Smith Road Assisted Living

87705Care of Persons with Dementia (e) Licensees that use delayed egress devices on exterior doors and perimeter fence gates shall meet the following…:(5)Facility staff shall ensure the continued safety of residents if they wander away from the facility … in Privately Operated Facilities. This requirement was not being met as evidenced by: Based on interviews and records reviewed, facility staff failed to redirect Elopement risk or to monitor for continued safety. This poses an immediate, safety and personal rights risks to persons in care.

a)The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing…and is able to administer his/her own medication including…injection, or has it administered by an appropriately skilled professional.This requirement was not met as evidenced by: Based on LPA Perez's observation, interview and record review, the licensee did not comply with the section cited above in R1'S medical file observed a restricted health care plan for diabetes and no approved exception was observed for the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

87211 Reporting Requirements(b)Any suspected physical abuse that results in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within two (2) hours as required by Welfare and Institutions Code Section 15630(b)(1).This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above, assuring the incident was reported to the local ombudsman within 2 hours of the incident, which poses a potential health and safety risk to residents in care.

Personal Rights: Each client shall have personal rights which include, but are not limited to, the following:1. To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not being met as evidenced by: This requirement was not met as evidenced by:Administrator refused C1 entrance into the facility. This poses an immediate health safety or personal rights risk to clients in care.

(d) The licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons. This requirement was not met as evidenced by: Based on record review of R1's eviction, the licensee did not provide R1 with specific facts related to the reasons for eviction notice. R1's eviction lacked informative dates, places, witnesses, and/or circumstances related to alleged violations of the house rules. Licensee was interviewed and reported the supporting information was not provided to R1 in the eviction notice. This poses a potential health, safety, and personal rights risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in one out of one staff members (S2) who does not have the complete initial hours of training. S2 only has 2 hours of medication training from 05/30/2023. According to Administrator, S2 started employment on 05/30/2023. This poses 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 residents (R1 and R7) whose medications were being stored in weekly medication containers. This poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in five out of five residents (R1 - R5) who did not have a written record of care on file. This poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in one out of one residents (R6) who did not have a hospice care plan on file. This poses a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in two out of two residents (R1 and R5) who have a restricted health condition and have no documentation on file indicating the residents can manage their own health conditions. This poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in two out of two staff members (S2 and S4) who did not have the 20 hours of annual training This poses a potential health, safety and personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in three out of three staff members (S1 - S3) who did not have current First Aid training on file. This poses a potential health, safety and personal rights risk to persons in care.