Sherry's Rcfe

Notification to department after hospice care starts

Based on record review, notice of initiation of hospice services were not received by CCLD, which poses/posed a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observation, water temperatures were not maintained within the required range, which poses/posed a potential health, safety or personal rights risk to persons in care.

Address and clearance obligations before facility work

Based on observation and interview, S1 was working and/or residing in this facility since approximately April 17 without a criminal record clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, at least one staff person's personnel record was not complete, which poses/posed a potential health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

Based on record review and interview, a resident did not receive their daily medications, and that same resident was given medications without a prescription order on file, which poses an immediate health, safety or personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

Based on observation, S1 was living in the facility garage without an appropriate fire clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Report specified resident events within seven days

Based on record review and interview, multiple incidents were not reported to CCLD, which poses/posed a potential health, safety or personal rights risk to persons in care.

Personal assistance and care for required daily activities

Basic Services: Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. this requirement was not met as evidenced by statements obtained from R1 and RP who indicated the facility did not provide assistance with toileting or showering to meet the resident's needs per their physician report. which poses a potential health, safety and personal rights risk to residents in care.

Maintain fire clearance before retaining specified persons

All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement was not met as evidenced by LPA observations of a bed in the garage and statements from staff that indicate they sleep in the garage and was not part of the facility's initial fire clearance. which poses a potential health safety and personal rights risk to residents in care.

Maintain required personnel records for staff

Based on LPA review of staff records, the licensee did not comply with the section cited above in 2 of 3 files reviewed as LPA was not able to verify all employee documentation or was not at the facility to be verified which poses a potential health, safety or personal rights risk to persons in care.

Arrange appropriate medical and dental care

Incidental Medical and Dental Care: The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by LPAs review of resident medication administration records and observed 2 of 3 residents did not have documentation that medications had been given to residents in care which poses a potential health, safety and personal rights for residents in care.