Sacramento Senior Living

Food quality controls and rejected damaged goods

General Food Service Requirements: All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement was not met as evidenced by LPA observations of expired canned goods ranging from 2018 to 2025 which poses an immediate health safety and personal rights risk to residents in care.

Ensure hazardous items are locked and not unattended

Storage Space and Access: Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not met as evidenced by LPA observations of black plastic syringe of insecticide was left on top of the fridge unsecured from residents in care which poses an immediate health, safety and personal rights risk to residents.

Heat occupied rooms to minimum temperature

Maintenance and Operation: The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C).This requirement was not met as evidenced by LPA observations of thermostat in the facility and personal thermometer carried by LPA. LPA observed the temperature in the living room, kitchen, and one resident room to be 66 degrees, LPAs thermometer reads 63 degrees. LPA observed this heater not to be working. LPA also observed on the other thermostat, the heat was set to below 68 degrees which poses an immeadiate health, safety and personal rights risk to residents in care.

Maintain facility in clean, safe, sanitary condition

Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. 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 LPA observations of the heater for part of the home is not working, LPA observed the thermostat set to 83 degrees and a temperature displayed of 66 degrees. LPA also observed a broken door frame missing part of the wood frame which poses an immediate health, safety and personal rights risk to residents in care.

Assist residents with self-administered medication

Based on observation, interview and record review, the licensee did not comply with the section cited above. Records reviewed indicated that 1 out of 4 MAR log was inaccurate. Resident 1 (R1)’s Capsaicin 0.075 cream medication was not documented on the MAR. Direct caregiver and administrator stated that (R1)’s cream is applied on (R1); however, it is unclear if (R1)'s Capsaicin cream is being apply since it is not documented. Per physician's order (R1)'s Capsaicin cream is to be apply four times a day for pain. This poses an immediate health, safety or personal rights risk to persons in care.

Dispose of unused medications with required witness

"(i) Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s record nor disposed of according to the hospice’s established procedures or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record, to be retained for at least three years, which lists the following:"This requirement was not met as evidenced by: Based on observation and interview with S1, S1 destroyed an unknown amount of R1's medications without witnesses, and without the presence of the facility administrator, and without recording the destruction as required, which poses an immediate health and safety risk.

Assist residents with self-administered medication

"The licensee shall assist residents with self-administered medications as needed."This requirement was not met as evidenced by: Based on observation, record review, and interviews, R1 was not given medication in accordance with doctor's orders, which poses an immediate health and safety risk.

1569.312(d)Basic services requirements: Being aware of the resident's general whereabouts, although the resident may travel independently in the community.This requirement was not met as evidence by: Based on file reviews and interviews, the Licensee did not ensure staff were aware of R1 general whereabouts as R1 was found by a law enforcement and returned R1 to the facility. This posed an immediate health and safety risk to R1.

Obtain required California clearance or exemption

Criminal Record Clearance: "(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: ......(2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or"This requirement was not met as evidenced by: Based on record review and interviews, an individual who was not cleared worked in this facility for at least three days, which poses an immediate health and safety risk.

Reporting Requirements: "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) 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. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(D) 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: Based on interviews and record review, R2 fell and was hospitalized between 8/21/23 and 9/1/23, and an incident report was not received reporting this event, which poses a potential health and safety risk.

Admission agreement signing and dating deadline

Based on review of R1's file, the licensee did not ensure the above documentation was completed, signed, and kept on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on review of R1's file, the licensee did not ensure the above documentation was completed, signed, and kept on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

Based on review of R1's MARs, the licensee did not ensure doses were given as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

Based on review of R1's file, the licensee did not ensure the above documentation was completed, signed, and kept on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not ensure cleaning solutions, paint and drywall joint compound were inaccessible to residents, which poses an immediate health, safety or personal rights risk to persons in care.

Based on review of resident records, the licensee did not ensure 75 percent of residents were aged 60 or older, which poses/posed a potential health, safety or personal rights risk to persons in care.

Signed rights acknowledgement in resident record

Based on review of R1's file, the licensee did not ensure the above documentation was completed, signed, and kept on file, which poses/posed a potential health, safety or personal rights risk to persons in care.