Follow-up on corrections·November 4, 2022

Citations

3 citations recorded^*CCLD

• 87412(a)Type B

  Maintain required personnel records for staff

  The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee...This requirement was not met as evidenced by LPAs review of staff record where LPA observed one staff records only contained COVID vaccinations and hours of training which poses a potential health, safety and personal rights risk to residents in care.

• 87458(a)Type A

  Obtain baseline medical assessment before resident admission

  Medical Assessment: Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement was not met as evidenced by LPAs review or resident records which revealed 2 of 6 residents do not have a current medical assessment on file which poses an immediate health, safety and personal rights risk to

• 87606(c)Type A

  Require fire clearance before non-temporary bedridden admission

  Care of Bedridden Residents: To accept or retain a bedridden person, other than for a temporary illness or recovery from surgery, a facility shall obtain and maintain an appropriate fire clearance as specified in Section 87202(a). This requirement was not met as evidenced by LPAs review of resident records which indicates the facility has a fire clearance for 6 non-ambulatory residents but do not have a fire clearance for a bedridden resident. LPA observed the LIC 602 for 1 resident which indicates the resident is bedridden and staff interviewed confirmed resident is unable to rotate or reposition without assistance which poses an immediate health, safety and personal rights risk to residents in care.