Sacramento Senior Living Ii

Licensee reports required by licensing agency

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(1)A written report shall be submitted to the licensing agency... for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This requirement was not met as evidenced by:The licensee did not ensure that a written report was provided to the Dept as required after (1)occurrences in which resident (R1) eloped from the facility.

87211(a)(1)(D) Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(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…(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 evidence by:Based on interviews and record review an incident report was not reported to CCLD after R1 left the facility unsupervised and was brought back to the facility by law enforcement which poses a potential health, safety, and/or personal rights risk.

Care and supervision as defined by statute and rules

87464(f)(1) Basic Services(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c).This was not met as evidenced by: Based on records review, and interview with the administrator and care giver the facility did not ensure staff provide care and supervision to R1. Due to not providing care and supervision, R1 left the facility unassisted. This posed an immediate risk to residnets in care.

Care and supervision as defined by statute and rules

(f) Basic services shall at a minimum include:87464 (f) (1) Basic services(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety CodeThis requirement is not met as evidenced by: Based on observation, file review, and interview with the administrator did not ensure staff provide care and supervision to R1. Due to not providing care and supervision, R1 left the facility unassisted.

Assist residents with self-administered medication

87465(a)(4). Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility… (4) The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by: Based on record review, Licensee did not ensure R5 was assisted with prescribed medication. This posed an immediate health and safety risk to resident in care.

87305(b) Alterations to Existing Building or New Facilities: The 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 is not met as evidence by: Based on the LPA's findings, the facility has converted the office into a staff room. The facility failed to submit the plan to licensing, which poses a potential Health, Safety risk to residents in care.

Maintain cleanliness and prevent incontinence odors

Managed Incontinence. (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.This requirement is not met as evidence by: Based on observation, the licensee did not ensure the facility free of odors from incontinence. LPA discovered strong urine odor in the hallway especially in the resident bedrooms.

Care and supervision as defined by statute and rules

Basic Services: 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). This requirement was not met as evidenced by statements from staff and residents that the staff member did not respond to resident pages when he sustained a fall at the facility which poses an immediate health, safety and personal rights risk to residents in care.

Care Of Person's 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 evidenced by statements obtained from staff and residents and R1's assessment that indicates the need for awake staff and nighttime supervision due to diagnosis of dementia which poses an immediate health/safety and personal rights risk to residents in care.

Provide resident hot water for personal care

Maintenance and Operation: Faucets 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 was not met as evidenced by LPA testing of hot water temperature which poses an immediate health, safety or personal rights risk to residents in care.

Protection from punishment and intimidation

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, ...This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the regulation cited above. R3 was left in soiled garments overnight. This poses an immediate health and safety risk to residents in care.

Care and supervision as defined by statute and rules

87464. Basic Services. (f) Basic services shall at a minimum include… (1) Basic services care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement is not met as evidence by: Based on interviews and records review, the Licensee did not ensure resident's hygiene needs are met. Staff did not provide showers to R1. This poses a potential health and safety risk to residents in care.

Arrange appropriate medical and dental care

Incidental Medical and Dental Care: The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidence by LPA review of all resident MARs and observation of incomplete documentation of medication administration with poses an immediate health, safety and personal rights risk to residents in care.

Give PRN medication by physician order

Incidental Medical and Dental Care: Once ordered by the physician the medication is given according to the physician's directions. the requirement was not met as evidenced by LPA observed there were several days resident did not receive medications due the waiting on refill and LPA observed in documentation the refill request was made once med the medication refill order was not made until resident was out of medications which poses an immediate health safety and personal rights risk to residents in care

87211 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…(D) Any incident which threatens the welfare, safety, or health of any resident… Based on interviews, observations and records review, the licensee did not ensure two incidents were reported to the licensing agency or responsible parties. This poses a potential health, safety, and personal rights risks to residents in care.

Maintain required personnel records for staff

Based on record review the licensee did not comply with the section cited above. The licensee did not ensure 3 out of 3 staff files are complete, which poses/posed a potential health, safety or personal rights risk to persons in care.

Develop required incidental medical care plan

Based on record review, the licensee did not comply with the section cited above. Licensee did not ensure 5 out of 6 resident MAR shees was maintained. MAR section was not initial and it is unknown if medication were administer to resident, which poses an immediate health, safety or personal rights risk to residents in care.

Maintain separate complete record for each resident

Based on record review 6 out of 6 resident files were not complete. Files were missing documents. Some documents were signed, but was not filled out. Documents was also signed by licensee, but not signed by residents. Some documents had a different facility name that does not align with this facility. The licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Request transfer of criminal record clearance

Based on observation, the licensee did not comply with the section cited above. Licensee did not ensure staff 1 was associated to the facility prior to working at the facility. which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above. The licensee did not ensure the outside exterior was in good repair. The exterior wood is chipping and has a hole. The licensee also did not ensure the dining table was in good repair. The dining table is not balance and is broken, 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 obserview, the licensee did not comply with the section cited above. The licensee did not ensure the chemical cabinet was made inaccessible to residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Document required staff training and orientation

Based on record review, the licensee did not comply with the section cited above. Licensee did not ensure 3 out of 3 staff had first aid and CPR training. 3 out of 3 staff files had no documentation of current trainings, which poses an immediate health, safety or personal rights risk to persons in care.