Gracious Living

Enumerated rights; severability... (a) Residents of residential care facilities for the elderly shall have all of the following rights:... (29) To manage their financial affairs. A licensee shall not require residents to deposit their personal funds with the licensee. Except as provided in approved continuing care agreements, a licensee, or a spouse, domestic partner, relative, or employee of a licensee, shall not do any of the following:...(E) Enter into a loan or promissory agreement or otherwise borrow money from a residentThis requirement was not met as evidenced by: Based on interviews, record review, the Licensee received personal funds from R1 for lifetime services and supplies that facility is not licensed to provide. Licensee also entered into a loan agreement with R1. This posed an immediate Health, Safety, or Personal Rights risk to residents in care.

Maintain records of centrally stored medication dosages

Based on observation and record review, the licensee did not comply with the section cited above by not ensuring a centrally stored medication log was updated and completed for Resident #1 (R1) and Resident #2 (R2), which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above by not ensuring R1 and R2 have a completed needs and services plan, which poses a potential health, safety or personal rights risk to persons in care.

Right to confidential records and approved disclosure

87468.2 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: (2) To have their records and personal information remain confidential and to approve their release, except as authorized by law. This requirement was not being met as evidenced by: R2, R3, R4's information was given to R1's representative whom is not a legal repesentative of R2, R3, and R4. This poses a potential health and safety risk.

87211 Reporting Requirements : (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 was not being met as evidenced by: Facility did not report to CCLD that 911 was called for R2 and was taken to the hospital. This poses a potential health and safety risk.

Admission agreement signing and dating deadline

Based on observation, interview and record review, the licensee did not comply with the section cited above by not signing the Admission Agreement issued to one (1) resident 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 allowing two (2) residents with half bed rail but no written order from their physician indicating the need for half bed rail for mobility 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 providing the required dementia trainings to staffs at the facility which poses a potential 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 an Emergency Disaster Plan completed and maitained at the facility which poses an immediate health, safety or personal rights risk to persons in care.

Address and clearance obligations before facility work

Based on observation, interview and record review, the licensee did not comply with the section cited above by not obtaining a ciminal record clearance for Staff #3 before allowing S3 to work at the facility which poses an immediate health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observation, interview, and record review, the licensee did not comply with the section cited above by not regulating the hot water in residents' shared bathroom between 105 degrees Fahrenheit to 120 degrees Fahrenheit which poses/posed a potential health, safety or personal rights risk to persons in care.

Mark taps at high-temperature threshold

Based on observation, interview, record review, the licensee did not comply with the section cited above by not identifying tap water that delivers water above 125 degree F by warning signs which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain personnel records at facility location

Based on observation, interview and record review, the licensee did not comply with the section cited above by not maintaining all personnel records at the facility which poses a potential health, safety or personal rights risk to persons in care.

Request a transfer of criminal record clearance

Based on observation, interview, record review, the licensee did not comply with the section cited above by not transferring Staff #1 (S1) criminal record clearance to the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

First aid training requirements

Based on observation, interview and record review, the licensee did not comply with the section cited above by not having staffs receive appropriate training in first aid from persons qualified by such agencies as teh American Red Cross which poses/posed a potential 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 conducting the required fire drill and earthquake drill at the facility 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 allowing one (1) resident to have full bed rail who's not on hospice and without approved exception from CCLD which poses a potential health, safety or personal rights risk to persons in care.

Allow licensing inspection and controlled record removal

Based on observation, interview and record review, the licensee did not comply with the section cited above by not making the personnel records available to the licensing agency to inspect, and audit which poses an immediate health, safety or personal rights risk to persons in care.