Maria's Home Care

Personnel Requirements – General. All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training... The training shall include, but not be limited to, the following: Importance and techniques of personal care services... Licensee failed to comply to the section cited above based on record review showing staff do not have training for lifting and transferring residents, and no Hoyer lift training, which poses an immediate risk for residents in care.

Based on file review, the licensee did not comply with the section cited above as R1 has a mental health diagnosis but no documentation of appropriate training on file which poses a potential health, safety or personal rights risk to persons in care.

87466 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 met as evidenced by: Based on interviews conducted, Licensee failed to comply to the section cited above as R1 has been declining with lack of appetite for approximately two weeks but change of condition was not brought to the attention of R1's primary care physician, which poses an immediate risk for residents in care.

87109 Transferability of License(b) The licensee shall notify the licensing agency and all residents receiving services, or their representatives, in writing as soon as possible and in all cases at least thirty (30) days prior to the transfer of the property or business, or at the time that a bona fide offer is made, whichever period is longer, as specified in Health and Safety Code Section 1569.191. This requirement is not met as evidenced by: Based on file review and interview, Licensee failed to comply as Licensee did not issue a 30 day notice to residents in care, repsonsible parties, and licensing agency regarding the transfer of property which poses a potential risk for residents in care.

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation.This requirement is not met as evidenced by: Based on observation and file review, Licensee did not comply as the appointed Administrator resigned effective Ocotber 31, 2025 but Licensee has not appointed a new Administrator which poses a potential risk for residents in care.

Based on record review, the licensee did not comply with the section cited above in 1 out of 3 resident files were missing a medical assessment which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 1 out of 2 staff files does not have annual trainings which poses a potential health, safety risk to persons in care.

87355 Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(e) shall prior to working, residing or volunteering in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department or. This requirement is not met as evidenced by: Based on observation, records review, and interviews, Adminsitrator did not have staff (S1) fingerprint cleared.

Health Related Services (a) The licensee shall ensure that each client receives necessary first aid and other needed medical or dental services, including arrangement for and/or provision of transportation to the nearest available services. This requirement was not met as evidenced by: Based on statements and medical documents obtained, Licensee did not provide arrangements nor transportation to medical treatment to one (1) client which poses an immediate health and safety risk to client in care.

87468.1 Personal Rights (a)(2): To be accorded safe, healthful and comfortable accomodations, furnishings and equipment. This requirement was not met as evidence by: Based on observation and records review, Licensee does not follow facility COVID-19 screening protocols for visitors including sign-in sheet, screening questionnaire upon entering which poses an immediate health and safety risk to all clients in care

87506(d): All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. This requirement is not met by adminstrator not able to provide resident R1 files during the visit. Administrator looked at his home residence and Physicians Report. still missing. This presents an immediate health and safety risk to the resident in care.