Pico De Loro

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition…residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (27) To keep, have access to, and use their own personal possessions, including … to…be allowed to spend their own money, unless limited by statute or regulation. This requirement was not met as evidenced by: Based on interview and record review the licensee used R1’s personal and incidental funds to pay to pay rent owed by R1 against R1’s wishes. This poses an immediate health safety or personal rights risk to residents in care.

Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in drill documentation was requested and unable to be provided was which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in interior structural changes have been made to include bedroom for future residents and another space for live-in caregiver accomodations, twin beds for staff inside the medication area which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA Delgado's observation and interview, the licensee did not comply with the section cited above in which common bathroom next to Room #14 had a broken shower handle and sink faucet had a broken hot water knob which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA Delgado's observation and interview, the licensee did not comply with the section cited above in shampoo bottles, body spray, body wash was sitting on top of the common bathroom sink unattended which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA Delgado's observation and interview, the licensee did not comply with the section cited above in hamburger meat was left out on sink counter, cooked food was left on counter, foods inside refrigerators was not in stored in containers which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA Delgado's observation and interview, the licensee did not comply with the section cited above in emergency food could not be differentiate from regular food supply for residents which poses/posed a potential health, safety or personal rights risk to persons in care.

87457 Pre-Admission Appraisal – General (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs...with the admission ...This requirement has not been met as evidenced by: Based on record review, the licensee did not comply with the section cited above completeing R1's preadmission appraisal prior to the resident being admitted to the facility which posed a potential health, safety or personal rights risk to persons in care.

Increase in fee rates for elderly residents...: (a)If a licensee of a residential care facility for the elderly increases the rates... the licensee shall provide no less than 60 days' prior written notice to the residents...This requirement was not bet as evidenced by: Based on interviews, Licensee failed to give R1's Power of Attorny a 60-day written notice regarding the fee increase and only gave the POA a verbal notice. This poses a potential risk to residents in care.

Based on LPA Delgado's observation and interview, LPA observed the front door to have a deadbolt lock and the dining area door had to be unlocked by key that was utilized by the Supervisor. The licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Additional Personal Rights of Residents in ...Facilities: (a) In addition to the rights listed ... residents...shall have all of the following personal rights: (20) To be protected from involuntary transfers, discharges, and evictions.... This requirement was not met ass evidenced by: Based on interviews conducted, the Licensee did not comply with the above regulation with one resident. The Licensee refused to readmit R1 after hospital discharge due to R1 being positive for COVID-19. R1 was subsequently transferred to SNF. This was an immedaite personal rights violation of R1.