Llc Eliaa

Give PRN medication by physician order

Based on observation, interview and record review, the licensee did not comply with the section cited above by dispensing Resident #1 (R1), Resident #2 (R2) and Resident #3 (R3) medication and not updating R1, R2 and R3Medication Administration Record (MAR) per physician's order which poses an immediate health, safety or personal rights risk to persons in care.

Keep prescriptions in original containers

Based on observation, interview and record review, the licensee did not comply with the section cited above by pre-pouring Resident #1 (R1) medication for the week which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having Staff #5 (S5) complete the required cardiopulmonary resuscitation (CPR) training and first aid training as S5 is on duty and on premises at all times at the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited aboveby not providing the required 10 hours of training to Staff #5 (S5) which poses a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observation, interview and record review, the licensee did not comply with the section cited above by not regulating the hot water temperature of not less than 105 degrees F and not more than 120 degrees F in the residents shared bathroom as it measured 169.4 degrees Fahrenheit which poses a potential health, safety or personal rights risk to persons in care.

Night lighting in hallways and passages

Based on observation, interview and record review, the licensee did not comply with the section cited above by not maintaining night lights in hallways and passages to nonprivate bathrooms which poses a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, interview, and record review, the licensee did not comply with the section cited above by not locking the knives drawer in the kitchen, cleaning solutions and bleach in the laundry area and cleaning solutions, bug killers under the bathroom sink that are accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Submit and maintain current mailing address

Based on observation, interview and record review, the licensee did not comply with the section cited above by allowing two (2) individuals to live at teh adjacent two-storey building located at teh back of the facility compound without criminal background clearance since 01/05/2024 which poses an immediate health, safety or personal rights risk to persons in care.***This is an amended copy as civil penalty will need to be modified with the amount of $500.00/individual***

Include required health screening documents

Based on observation, interview and record review], the licensee did not comply with the section cited above by not having Staff #5 (S5) complete a Health Screening Report with a Physician which poses a potential health, safety or personal rights risk to persons in care.

Include hazardous health condition records

Based on observation, interview,record review, the licensee did not comply with the section cited above by not having Staff #5 complete a Tuberculosis (TB) Test and no TB Test result availabe at the facility for S5 which poses a potential health, safety or personal rights risk to persons in care.

Maintain personnel records at facility location

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having Staff #5 (S5), Staff #6 (S6) and Staff #7 (S7) staff file maintained at the facility which poses a potential health, safety or personal rights risk to persons in care.

Perform a pre-admission resident appraisal

Based on observation, interview and record review, the licensee did not comply with the section cited above by not completing the required Pre-Admission Appraisal for Resident #2 (R2) which poses a potential health, safety or personal rights risk to persons in care.

Obtain and evaluate recent medical assessment

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having an updated Physician Report (LIC602) for Resident #3 (R3) as R3's Physician Report physician signature date atthe facility's 01/07/2006 which poses a potential health, safety or personal rights risk to persons in care.

80020. Fire Clearance. (a) All facilities shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by: Based on interview, observation, and record review, the licensee did not comply with the section cited above by having seven (7) residents at the facility which is beyond the conditions and limitations specified in their license which poses an immediate health, safety, or personal rights risk to persons in care.

Submit and maintain current mailing address

87355 Criminal Record Clearance (e) All Individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working…(1) Obtain a California clearance… This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by continuedly allowing Staff #6 to stay and live at the adjacent two- storey building located at the back of the facility compound without criminal background clearance since 02/09/2023 which pose immediate health, safety and personal rights risk to residents ion care.

Submit and maintain current mailing address

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working...(1) Obtain a California clearance...This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by allowing S6 to work at the facility without criminal background clearance which pose immediate health, safety and personal rights risk to residents in care.