Abounding Peace Elderly Care

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, the licensee did not comply with the regulation cited above. During inspection of the kitchen, LPA found a packet of Tylenol inside the first aid kit that was located in a kitchen drawer. These were not locked and were accessible to residents. This poses an immediate safety, health, personal rights risks to persons in care.

the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by:Based on observation, the licensee did not comply with the regulation cited above. During inspection of the kitchen, LPA found a knife on a drying rack on top of the kitchen counter and a meat thermometer in a drawer. These were accessible to residents in care. This poses an immediate safety, health, personal rights risks to persons in care.

The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the regulation cited above. The only staff on duty (S1) did not have their files in the facility and were not available for review during this visit. This poses potential health, safety and personal rights risks to persons in care.

Based on observation, the licensee did not comply with the section cited above in 1 out of 1 2- day food perishables which posed a potential health, safety or personal rights risk to persons in care. Licensee did not ensure that 2-day perishable vegetables were discarded once the perishable was expired. LPA observed the vegetables to be contaminated in the vegetable bin in the refridgerator.

87465 Incidental Medical and Dental Care (a)A plan for incidental medical and dental care shall be developed by each facility...(8)If a facility has no medical unit on the ground a complete first aid kit shall be maintained and be readily available in a specific location in the facility. This requirement was not met as evidenced by: the licensee did not ensure that the first aid kit was complete, including but not limited to a first aid guide.

87506(a)Resident Records.(a) The licensee shall ensure that a seperate, complete, and current record is maintained for each resident in the facility or in a central location readily available.... This requirement was not met as evidenced by: The Licensee did not ensure that resident records were properly maintained, organized, and resident files were kept seperate.

87219(a)Planned activities. Residents shall be encouraged to maintain and develop their quality of life through participation in a variety of planned activities. The activities made available shall include:(1) Socialization to promote or enhance personal relationships.This requirement was not met as evidenced by: Licensee did not ensure that residents participation in planned acitvities were made available, as stated in the facility program design.

87506(b)(10) Resident Records(b) Each resident’s record shall contain at least the following information:(10) Reports of the medical assessment specified in Section 87458, Medical Assessment, and of any special problems or precautions.This requirement is not met as evidenced by: Based on record review, the licensee did not ensure 1 out of 4 resident's file had a completed LIC 602 and a TB Test. Licensee did not ensure 1 out of 4 resident's file had a completed Appraisal/Needs and Service Plan, LIC 613C Personal Rights which poses an immediate health, safety or personal rights risk to persons in care.

87355 (e)(1) Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department This requirement is not met as evidenced by:Based on today's POC visit LPA Lee learned that staff 1 was not associated to facility, however, S1 was present during today's visit and were caring for residents. This posed an immediate health and safety risk to residents in care

87411(c)(6) Personal Requirement(C) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training....(6) The licensee shall maintain documentation pertaining to staff training in the personnel records.....This requirement is not met as evidenced by: Based on record review, the licensee did not ensure 2 out of 2 staff had their annual training records in staff files which poses an potential health, safety or personal rights risk to persons in care.

87468.1(a)(3) 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:(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This posed an immediate health and safety risk to residents in care This requirement is not met as evidenced by:Based on today's POC visit LPA Lee Observed resident hallway bathroom was locked. S1 unlocked the resident bathroom and stated that the bath was for staff only and that resident's bath is located in resident's bedroom 4's.

Based on record review, the licensee did not ensure 2 out of 2 staff had their annual training records in staff files which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation the licensee did not ensure 3 residents bedrooms had window screens. Two window screen in the kitchen was missing; which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not ensure 1 out of 4 resident's file had a completed LIC 602 and a TB Test. Licensee did not ensure 1 out of 4 resident's file had a comepleted Appraisal/Needs and Service Plan, LIC 613C Personal Rights which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA's observation, the licensee did not comply with the section cited above in Fire Extinguishers tags expired on 6/4/2022 which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA's, the licensee did not comply with the section cited above in lazy boy chair and wheelchair in front of exit door to backyard which poses/posed a potential health, safety or personal rights risk to persons in care.