Bella Cai Care Home

Based on observation and record review)], the licensee did not comply with the section cited above by not documenting PRN medication properly for 4 out of the 5 residents which poses an immediate 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 5 out of the 5 which poses/posed 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 by not having reappraisals for all 5 out of the 5 residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above by having lose needle without disposed properly which poses an immediate health, safety or personal rights risk to persons in care.

87216(a) Bonding 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 wasn't met as evidenced by: Based on record review the Licensee did not have a surety bond which poses an immediate health, safety or personal rights risk to persons in care.

87217(g)(1)Safeguards for Resident Cash, Personal Property, and Valuables Records of residents' cash resources maintained as a drawing account shall include a ledger accounting... for each resident, and supporting receipts filed in chronological order. Each accounting shall be kept current. This requirement wasn't met as evidenced by: Based on record review the Licensee did not have a copy of R1 ledger account which poses an immediate health, safety or personal rights risk to persons in care.

To be protected from involuntary transfers, discharges, and evictions.. state.. and relocation protections for residents. For purposes of this paragraph.. means a transfer, discharge, or eviction that is initiated by the licensee, not by the resident This requirement wasn't met as evidenced by: Based on interviews,and facility tour, the Administrator did not follow the proper relocaton the facility 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 ensuring that resident 1 (R1) and resident 3 (R3) medications were given per their physicians directions as evidenced of resident 1 (R1) four (4) medications were not given per R1 physicians order. Also, LPAs observed resident 3 (R3) one (1) medication was not given per R3 physicians order. Moreover, LPAs observed R3 one (1) medication was not refilled on time, thus not given per R3's physician order, 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 completing the required pre-admission appraisal for resident 1 (R1) and resident 3 (R3) 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 above by allowing that resident 2 (R2) and resident 3 (R3) to have half bed rails without obtaing a written order from their physician indicating the need for half bed rail for mobility 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 above by not ensuring that resident 3 (R3) has completed physician report /medical assessment on R3 file as evidence of R3's physician report does not have the required physician signature date 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 ensuring that Staff 4 (S4) complete the required tubeculosis (TB) test 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 ensuring that the facility has the emergency supply kits, emergency food and water as required 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 above by not completing the required needs and services plan for resident 1 (R1), resident 2 (R2) and resident 3 (R3) 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 above by not ensuring that staff 2 (S2) and staff 3 (S3) have the required first aid training from a agency such as Red Cross 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 ensuring that staff 4 (S4) complete the required health screening report which poses an immediate health, safety or personal rights risk to persons in care.