Beatrice Senior Care

"The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents... All food shall be selected, stored, prepared and served in a safe and healthful manner." This requirement was not met as evidenced by: Based on observation, foods were not stored in a safe or healthful manner, which poses a potential health, safety, and/or personal rights risk.

"(b) The licensee shall ensure that provisions are made for ... the examination of all records relating to the operation of the facility." This requirement was not met as evidenced by: Based on interview and observation, the licensee did not make provisions for the examination of records upon demand, which poses an immediate health, safety, and/or resident rights risk.

(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: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) orThis requirement is not met as evidenced by: Based on record review, one staff member was not associated to this facility's roster prior to starting work, which poses an immediate health, safety or personal rights risk to persons in care.

“(a) The 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 was not met as evidenced by: Based on interviews and observations, food was not stored or prepared in a safe and healthful manner, which poses a potential health, safety, and/or personal rights risk.

“(a) Residents shall be encouraged to maintain and develop their quality of life through participation in a variety of planned activities. The activities made available shall include:” This requirement was not met as evidenced by: Based on interviews and observations, residents were not encouraged to participate in a variety of planned activities, which poses a potential health, safety, and/or personal rights risk.

(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:This requirement is not met as evidenced by: Based on record review and interview, staff files for two staff were incomplete, which poses a potential health, safety, and/or personal rights risk.

"1569.17(b) shall prior to working, residing or volunteering in a licensed facility:(2) Obtain a California clearance or a criminal record exemption as required by the Department ..." This requirement was not met as evidenced by: Based on interviews, one individual without a criminal record clearance resided in this facility for one night, which poses an immediate health, safety, and/or personal rights risk.

Based on record review, resident files were incomplete, and one was missing altogether, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, centrally stored medication records were not kept, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, two staff members were not associated to this facility's roster which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, cleaning solutions were not kept in locked storage, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, water temperatures measured above 120, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, fire extinguishers were not annually serviced, which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview and record review, S1's staff file was incomplete and S2's staff file was not present, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, medications were left in unlocked storage in the refrigerator, which poses an immediate health, safety or personal rights risk to persons in care.

Incidental Medical and Dental CareCentrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement has not been met by: Based on observation by LPA VBrown the licensee/Administrator did not ensure medications were locked and inaccessible.This poses an immediate health and safety risk to residents in care.

Personal Rights of Residents in All FacilitiesTo be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement has not been met by: Based on observation by LPA VBrown the licensee/S1 did not ensure R1 received dignity by assisting with clothing.This poses an immediate health and safety risk to residents in care.

General Food Service RequirementsSupplies of nonperishable foods for a minimum of one week...shall be maintained on the premises. This requirement has not been met by: Based on observation by LPA VBrown the licensee/Administrator did not ensure a variety of fruits were present on premisis. This poses an immediate health and safety risk to residents in care.

General Food Service RequirementsAll kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement has not been met by: Based on the observation of LPA VBrown the Licensee/Administrator did not keep facility free of flies in the kitchen and common bathroom of the facility.This poses an immediate health and safety risk to residents in care.

Maintenance and OperationFaucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement has not been met by: Based on water temperature measured by LPA VBrown the licensee/Administrator did not ensure water was within required range. This poses an immediate health and safety risk to residents in care.

Alterations to Existing Building or New FacilitiesThe licensing agency may require the facility to acquire a local building inspection where the agency determines that a suspected hazard to health and safety exists. This requirement has not been met by: Based on observation by LPA VBrown the licensee/Administrator did not ensure staff was not sleeping in the shed in the backyard. This poses an immediate health and safety risk to residents in care.

Storage SpaceMedicines which are centrally stored shall be stored as specified in Section 87465 and separately from other items specified in (a) above. This requirement has not been met by: Based on observation by LPA VBrown the licensee/administrator did not ensure medications are disposed of properly.This poses an immediate health and safety risk to residents in care.

Personnel Requirements - GeneralPrior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: This requirement has not been met by: Based on observation by LPA VBrown the licensee/Administrator did not ensure S2 was fingerprint cleared and associated to the facility. This poses an immediate health and safety risk to residents in care.

Personnel RecordsThe licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee... This requirement has not been met by: Based on observation by LPA VBrown the licensee/Administrator did not ensure a file was created for S2. This poses an immediate health and safety risk to residents in care.

Incidental Medical and Dental CareEach resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement has not been met by: Based on observation by LPA VBrown the licensee/administrator did not ensure medications were not in its orignal container until medication pass was to occur.This poses an immediate health and safety risk to residents in care.

Licensing FeesAn applicant or licensee shall be charged fees as specified in Health and Safety Code section 1569.185. This requirement has not been met by: Based on the file review conducted by LPA VBrown the license fees are not current.This poses an immediate health and safety risk to residents in care.

87413(a)(1) Personnel-Operations. (a) In each facility: (1) When regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks. This requirement was not met as evidenced by: Based on record review, interviews, and observation, licensee did not ensure appropriate staff coverage consistent with facility staffing schedule for purposes of monitoring the activities of residents for their general health, safety, and well-being. This posed a potential health and safety risk to residents in care.

87616(b) Exceptions for Health Conditions The licensee may submit a written exception request if ... the resident has a ...restrictive health condition. This requirement was not met as evidenced by: Based on observation, interviews and record review, the new resident has a catheter and no exception request was received before her arrival.

80075Health Related Services (k)The following requirements shall apply to medications which are centrally stored: (7) The licensee shall ensure the maintenance, for each client, of a record of centrally stored prescription medications...This requirement was not met as evidenced by: Based on observations and records review, the licensee did not ensure client records were maintained, medication in bottle did not match MAR. Which poses a potential health and safety risk to residents in care.

Basic services shall at a minimum include:Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).(4) 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: Based on LPA review of medical documentation and interviews with licensee and staff. R1 did not have any wounds when they came to the facility in June but by September the wound appeared. This poses a potential health, safety and personal rights risk of residents in care.

87303 Maintenance and Operation(a) ... Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not met as evidenced by: Based on LPAs review of the electric bills the electricity was shut down for non-paymment which poses a potential health, safety and personal rights risk of residents in care.

Exception for Health Conditions: The licensee may submit a written exception if she/he agrees the resident has a prohibited health condition but believes that the intent of the law can be met through alternative means. Written request shall include... documentation of resident’s health condition…licensee’s plan for ensuring the resident’s health related needs can be met by the facility.This requirement is not met as evidenced by: Based on interview and review of medical record on 10/04/2022 and medical dischargepaperwork, the licensee/staff failed to seek an exception as required to retained R1 with aprohibited health condition. This posed a potential health and safety risk to resident’s incare.