Affinity Senior Living 1

Based on interview, the licensee did not comply with the section cited above with not having the required amount of drills per year which poses a potential health, safety or personal rights risk to persons in care.

Based oninterview and record review, the licensee did not comply with the section cited above with (2) staff files that did not have the documented annual 20 hours of training which posed a potential health, safety or personal rights risk to persons in care.

Personal Accommodations and Services: (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (D) Not more than two residents shall sleep in a bedroom. This requirement was not being met as evidenced by: Based on observation, and interview, LPA found three residents residing in the same room. This presents a potential health and safety and personal rights risk to residents in care.

Personal Accommodations and Services:(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of:(B) Bedroom furniture, which shall include, for each resident, a chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers. This was not being met as evidenced by: Based on LPA observation, and interview with staff, R1 has clothes in plastic bags on their floor. LPA did not observe a chest that was capable of storing all of R1's belongings.

Additional Personal Rights of Residents in Privately Operated Facilities: (a) In addition to the rights listed in Section 87468.1, 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 was not being met as evidenced by: Based on staff interviews, LPA found that R2 was secured to a rocking chair at night to prevent them from walking throughout the facility. This presents an immediate personal rights risk to residents in care.

Care of Persons with Dementia(4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal.(A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. This requirement was not being met as evidenced by: Based on interviews with staff, LPA found that staff sleep during the night shift. Administrator is aware of this, and found that as long as nothing is going on, it was permitted. This is an immediate health and safety risk to residents in care.