Padua Assisted Living 2

Conformance with applicable laws and regulations

Administrator – Qualification and Duties: The administrator shall have the qualifications… Knowledge of and ability to conform to the applicable laws, rules and regulationsThis requirement is not met as evidenced by: Based on interviews and record reviews, the licensee did not comply with the regulation cited above. The licensee did not meet the terms of the federal wage settlement agreement. This poses a potential health, safety, and/or personnal rights risks to residents in care.

Report specified resident events within seven days

Based on observation and record review, a report was not received for an incident which occurred on 6/25/24, which poses/posed a potential health, safety or personal rights risk to persons in care.

Reporting Requirements: "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) 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. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(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 evicenced by: Based on observation and interviews, a resident suffered injuries after a fall on Monday, August 28, 2023, and an incident report was not sent to licensing within seven days, as required, which poses a potential health and safety risk.

"(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) 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. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(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 with R1, S2, and based on observation of burnt fencing in the facility's backyard and review of licensing records, the licensee did not submit an incident report for this fire, which poses a potential health and safety risk.

Reporting Requirements 22 CCR Section 87211(a)(1)(D): "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) 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. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(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 and record review conducted during a complaint investigation, no incident reports were sent for R1 and R2's unauthorized absences, which poses a potential health and safety risk.

Facility personnel sufficiency and competence

Personnel Requirements - 22 CCR Section 87411(a): "Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. ... The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services."This requirement was not met as evidenced by: Based on interviews and document review, R1 and R2 were permitted to leave the facility without assistance, which poses an immediate health and safety risk.

Assist residents with self-administered medication

Based on review of R4's medications, MARs, and centrally stored medication list, the licensee did not ensure accurate records of medication administrations were maintained, which poses/posed a potential health, safety or personal rights risk to persons in care.

Health screening and fitness requirements

Based on review of S2's personnel file, the licensee did not ensure S2 had proof of either a tuberculosis skin test or a chest x-ray, which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation of a bed bug shell and spotting on beds in a resident bedroom, the licensee did not ensure the facility was clean and/or sanitary, such that bed bugs proliferated in a resident bedroom, which poses/posed a potential health, safety or personal rights risk to persons in care.

87217(b) Safeguards for Resident Cash, Personal Property, and Valuables (b) Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted...This was not met as evidenced by: Based on interviews with Staff and Witness, the Licensee did not ensure R1 belongings were secured as directed by Title 22 Regulations. This poses a potential health and safety risk for persons in care

Regular observation and documentation of resident changes

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...This was not met as evidenced by: According to interviews with staff, the Licensee did not ensure R1 was appropriately monitored during the stay at the facility. This poses an immediate health and safety risk to persons in care.

87507(5)(A)Admission Agreements (5) Refund conditions.(A)Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident’s death...This was not met as evidenced by: According to interviews, Licensee did not ensure R1 family received refund as described in facility Admission Agreement. This poses a potential health and safety risk to persons in care.