A and E Loving Senior Home Care, Inc.

Based on observation and interview, the licensee did not comply with the section cited above by not having non-skid mat or strip in the hall bathroom which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above by not having the Cleaning Supplies cabinet in good repair located in the laundry room which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above by not having the backyard/outdoor free of obstructions which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above by storing the residents whole day pre-poured medicines in the kitchen cabinet and not locked which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above by pre-pouring the residents whole day of medications in a small container per resident 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 having R3 with full bed rail and not having a written order from a physician indicating the need for the postural support and shall be maintained in the resident's record which poses 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 Hospice Care Plan that specifies the need for full bed rails for Resident #1 (R1), Resident #2 (R2), Resident #5 (R5) and Resident #6 (R6) which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above by not locking the nutritional supplements or vitamins in the kitchen cabinet making it accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above by locking/securing the side gate/perimeter fence gate with a pad lock in a manner that residents are unable to exit without assistance which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above by not having Staff #4 (S4) and Staff #5 (S5) Health Screenings Report in their staff facility file which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above by not securing or locking two (2) scissors found in the kitchen drawer not locked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above by not locking the cleaning solutions/supplies located in the laundry room cabinet making it accessible to their residents which poses an immediate health, safety or personal rights risk to persons in care.

87705 Care of Persons with Dementia (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of...This requirement is not met as evidenced by: Based on interviews & records review, the Licensee did not comply with the section cited above by failing to complete the required annual medical assessment, reappraisal and reassessment done for R1's dementia care needs which pose potential health, safety and personal rights risks to resident in care.

87705 Care of Persons with Dementia (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal... This requirement is not met as evidenced by: Based on interviews & records review, it was found that Licensee did not ensure there's a staff scheduled to work night (NOC) shift for night supervision to residents with dementia which pose immediate health, safety and personal rights risk to residents in care.

87468.2(a) Additional Personal Rights of Residents in Privately Operated Facilities: ...Residents in privately operated RCFEs shall have all of the following...rights: (4)To care, supervision, & services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, & competency to meet their needs. This requirement was not met as evidenced by: Based on interviews & records review, it was found that Licensee did not ensure R1 received the care, supervision & services to meet their needs. On 09/28/2023, R1 was admitted for Home Health Service at a community care licensed facility in Laverne and R1 was diagnosed with Stage 2 Pressure Ulcer of left buttock. However, it was found that treatment and care for the injury was not being provided as needed. This violation of regulation posed an immediate health, safety and personal rights risk to R1.