Complaint·April 7, 2023

Citations

3 citations recorded^*CCLD

• 87411(a)Type A

  Facility personnel sufficiency and competence

  87411(a) Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement is not met by: Based on interviews and record review, the Licensee did not ensure adequate supervision of residents in care. Resident R1 AWOL'd from the facility on 2/17/2023. This poses an immediate health and safety risk to the resident in care.

• 87211(a)(1)Type A

  Report specified resident events within seven days

  Reporting RequirementsEach licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below...any; and disposition of the case.This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not submit a written incident report to Licensing as required. Administrator confirmed with LPA that an incident report was not submitted. This poses an immediate health, safety, or personal rights risk to residents in care.

• 87405(d)(2)Type A

  Conformance with applicable laws and regulations

  Administrator Qualifications: If the licensee is also the administrator, all requirements for an administrator shall apply including…knowledge and ability to conform to applicable laws and regulations.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not follow reporting requirement as required in Title 22 regulation, which poses an immediate health and safety risk to residents in care.