R & E Senior Care, Inc.

First aid training requirements

"(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross." This requirement was not met as evidenced by: Based on record review, a staff member did not have first aid/CPR training on file, which poses a potential health, safety, and/or personal rights risk.

Health screening and fitness requirements

"(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. ... Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties." This requirement was not met as evidenced by: Based on record review, staff members did not have completed health screenings on file indicating good health, which poses a potential health, safety, and/or personal rights risk.

Call 9-1-1 for imminent health threats

Based on record review and interview, emergency medical services were not called after a resident fell, hitting their head and arm and suffering bruises, redness, and an open wound, which poses an immediate health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

Based on observation, various medications were left in unlocked and accessible storage areas in R3's bedroom, which poses an immediate health, safety or personal rights risk to persons in care.

No stage 3 or 4 pressure injuries

Based on record review and interview, R3 was admitted to this facility with a prohibited health condition, which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review and observation, R1-R3 had no needs and services plans on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, two cleaners were left unlocked in resident bathrooms, which poses an immediate health, safety or personal rights risk to persons in care.

Diet quality and preparation in safe healthful manner

General Food Service RequirementsThe 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: ObservationBased on Confirmation from Licensee those food items will be removed today.This poses an immediate health and safety risk to residents in care.

Prohibit false or misleading facility statements

False ClaimsNo 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 Confirmation from Licensee and S2, that S2 has been working for 1 year in the facility. In addition, S1 and S2 stated that they did not have any identification.This poses an immediate health and safety risk to residents in care.

Criminal Record ClearanceViolation of Section 87355(e) shall result in an immediate assessment of civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days by the department. This requirement is not met as evidenced by: LIS and Guardian does not include S2's name as associated and finger print clearedBased on Confirmation from Licensee and S2, S2 has been working for 1 year in the facility.This poses an immediate health and safety risk to residents in care.

Maintain required personnel records for staff

Personnel RecordsThe licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: records reviewBased on observation during visit, records are either missing or incompleteThis poses an immediate health and safety risk to residents in care.

Submit and maintain current mailing address

Criminal Record ClearanceAll 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: Obtain a California clearance or a criminal record exemption as required by the Department This requirement is not met as evidenced by: LIS revealed person not associated and Guardian revealed person not finger print clearedBased on Confirmation from Administrator the person left with the residents was not finger printed nor associated to the facility.This poses an immediate health and safety risk to residents in care.