Minnesota Home Care

87464 Basic Services - (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-admission Appraisal and providing the other basic services specified below, either directly or through outside resources. This requirement is not met as evidenced by: Based on interviews conducted, the Licensee did not ensure that (R1) received regular bathing, at least twice weekly, and when needed, which posed a health and safety risk to residents in care.

87625 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:(2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night.This requirement is not met as evidenced by: Based on interviews conducted, the LIcensee did not ensure that (R1) was provided with regular incontinent care during the awake hours and during the night on at least (1) occasion after (R1) had lose stool, which posed a potential health and safety risk to residents in care.

87555 General Food Service Requirements (a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner.This requirement is not met as evidenced by: Based on interviews conducted and photo documentation, the Licensee did not ensure that (R1) was provided with meals and snacks, as stated in the Admission Agreement and per resident's special diet requirement, per the physician's report, which posed a potential health and safety risk to residents in care.

87216 Bonding (d) No licensee shall either handle money of a resident or handle amounts greater than those stated in the affidavit submitted by him or for which his bond is on file without first notifying the licensing agency and filing a new or revised bond as required by the licensing agency. This requirement is not met as evidenced by: Based on an interview with the Administrator, the Licensee did not ensure that the Department was notified and a bond was filed for, before handling (R1's) personal funds, which posed a potential health and safety and/or personal rights risk to the clients in care.

87507 Admission Agreements (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee did not comply with providing 1:1 care, as charged, for the period, 9/12/24- 9/26/24, as (R1) was sent to the emergency room on 9/11/24 and did not return to the facility as (R1) passed in the hospital on 9/21/24, which posed a potential health and safety risk to residents in care.

87507 Admission Agreements.(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. This requirement is not met as evidenced by: Based on documentation review, the Licensee did not ensure the Admission Agreement was signed by (R1) and/or the responsible person, which posed a potential health and safety and/or personal rights risk to residents in care. (R1) was not conserved, did not have a legal responsible person and had a diagnosis of Dementia. Administrator stated you told (R1) the amount of rent being charged because (R1) refused to sign.

87217 Safeguards for Resident Cash, Personal Property, and Valuables. (e) Cash resources and valuables of residents which are handled by the licensee for safekeeping shall not be commingled with or used as the facility funds or petty cash, and shall be separate, intact and free from any liability the licensee incurs in the use of his own or the facility's funds and valuables. This does not prohibit the licensee from providing advances or loans to residents from facility money. This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, including bank documentation, the Licensee did not ensure that (R1's) personal funds were not comingled with the Licensee's funds,as they were deposited into an account belonging to the Licensee on 8/27/24,which posed an immediate health and safety risk to residents in care.

87465 Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (5) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on record review and observation, Licensee did not provide prescribed medications to clients, also gave medications which did not have a doctors order, which is an immediate threat to the health and safety of residents in care.

87555 General Food Service Requirements. (b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Based on observation, Licensee did not provide two-days worth of perishable foods, which is a potential risk to the health and safety of residents in care.

87468.1 Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on observation, Licensee did not wear face covering which is a potential risk to the health and safety of residents in care.

87465 Incidental Medical and Dental Care. (h) The following requirements shall apply to medications which are centrally stored: (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 is not met as evidenced by: Based on observation, Licensee did not ensure medications were locked which is an immediate threat to the health and safety of residents in care.

87465 Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (5) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on record review and observation, Licensee did not provide prescribed medications to clients which is an immediate threat to the health and safety of residents in care.

87465 Incidental Medical and Dental Care. (h)The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year. This requirement is not met as evidenced by: Based on observation, Licensee did not record medications on CSMR which is an potential threat to the health and safety of residents in care.

87405 Administrator- Qualifications and Duties. (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by: Based on observation, Licensee was caring for clients in an unlicensed area of facility while continuing to run a Residential Care Facility for the Elderly, which is an potential risk to the health and safety of residents in care.

87207 False Claims. No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement is not met as evidenced by: Based on interviews, Licensee was not truthful with CCL during inspection on 10/05/2021 which is a potential risk to the health and safety of residents in care.

1569.58 (a)(2) Engaged in conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility, or the people of the state of California. This requirement is not met as evidenced by: Based on observation, Licensee was running an unlicensed operation in the "personal residency" area, which is an immediate threat to the health and safety of residents in care.

87465 Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (5) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observation and record review the licensee did not assists residents with medications as prescribed which poses an immediate health and safety risk to residents in care.