Follow-up on corrections·April 25, 2025

Citations

3 citations recorded^*CCLD

• 87411(a)Type A

  Facility personnel sufficiency and competence

  Personnel Requirements - General: Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement was not met as evidenced by Reported elopement of resident who has been determined by their physician that they cannot leave the facility unassisted which poses an immediate health, safety and personal rights risk to residents in care.

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• 87705(b)(2)Type B

  Night supervision when dementia residents require it

  Care of Persons with Dementia: For facilities with fewer than 16 residents, ensuring there is 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 is in addition to requirements specified in Section 87415, Night Supervision. This requirement was not met as evidenced by Statements obtained from the licensee that there are no awake staff scheduled daily during overnight hours and confirmed by staff schedules and statements obtained from staff members present which poses an immediate health safety and personal rights risks to residents in care.

• 87309(a)Type A

  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 bleach, cleaning supplies and one sharp knife unsecured and acessible to residents in care which poses an immediate health, safety and personal rights risk to residents in care.