Angelic Mansions

Based on observation, interview, and record review, the licensee did not comply with the section cited above by having the bathroom sink handle in disrepair which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above by not having an infection control plan (LIC 9282) on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above by not having a health screening or/and TB clearance for S3 and S4 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above by not having required trainings for all staff in their personnel files which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, record review)], the licensee did not comply with the section cited above by not having S1,3, & 4 associated to the facility through guardian which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above by not having a protective cover for the fireplace which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above by not properly documenting the dates the medication which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above by not having a log of trainings for all staff which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above by not associating Staff #1 and #2 to guardian which poses/posed a potential health, safety or personal rights risk to persons in care.

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 was not met based on evidence by observation. LPA found cockroaches in the hallway and in the living room, as well as a hole in the wall in the living room.

87303.Maintenance and Operation. (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement was not met based on evidence by observation. LPA measured the water temperature in the bathroom sink at 102.5 degrees Fahrenheit.

87465. Incidental Medical and Dental Care. (h)The following requirements shall apply to medications which are centrally stored: (2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met based on evidence of observation. LPA observed an unlocked cabinet in the kitchen pantry with medication accessible to residents.

87555. General Food Service Requirements. (b)The following food service requirements shall apply: (3) Between-meal nourishment or snacks shall be made available for all residents unless limited by dietary restrictions prescribed by a physician. This requirement was not met based on evidence by interview of the Administrator. LPA was informed by the Administrator that the facility restricts food in between meals. If a resident requests food in between meals, they are told they need to wait until the next mealtime or snack time.

87623.Indwelling Urinary Catheter. (a)The licensee shall be permitted to accept or retain a resident who requires the use of an indwelling catheter under the following circumstances: (B) A catheter shall only be inserted and removed by an appropriately skilled professional under physician's orders. This requirement was not met based on evidence of observation and interview. LPA was shown the condom catheter in the resident’s bedroom closet. The Administrator admitted that staff puts the condom catheter on the resident at bedtime.

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: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement was not met based on evidence of observation and interview. LPA was informed that S1 has been working at the facility for two (2) months without a criminal background clearance.

87705.Care of Persons with Dementia.(f)The following shall be stored inaccessible to residents with dementia: (1)Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement was not met based on evidence of observation. LPA observed an unlocked cabinet in the kitchen pantry with sharp knives accessible to residents.

87705. Care of Persons with Dementia. (f)The following shall be stored inaccessible to residents with dementia: (2)Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement was not met based on evidence of observation. LPA observed an unlocked cabinet underneath the kitchen sink with toxic chemicals accessible to residents. LPA observed bleach and raid.

Based on observation, record review, and interview, the licensee did not comply with the section cited above by not obtaining a criminal background clearance for S1 which poses an immediate health, safety or personal rights risk to persons in care.

1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (6) 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. Based on observation interview and record review the licensee failed to provide adequate care and supervision 1 out of 1 time. This poses an immediate health, safety and personal rights risk to persons in care.

1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (10)To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental abuse... Based on observation, interview and record review the licensee did not ensure that R1 was not neglected 1 out of 1 times. This poses a potential health, safety and person rights risk to persons in care.

87303 Maintenance and Operation(b) A comfortable temperature for residents shall be maintained at all times. (2) The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature. Based on observation, interview and record review the licensee did not ensure that the facility was kept at a comfortable temperature 1 out of 1 times. This poses a potential health, safety and person rights risk to persons in care.

80087 Buildings and Grounds(c) All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction. Based on observation, interview and record review the licensee did not ensure that the facility was free from obstruction 1 out of 1 times. This poses a potential health, safety and person rights risk to persons in care.

87705 Care of Persons with Dementia(l) The following initial and continuing requirements shall be met for the licensee to lock exterior doors or perimeter fence gates: (2) The licensee shall ensure that the fire clearance includes approval of locked exterior doors or locked perimeter fence gates.This requirement is not met as evidenced by: Based on observation the licensee did not obtain prior approval for a secured perimeter on 1 out of 1 times. This poses a potential health, safety, and personal rights risk to person's in care.