Sacramento Guest Home

Care and supervision as defined by statute and rules

Basic Services: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by upon LPA's arrival to the facility today, LPA observed the front and back doors to be open, LPA knocked and announced his presence at the facility several times. LPA encountered a resident who directed LPA to a staff bedroom where the staff member was in the bedroom with the door closed not proving supervision to residents which poses a potential health, safety and personal rights risk to residents.

Reporting Requirements: Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by several incidents of resident exiting the facility and attempting to steal mail, break into cars and enter the homes of nearby neighbors which poses a potential health, safety and personal rights risk to residents in care.

Eviction Procedures: A written report of any eviction shall be sent to the licensing agency within five (5) days. This requirement was not met as evidenced by LPA has not received any notification of eviction for resident within 5 days of issuing the eviction to resident which poses a potential health, safety and personal rights risk to residents in care.

"(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:..(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident." This requirement was not met as evidenced by: Based on interviews, observation, and record review, an incident report was not sent in after an outbreak of bed bugs at this facility, which poses a potential health, safety, and/or personal rights risk.

"(D) Facility items that cannot be disinfected shall be discarded immediately in an appropriate waste receptacle with a tight-fitting cover or otherwise made inaccessible to human contact or transmission."This requirement was not met as evidenced by: Based on observation, hazardous waste capable of spreading disease, i.e. feces, was kept in an uncovered container in facility bathrooms, which poses an immediate health and safety risk.

Store centrally held medications in locked secure place

"(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication."This requirement was not met as evidenced by: Based on observation, medication was accessible to a resident, which poses an immediate health and safety risk.

Maintain facility in clean, safe, sanitary condition

"(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors."This requirement was not met as evidenced by: Based on observation, the facility was not clean in a resident's room and in the kitchen, and, in addition, one facility bathroom was in disrepair, which poses an immediate health and safety risk.

Ensure hazardous items are locked and not unattended

"(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients."This requirement was not met as evidenced by: Based on observation, a cleaning solution was accessible to residents, which poses an immediate health and safety risk.

"(1) The notice to quit shall include the following information:...(B) Resources available to assist in identifying alternative housing and care options which include, but are not limited to, the following:1. Referral services that will aid in finding alternative housing.2. Case management organizations which help manage individual care and service needs.(C) A statement informing residents of their right to file a complaint with the licensing agency, as specified in Section 87468, subsection (a)(4), including the name, address and telephone number of the licensing office with whom the licensee normally conducts business, and the State Long Term Care Ombudsman office.(D) The following exact statement as specified in Health and Safety Code Section 1569.683(a)(4): "In order to evict a resident who remains in the facility after the effective date of the eviction, the residential care facility for the elderly must file an unlawful detainer action in superior court and receive a written judgment signed by a judge. If the facility pursues the unlawful detainer action, you must be served with a summons and complaint. You have the right to contest the eviction in writing and through a hearing."This requirement was not met as evidenced by: Based on record review, licensee served an unlawful eviction notice, which poses a potential health, safety, and/or personal rights risk.