Mountain View Cottages-vi

Based on observation, interview and record review, the licensee did not comply with the section cited above in 1 out of 3 resident in care by not maintaining an refilling the resident nebulizer medication for the albuterol prescription which poses a potential 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 in 2 out of 2 residents in care by not having the residents P&I funds able to audit and verify that the ledger match the available funds. The Licensee stated that a staff maintains the petty cash on their person daily 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 maintaining a sufficient amount of food for non-perishable and perishable food items per regulations which poses a potential health, safety or personal rights risk to persons in care.

87468.1 Personal Rights of Residents in All Facilities -- (a) Residents in all RCFE shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met as evidenced by: Based on interviews with staff, wtiness, and residents, S1 was observed to speak loudly at residents and claim that they are the authority in this home to be followed.

BUILDINGS AND GROUNDS: The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.This requirement was not met as evidenced by: LPA and staff observed debris (wooden pallets, side/end table, plastic containers and bags, mattress) were observed on the facility.

PLANNED ACTIVITIES: Facilities shall provide sufficient space to accommodate both indoor and outdoor activities...(2) Outdoor activity areas...easily accessible to residents...Gardens or yards shall be sufficient in size, comfortable, appropriately equipped for outdoor use.This requirement was not met as evidenced by: LPA and staff observed outdoor seating that does not have shade.

MAINTENANCE/OPERATION: The facility shall be clean, safe, sanitary, in good repair at all times. Maintenance shall include provision of maintenance services, procedures for the safety and well-being of residents, employees, visitors.This requirement was not met as evidenced by: LPA and staff observed the dining/common arear screen door off track. LPA snd staff were not able to close and/or open the screen door without the door going off track.

POSTING OF LICENSING REPORTS; DISCLOSURE TO NEW RESIDENTS: Requires the licensee of a residential care facility for the elderly to provide written notification to the residents, resident's responsible party (if any) and to the local Long-Term Care Ombudsman within 10 days..: The Department of Social Services commences proceedings to suspend or revoke the license of the facility. This occurs when the accusation is served to the respondent. This requirement was not met as evidenced by:LPA observed that the facility failed to posta ccusations. Licensee verified that they have not provided written notification as required by H&S Code 1569.38(b) to the residents/resident's responsible party and Ombudsman.