Aegis Assisted Living of Carmichael

87507 Admission Agreements (g) Admission agreements shall specify the following: (5) Refund conditions. (E) Preadmission fees shall be refunded according to the following conditions: 2. Unless Section 87507(g)(5)(E)1. applies, paid preadmission fees that are greater than five hundred dollars ($500) shall be refunded to an applicant, resident, or the applicant/resident’s representative in the following manner: b. A refund of at least 60 percent of the preadmission fee in excess of $500 shall be provided if the resident leaves the facility for any reason during the second month of residency.This requirement is not met as evidenced by: Based on documentation reviewed and interviews conducted, the facility did not refund resident (R1) 60% of their Community Pre-Admission Fee upon moving out of the facility, which poses a potential health, safety, and personal rights risk to residents in care.

87464 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 requirement is not met as evidenced by: Based on documentation reviewed, the facility did not ensure resident (R1) was receiving assistance with bathing as agreed in the Individualized Assessment, which poses a potential health, safety, and personal rights risk to residents in care.

Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, … residents in privately operated residential care facilities … following personal rights: (8) To be free from …financial exploitation, .... This requirement was not met based on records and statements that S1 financially exploit three residents. This posed a potential risk to resident’s.

Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, … residents in privately operated residential care facilities … following personal rights: (8) To be free from …financial exploitation, .... This requirement was not met based on records and statements that S1 financially exploit three residents. This posed an immediate risk to resident’s personal rights.

Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: 4) There is an adequate number of direct care staff to support each resident’s … safety and health care needs as identified in his/her current appraisal. This requirement was not met based on statements and interviews regarding R1, 4/13/23 to 4/26/23. This posed an immediate risk to other residents.

Fingerprints and criminal records of individuals in contact with clients (b) In addition to the applicant... apply to ... following persons: (1) (C) Any person who provides client assistance in dressing, grooming, bathing, or personal hygiene… This requirement was not met based on records and statements that found S2 to have neither proof of certification nor criminal record clearance. This posed an immediate risk to residents in care. Civil penalties are issued.

Personnel Requirements – General (c) All RCFE staff who assist residents with personal activities of daily living (ADL) shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement was not met based on records review and interviews that found S2, as a staffing agency staff who provided ADL assistance to residents in care, did not have proof of required training either through the facility nor the staffing agency. This posed a potential risk to residents.

Incidental Medical and dental care- For every ... medication for which the licensee provides assistance there shall be a signed, dated written order from a physician. This requirement was not met based on records and interview that R2 did not have a signed order. This posed a potential risk.

Reporting Requirements- (a) (1) A written report shall be submitted to the licensing agency...within seven days ... (D) Any incident which threatens the welfare, safety or health of any resident... This requirement was not met based on records review and interviews which found that a medication error occured on 4/3/23 and was not reported to CCL until 4/13/23.This posed a potential risk to resident

Incidental medical and dental care- (a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by records and interviews that On 4/3/23, R1 received the wrong dose of medication. This posed an immediate risk to R1.

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on interviews conducted, the facility did not esnure that certain fire safety devices were operable, which poses a potential 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) (…) (D) Any incident which threatens the welfare, safety or health of any resident (…) This requirement is not met as evidenced by: Based on records reviewed, the facility did not esnure that the Department was reported to regarding fire alarm system being partially inoperable, which poses an immediate health, safety, and personal rights risk to residents in care.

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on interviews conducted, the facility did not esnure that they had a completely operatable fire alarm system, which poses an immediate health, safety, and personal rights risk to residents in care.

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (3) In addition to the on-the-job training requirements in Section 87411(d), staff who provide direct care to residents with dementia shall receive the following training as appropriate for the job assigned and as evidenced by safe and effective job performance: (C) Recognizing the effects of medications commonly used to treat the symptoms of dementia. This requirement is not met as evidenced by: Based on record review, the Licensee did not ensure that staff recognized the effects of medications commonly used to treat symptoms of dementia and provided resident (R1) with sufficient observation, on 5/26/2020, to ensure his safety needs were met, which posed an immediate health and safety risk to resident in care. Resident fell on 5/26/2020 at approximately 10:45 pm and sustained a serious head injury and passed on 5/31/2020.

§1569.625 Staff training; legislative findings; contents (c) The training shall include, but not be limited to, all of the following:(7) Dementia care, including the use and misuse of antipsychotics, the interaction of drugs commonly used by the elderly, and the adverse effects of psychotropic drugs for use in controlling the behavior of persons with dementia. This requirement is not met as evidenced by: Based on record review, there was no documentation that S2, S3 and S4 had received training on the effects of medications given to treat behaviors associated with Dementia, which posed a potential healtha nd safety risk to resident in care.

87463 Reappraisals (c) The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any, when there is significant change in the resident’s condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement is nto met as evidenced by: Based on record review, resident's most recent care plan was dated 3/18/2020 and facility did not update resident's care plan on/around May 2020 when it was observed that there was a clear pattern to the frequency and/or severity of the falls resident incurred, while taking medications with a side effect warning of dizziness and drowsiness, which posed a potential health and safety risk to resident in care.