Attentive Manor Ii

Based on observation, interview, record review, the licensee did not comply with the section cited above in having staff # 1 (S1) working at the facility without a criminal record clearance from the DOJ for approximately a month which poses an immediate health, safety or personal rights risk to persons in care.

Incidental Medical and Dental Care: (c).... facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met:(3) A record of each dose is maintained in the resident's record... This requirement was not met by: Based on interviews and lack of records, the Licensee did not comply with the above regulation with one resident (R1). LPA Colvin observed there was no record of PRN medication doses administered in R1's file. This was a potential health and safety risk of R1.

Personal Rights of Residents in All Facilities: (a) Residents...shall have all of the following...:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on interviews conducted, the Licensee did not comply with the above regulation with one staff member (Licensee). Interviews revealed that Licensee has been verablly abusive to more than one resident in care. This was an immediate personal right violation to multiple residents, including R1.

Admission Agreements: (g) Admission agreements shall specify...: (5) Refund conditions. (E) Preadmission fees shall be refunded...: 2....shall be refunded...: b. A refund of at least 60 percent...shall be provided if the resident leaves the facility...during the second month of residency. This was not met by: Based on interviews and record review, the Licensee did not comply with the above regulation with one resident (R1). R1's POA was not provided with a refund of the amount of the preadmission fee as laid out in this regulation and the Admissions Agreement. This was an immediate personal rights violation.

Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports...including...: (1) A written report shall be submitted to the licensing agency within seven days of the occurrence of any of the events...(D) Any incident which threatens the welfare, safety or health of any resident... This requirement was not met by: Based on interviews and record review, the Licensee did not comply with the above regulation with one resident. LPA Colvin observe R1 did not have any incident reports despite numerous hospital stays. This was a potential safety risk for R1.

Bonding: (a) Each licensee, other than a county, who is entrusted to safeguard resident cash resources, shall file or have on file with the licensing agency a copy of a bond issued by a surety company to the State of California as principal. This requirement was not met by Based on interviews and record review, the Licensee did not comply with the above regulation with all residents. LPA Colvin observed the facility holds petty cash for all residents but does not have a Surety Bond to cover these funds. This is a potential personal rights risk to all residents.

Bonding: (d) No licensee shall either handle money of a resident or handle amounts greater than those stated in the affidavit submitted by him or for which his bond is on file without first notifying the licensing agency and filing a new or revised bond... This requirement was not met by: Based on interviews and record review, the Licensee did not comply with the above regulation with all residents. LPA Colvin observed the facility holds petty cash for all residents, but has an affidavit on file with CCL that they will not handle resident funds. This is a potential personal rights violation.

Safeguards for Resident Cash...:(g) Each licensee shall maintain adequate safeguards and accurate records of cash resources...including...: (1) Records...shall include a ledger accounting (columns for income, disbursements and balance) for each resident... This requirement was not met by: Based on interview and record review, the Licensee did not comply with the above regulation with all residents. LPA Colvin observed that the Licensee did not maintain a ledger for resident funds, only receipts. This is a potential personal rights violation for all residents.

Criminal Record Clearance: (e) All individuals ....pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified... This requirement was not met as evidenced by: Based on record review, the Licensee did not comply with the above regulation with two staff (S1 & S2). LPA Colvin observed that S1 & S2 work at the facility but have not been associated. This is an immediate safety risk to all residents in care.

Admission Agreements: (g) Admission agreements shall specify...:(3) Payment provisions, including...: (C) Any fee that is charged...after admission... 4.A licensee shall not require, request, or accept any funds...that constitutes a deposit against any possible damages by the resident. This was not met by: Based on interviews, the Licensee did not comply with the above regulation with one resident (R1). LPA Colvin learned that R1's POA was only provided $100 of the $200 funds given to the facility for R1, due to damages hte facility charged back to R1. This was a potential personal rights violation.

Care of Persons with Dementia: (l) The following initial and continuing requirements shall be met for the licensee to lock...perimeter fence gates:(2) The licensee shall ensure that the fire clearance includes approval of...locked perimeter fence gates. This requirement was not met as evidenced by: Based on record review and interview, the Licensee did not comply with the above regulation with two gates. LPA Colvin observed the front & side gates to have electronic locks. LPA Colvin confirmed with Fire Department that locked perimeter was not approved. This is an immediate safety risk.