Angels Assisted Living,inc.

Criminal Record Exemption (b) In addition to the applicant, the provisions of this section shall apply to criminal convictions of the following persons: (1) (B) Any person, other than a client, residing in the facility… This requirement was not met based on records and statement. The presence of non-cleared staff resulted in no qualified staff present and was an immediate 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 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 is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above due to incidents not being reported into CCL which poses a potential health and safety risk to persons in care.

87629 Injections.(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensees who admit or retain residents who require injections shall be responsible for the following:(1) Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance. This requirement is not met as evidenced by:Based on interviews and record review, the licensee did not comply with the section cited above due to caregiver providing insulin injections to resident which poses an immediate health and safety risk to persons in care.

Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not evidenced by: Based on record review and interviews, the licensee did not comply with this section as R1 was not regularly observed for changes. This poses an immediate Health and Safety risk to resident in care.

Reappraisals (f)The licensee shall immediately, or as soon as reasonably possible, communicate with the resident and, if applicable, the resident's representative, about any significant change in condition and the recommendation, if any, of the appropriate licensed medical professional, and if applicable, other specialized care provider. Documentation of such communication shall be added to the resident’s record. This requirement is not evidenced by: Based on interviews and record review, the licensee failed to notify R1’s responsible party when R1 was admitted to the hospital. This poses an immediate Health and Safety risk to resident in care.

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: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not evidenced by: Based on interviews and record review, the licensee failed to provide care and supervision which resulted in R1’s fall leading to a fracture. This poses an immediate Health and Safety risk to resident in care.

87355 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) .. This requirement is not met as evidenced by:Based on record review, the licensee did not comply with the section cited above due to caregiver, S1 was not being fingerprint cleared and associated with the facility which poses an immediate health and safety risk to persons in care.

47411(f) Personnel RequirementsAll personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. Based on interviews conducted and records reviewed, this requirement was not met as evident based on facility didn't ensure staff had a Health Screening prior to working at facility, which poses a potential health, safety, and personal rights risk to the residents in care.

87465(c)(3)(3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. This is evident by the facility not having a medical administration record for any of the residents.