Jazba Care Tuolumne

Limit operations to licensed capacity

"(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time..." This requirement was not met as evidenced by: Based on interviews and record review, seven clients were residing in this facility concurrently, despite the fact that this facility's license is for six residents only, which poses an immediate health, safety, and/or personal rights risk.

“The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training.” This requirement was not met as evidenced by: Based on record review, staff members did not receive the required 40 hours of initial training within their first four weeks of employment, which poses a potential health and safety risk.

“A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill.” This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the above section, which poses a potential health and safety risk.

Obtain required California clearance or exemption

"(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: ...(2) Request a transfer of a criminal record clearance as specified in Section 87355(c) ..."This requirement was not met as evidenced by: Based on observation, interview, and record review, S1 was working in this facility for a period of TKTK days without having an appropriate clearance transferred, which poses an immediate health and safety risk.

Include required health screening documents

"(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information ... (11) A health screening as specified in Section 87411, Personnel Requirements - General."This requirement was not met as evidenced by: Based on record review, S2 did not have a health screening on file, despite having worked more than seven days, which poses a potential health and safety risk.

Obtain required California clearance or exemption

"(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 or(2) Request a transfer of a criminal record clearance as specified in Section 87355(c) ..."This requirement was not met as evidenced by: Based on interviews and record review, S1 was working for several months without having a criminal record association at this facility, which poses an immediate health and safety risk.

87465(4)Incidental Medical and Dental Care: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: The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidence by: based on observation the facility did not follow R1's physician's medications orders. This posed a potential health and safety risk to R1.

Maintain personnel records at facility location

Based on LPA review of two staff files the licensee did not comply with the section cited above in 2 out of 2 staff files reviewed by LPA and could not locate several employee files including but not limited to LIC 503 health screening which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed several files being stored electronically but could not be accessed at the time of inspection.