Buena Vista Assisted Living

80061 Reporting Requirements(b) ...during the operation of the facility... a report shall be made to the licensing agency...(1) Events reported shall include the following(E) Any unusual incident or client absence which threatens the physical or emotional health or safety of any client. Requirement was not being met as evidenced by: Licensee did not report SIRs to the Department for the power outage that occured on 1-8-25 at 12:30 PM

87465 Incidental Medical and Dental Care Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s established record procedures or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record, to be retained for at least three years, which lists the following:

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) ... Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: the licensee failed to ensure that residents were checked and chanaged as required.

87506 Resident Records (a)The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: the licensee failed to ensure that 1 out of 1 resident records were maintained with the necessary information for LPA to review. This poses a potential health, safety and personal rights risk to persons in care.

87355 Criminal Record Clearance (b) Prior to the Department issuing a license, the applicant, administrator and any adults other than a client, residing in the facility shall have a criminal record clearance or exemption. Based on observation, interview and record review This is a requirement is not met as evidenced by: 1 out of 1 times the licensee failed to have staff obtain proper fingerprint clearance before at the facility. This poses an immediate health, safety and personal rights risk to persons in care.

87465 Incidental Medical and Dental Care:(c) If the resident's physician has stated in writing ...(2) Once ordered by the physician the medication is given according to the physician's directions. Based on observation and interviews this requirement was not met as evidence by: interviews with staff revealed that resident # 1 (R1) was not given their medications as prescribed, as the keys were taken home. This poses a potential health, safety and personal rights risk to the resident 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 met by: Based on record review, the Licensee did not comply with the above regulation with at least one resident. LPA Colvin observed in staff notes that on both 7/11/22 and 7/20/22 ants were observed to be infesting R2's bedroom. This was a potential personal rights violation of R2.

Basic Services: (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on interviews conducted, the Licensee did not comply with the above regulation with at least on resident. LPA Colvin confirmed that R1 did not obtain a negative COVID-19 test prior to R1's admission on 6/21/22. This was an immediate health risk to all residents, as there was a subsequent COVID-19 outbreak.

Based on record review, the licensee did not comply with the section cited above in one year of Licensing Fees (2022) which poses a potential safety risk to persons in care. LPA Colvin observed that the Licensee has not yet paid the annual fees for 2022, which are now past due in the amount of $1,238.00.

Based on interview and record review, the licensee did not comply with the section cited above in at least one outbreak of COVID-19, which posed an immediate health and safety risk to persons in care. LPA Colvin learned that while the Administrator left a message for Community Care Licensing on a voicemail regarding the COVID-19 positive cases, no additional follow-up to ensure the report went through was made, including a written incident report.