Arveah's Care Homes 4

87463 Reappraisals(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This is not met as evidenced by: The licensee did not ensure that an updated appraisal was conducted upon identification that R1 had a change of condition. This poses a potential health, safety, and personal rights risks to persons in care.

87224 Eviction Procedures(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5) This is not met as evidenced by: Based on interview and record review, the licensee did not ensure that R1 and their responsible party was provided a proper eviction notice. This is a immediate health, safety, and personal rights risks to persons in care.

Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not ensure the doors to storage rooms with cleaning supplies were locked, which poses a potential Health, Safety or, Personal Rights risk to persons in care.

Personal Rights...each client shall have personal rights which include, but are not limited to, the following:(1) To be accorded dignity in his/her personal relationships with staff and other person. This requirement was not met as evidenced by: Based on a review of the admission agreement for R1, section 8 states the facility uses audio monitoring when staff are not present in the facility. This poses a potential risk to the health, safety and personal rights of residents in care.

Administrator - Qualifications and DutiesThe administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)...Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by: Based on the facility accepting a resident with a prohibited health condition without an exception by the Department. This poses a potential risk to the health, safety and personal rights of 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:...Request a transfer of a criminal record clearance as specified in Section 87355(c) Based on Co-Administrator Arvin Davis' own admission that the staff present during the course of the visit was not associated to the facility. This poses an immediate risk to the health, safety and personal rights of residents in care.

Prohibited Health ConditionsPersons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly:(1) Stage 3 and 4 pressure injuries.(2) Gastrostomy tubes.(3) Naso-gastric tubes.(4) Staphylococcus aureus ("staph") infection or other serious infection.(5) Residents who depend on others to perform all activities of daily living for them as set forth in Section 87459, Functional Capabilities. This requirement was not as evidenced by:(6) Tracheostomies. Based on LPA Fains observation of R1 and a file review for R1 and the Co-Administrators own admission that a resident with prohibited health conditions was accepted. This poses an immediate risk to the health, safety and personal rights of residents in care.