Cali Care Retirement Home

Based on record review, the licensee did not have personnel records for 3 out of the 4 files reviewed, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not keep medications locked up which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review the licensee did not include a care plan for the cather that the resident has which poses an immediate health, safety or personal rights risk to persons in care.

"The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5)."This requirement was not met as evidenced by: Based on record review, the licensee issued an eviction notice which did not specify what needs previously not identified R1 had developed, if and/or when a reappraisal was conducted to determine if R1's level of care was insufficient, and furthermore did not identify any other legitimate cause for eviction, which poses a potential health, safety, and/or personal rights risk.

Based on observation, interview and record review, the licensee did not comply with the section cited above. Licensee did not ensure 1 out 5 staff had a LIC 503 Health Screening and TB completed prior to working with residents, which poses/posed 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. Licensee did not ensure chemical toxic are locked and made inaccessable to residents in care, which poses/posed 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. Licensee did not ensure one caregiver on the premisis are associated to the facility prior to working at the facility, which poses an immediate health, safety or personal rights risk to persons in care. Two staff was not background clear in guardian, but has DOJ documents in file.

Based on observation, interview, record review, the licensee did not comply with the section cited above. Licensee did not ensure that 5 out of 5 resident's MAR sheets are accurent and current, which poses/posed 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. Licensee did not ensure 4 out of 5 files had medical training verfication in the staff file, which poses/posed a potential health, safety or personal rights risk to persons in care.

87464 (f) (1) Basic Services: Basic services shall at a minimum include: 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 evidence by: Based on record review and interviews, the licensee did not ensure that staff addressed R1's pressure injury and report pressure injury to R1's primary care physician and did not ensure R1 received proper pressure injury care. This posed a potential health and safety risk to R1.

87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. This requirement was not met as evidence by: Based on record review and interviews, the licensee did not ensure staff provided the appropriate assistance and care and supervision to meet R1's newly developed pressure injury needs. This posed a potential health and safety risk to R1.

Admission Agreement (a) The licensee shall complete an individual written admissions agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any. This requirement was not met as evidence by: Based on observation, interviews and record review, the facility did not ensure R1 had a completed admission agreement in their file. This posed a potential health and safety risk to R1.

87463(a)(3) Reappraisals: the pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes...reappraisals shall document changes in the resident's physical, medical, mental, and social condition...Any illness, injury, trauma, or change in the health care needs This requirement was not met as evidence by: Based on observation, interviews and record review, the facility did not conduct a reappraisal after R1 developed a pressure injury. This posed an immediate health and safety risk to R1.

87411Personnel Requirements - generally RCFE (c)(1) staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. this requirement was not met as evidence by Staff 1 did not complete First Aid training. This posed a potential health and safety risk to residents in care.