the CA Dept. of Public Health Guidance.

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 1/3/2022, LPA observed a hall closet and a pantry being used as staff bedrooms. This poses a potential health and safety risk.

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.

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.

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.

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.

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.

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.