Sunrise Senior Care

Update reappraisal at required intervals

Based on record review, the licensee did not comply with the section cited above in (2) out of (4) updated care plans for R1 and R2, which poses/posed a potential health, safety or personal rights risk to persons in care.

Facility must clear fire safety for nonambulatory persons

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal.(1) Nonambulatory persons.This requirement is not met as evidenced by: Based on observation and record review, including the most recent fire safety inspection request (STD850), dated 9/23/22, the Licensee did not ensure that room #1 only housed ambulatory clients, which poses an immediate health and safety risk to residents in care.

§1569.69 Employees assisting residents with self-administration of medication; training requirements. (a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements:(2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Based on documentation review, the Licensee did not ensure that staff (S1, S2 and S3) had completed the required initial medication training, which poses a potential health and safety risk to residents in care.

§1569.626 (a) All residential care facilities for the elderly shall meet the following training requirements, as described in Section 1569.625, for all direct care staff:(1) Twelve hours of dementia care training, six of which shall be completed before a staff member begins working independently with residents, and the remaining six hours of which shall be completed within the first four weeks of employment. All 12 hours shall be devoted to the care of persons with dementia. The facility may utilize various methods of instruction, including, but not limited to, preceptorship, mentoring, and other forms of observation and demonstration. The orientation time shall be exclusive of any administrative instruction.(2) Eight hours of in-service training per year on the subject of serving residents with dementia. This training shall be developed in consultation with individuals or organizations with specific expertise in dementia care or by an outside source with expertise in dementia care. In formulating and providing this training, reference may be made to written materials and literature on dementia and the care and treatment of persons with dementia. This training requirement may be satisfied in one day or over a period of time. This training requirement may be provided at the facility or offsite and may include a combination of observation and practical application. This requirement is not met as evidenced by: Based on documentation reviewed, the Licensee did not ensure that staff (S1, S2 and S3) completed initial and/or continuing required training requirements, which poses a potential health and safety risk to residents in care.

Fire approval and staff access to unlock systems

Based on observation, the licensee did not comply with the section cited above as multiple cleaning products were left unlocked, under the sink, which posed a potential health, safety or personal rights risk to persons in care. Additionally, the drawer containing sharps was not locked at the time of inspection.

Obtain required California clearance or exemption

Based on record review, the licensee did not comply with the section cited above in 1 out of [total 2 caregivers which poses/posed a potential health, safety or personal rights risk to persons in care.

Keep prescriptions in original containers

Based on observation and interview, the licensee did not comply with the section cited above in pre-pouring medications over 24 hours in advance which poses/posed a potential health, safety or personal rights risk to persons in care.