Ca Caring Hands

87468.2 (a)(1) Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement is not met as evidenced by:Based on observation and interview, residents were not permitted a reasonable level of privacy in their private bedrooms since there was a camera in the resident’s room without an exception from the department, which poses an immediate health, safety or personal rights risk to persons in care.

87465(a)(6) Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. ...(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by:Based on observation, interview, and record review, the licensee did not ensure to maintain residents’ medication records which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintenance and OperationThe facility shall be ...safe...and in good repair at all times...for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation of Administrator and LPA confirming the cover was missing. This poses an immediate health and safety risk to residents in care.

Additional Personal Rights of Residents in Privately Operated FacilitiesIn addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To have their records and personal information remain confidential and to approve their release, except as authorized by law. This requirement is not met as evidenced by: Based on interviews confirming Administrator did not provide a copy of R1's file upon request by R1's attorney. This poses an immediate health and safety risk to residents in care.

(a)… residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations... This requirement is not met as evidenced by: Based on observation and interview the licensee did not provide privacy to 2 of 6 residents due to cameras in their private rooms, which poses a potential Health, Safety and/or Personal Rights risk to persons in care.

General Requirements for Restricted Health Conditions (a) Prior to admission of a resident with a restricted health condition, the licensee shall:(2) Ensure that facility staff...complete training provided by a licensed professional sufficient to meet those needs. This requirement is not met as evidenced by: Based on record review, the licensee did not acquire an exception for catheter and insulin care, restricted conditions, which poses an immediate Health, Safety and Personal Rights risk to persons in care.

Administrator - Qualifications and Duties(d) (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by: Based on record review, staff and resident files were missing required components which poses a potential Health, Safety and Personal Rights risk to persons in care.

Maintenance and Operation (e) (2) Faucets used by residents for personal care …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 … and not more than 120 degree F …This requirement is not met as evidenced by: Based on testing the water in the residents’ bathroom measured 127 degrees F. which poses a potential Health, Safety and Personal Rights risk to persons in care.

Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on observation, the licensee did not ensure fire exits were free of obstacles which poses an immediate Health, Safety and, Personal Rights risk to persons in care.