California Manor Guest Home #1

Based on observation and record review, the licensee did not comply with the section cited above in one out of one schedule which poses/posed a potential health, safety or personal rights risk to persons in care.

Record dose details and resident medication response

Based on observation and record review, the licensee did not comply with the section cited above in seven out of seven persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Obtain and evaluate recent medical assessment

Based on observation and record review, the licensee did not comply with the section cited above in four out of seven persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in two out of two counts which poses/posed a potential health, safety or personal rights risk to persons in care.

Supervision near heating and water hazards

Based on observation and record review, the licensee did not comply with the section cited above in four out of seven persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above in two counts which poses an immediate health, safety or personal rights risk to persons in care. Two knives were found to be stored in an unsecured, unlocked cabinet in the kitchen and cleaning chemicals were found under the bathroom sink.

Maintain required personnel records for staff

Based on observation and record review, the licensee did not comply with the section cited above in one out of one person which poses/posed a potential health, safety or personal rights risk to persons in care.

Retain original and modified agreements in resident file

Based on record review, the licensee did not comply with the section cited above in 2 of 5 resident files, which poses a potentia personal rights risk to persons in care. LPA Colvin observed that there is no Admissions Agreement on file for R1. Additioinally, R3's Admissions Agreement is for a different licensed facility at an entirely different location (owned by same Licensee).

Right to sufficient care and qualified staff

Based on observation, the licensee did not comply with the section cited above in 1 of 2 buildings, which poses an immediate safety risk to persons in care. LPA Colvin observed that from at least 2:15pm - 2:48pm, there was no staff present in the 8548 building.

Provide resident hot water for personal care

Based on observation, the licensee did not comply with the section cited above in2 out of 2 faucets tested, which poses an immediate safety risk to persons in care. LPA Colvin tested one bathroom faucet in each building. The faucet in building 8536 tested at 121.8 degrees and the faucet in building 8548 measured at 120.2 degrees

Based on observation, the licensee did not comply with the section cited above in 2 of 2 staff, which poses an immediate safety risk to persons in care. LPA Colvin observed that both staff present during today's inspection did not have a current CPR certification in their files.

Living accommodations aligned with facility function

Based on observation, the licensee did not comply with the section cited above in 1 area of the facility, which poses a potential personal rights risk to persons in care. LPA Colvin observed multiple areas in the backyard of the facility which was littered with discarded and unused furniture.

Maintain required personnel records for staff

Based on record review, the licensee did not comply with the section cited above in 1 of 3 staff files which poses/posed a potential safety risk to persons in care. LPA Colvin observed that there was no file for the Administrator at the facility.

Document required staff training and orientation

Based on record review, the licensee did not comply with the section cited above in 2 of 2 staff files, which poses a potential health, safety or personal rights risk to persons in care. LPA Colvin observed that neither staff file available for review contained training for staff.

Obtain baseline medical assessment before resident admission

Based on record review, the licensee did not comply with the section cited above in 2 of 5 resident files, which poses a potential health risk to persons in care. LPA Colvin observed that R2 & R4 both have Physician's Reports for other facilties and are over 1 year old from date of Admission.

Modified diets for medical necessity

87555 General Food Service Requirements(b) The following food service requirements shall apply:(7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This regulation was not met evidenced by: R1 being given food that was not inaccordance to doctor ordered diet.

Based on observation and records review, the Licensee did not ensure medications were centrally stored for R1. The LPAs observed medications in the bedroom of R1. R1's medical assessment revealed they are not able to administer their own medications.