Golden Legacy Elderly Care Iii

Maintain cleanliness and prevent incontinence odors

Managed Incontinence: Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. this requirement was not met as evidenced by audio recordings in which staff S2 is overheard making statements that she smelled R1 had soiled self the prior evening and did not assist resident until the following morning which poses an immediate health, safety and personal rights risk to residents in care.

Reporting Requirements: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below...Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by unreported incidents including a resident's agressive acts against staff and inapropraite actions by staff inluding verbal abuse wich poses an immediate health, safety and personal rights risk to residents in care.

Conformance with applicable laws and regulations

Administrator - Qualifications and Duties: Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by the number and serious nature of the violations identified during the inspection including personal rights, reporting requirements, staff's conduct inimical to the health safety and well-being of residents in care which poses an immediate health, safety and personal rights risk to residents in care.

Infection Control Requirements: A syringe and needle shall only be used once per injection on one resident and then properly disposed of in accordance with the California Code of Regulations, Title 8, Section 5193. this requirement was not met as evidenced by LPA observations of syringes disposed of in an unlocked cabinet some in an overflowing syringe container and other syringes just placed in the cabinet which poses an immediate health, safety and personal rights risk to residents in care.

Care of Persons with Dementia: In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. This requirement was not met as evidence by: LPA review of resident files and identified needs for night supervision and the staff schedule with no identified overnight staff which poses a potential health, safety and personal rights risk to residents in care.

Right to freedom from abuse and neglect

Additional Personal Rights of Residents in Privately Operated Facilities: To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidenced by statements on audio recordings obtained during the inspection where staff S2 verbally abused resident R1 wich poses an immediate health, safety and personal rights violation to the residents in care.

Notify agency before locking doors or gates

Based on LPA observations the licensee did not comply with the section cited above as LPA confirmed resident with dementia is retaining a lighter for smoking cigarettes which poses an immediate health, safety or personal rights risk to persons in care.

Fire approval and staff access to unlock systems

Based on LPA observations, the licensee did not comply with the section cited above as LPA observed cigarettes to be unsecured and left on an outside table along with a lighter which poses an immediate health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

Based on LPA observations, the licensee did not comply with the section cited above as LPA observed several medications (inhalers) and unused needles not centrally stored or secured from residents which poses an immediate health, safety or personal rights risk to persons in care.