Golden Horizon Senior Care

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall ... (1) To be accorded dignity in their personal relationships with staff, residents, and other persons.

Based on observation, the licensee did not comply with the section cited above by not ensuring all sharps such as scissors were kept locked inacessible to residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observavtion the licensee did not comply with the section cited above by not ensuring side gate was kept unlocked acessible to residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

Night Supervision....(a) The following persons providing night supervision from l0:00 p.m. to 6:00 a.m. shall be familiar with the facility's planned emergency procedures, shall be trained in first aid as required in Section 87465, Incidental Medical and Dental Care Services and shall be available as indicated below to assist in caring for residents in the event of an emergency. (2) In facilities caring for sixteen (16) to one hundred (100) residents at least one employee shall be on duty on the premises, and awake. Another employee shall be on call, and capable of responding within ten minutes.This requirement is not met as evidenced by: based on interview and document review, the licensee did not comply with the section cited above evidenced by not having an awake night staff on duty which poses an immediate health, safety, or personal rights risk to persons in care.

Personal Rights of Residents in All Facilities....(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination.This requirement is not met as evidenced by: based on interview and document review, the licensee did not comply with the section cited above evidenced by not ensuring the resident was safe and free from abuse and intimidation which poses an immediate health, safety, or personal rights risk to persons in care.

87413 Personnel Operations (a) In each facility: (2) Care and supervision of residents shall be provided without physical or verbal abuse, exploitation or prejudice. Based on interview and record review, the licensee did not comply with the section cited above evidenced by Staff #1 (S1) and Resident #1 (R1) admitted to have a sexual relationship while S1 was working at the facility, which imposes an immediate health, safety and personal 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 the required signal system 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 locking the multiple knives in the kitchen drawer, and making it accessible to residents in care 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 providing the required on the job training to Staff #2 (S2), Staff #3 (S3) and Staff #4 (S4) 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 a Health Screening Report completed for Staff #2 (S2) and Staff #4 (S4) 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 Staff #2 (S2) and Staff #4 (S4) complete a Tuberculosis (TB) test signed by a physician and no TB Test result maintained in S2 and S4 facility file 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 aboveby not having a completed Physician Report with Physician Signature Date for five (5) of eight (8) residents 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 a record of one (1) medication for Resident #2 (R2) in R2's Medication Administration Record (MAR) at the facility and LPA Brown observed that the facility's dispensing or giving R2's medication 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 updating Resident #9 (R9) Medication Administration Record (MAR) after dispensing/giving R9's medication per physician's directions 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 having a movable waste bin in the kitchen without a cover 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 aboveby not ensuring that Staff #2 (S2) and Staff #4 (S4) have current cardiopulmonary resuscitation (CPR) training and first aid training 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 providing the required 40 hours of training to staff 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 providing the required four hours of training to staffs on the care, supervision, and special needs of those residents, prior to providing direct care to residents 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 providing the required four hours of training per year to staffs 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 not having the required planned activities for the residents at the facility which poses a potential health, safety or personal rights risk to persons in care.