Chino Hills Senior Living

General Food Service Requirements 87555....(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner....(b) The following food service requirements shall apply:....(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained.This requirement is not met as evidence by: Based on interviews, and record review the Licensee did not comply by adhering by General Food Service Requirements and providing food of poor quality to all residents in care, which can pose a potential Health, Safety, or Personal Rights risk to residents in care.

Maintenance and Operation 87303....(b) 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.....(3) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition.This requirement is not met as evidence by: Based on interviews, review of records, the licensee did not ensure to follow the regulation Maintenance and Operation by ensuring to keep the facility in good repair, which poses an immediate Health, Safety, or Personal Rights risk to residents in care.

Personal Rights of Residents in All Facilities 87468.1...(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 evidence by: Based on interviews and review of records, the licensee did not ensure to follow Personal Rights Violation by ensuring to provide proper housekeeping and ensuring to maintain proper sanitation to resident #1 restroom, which poses an immediate Health, Safety, or Personal Rights risk to residents in care.

Personal Rights of Residents in All Facilities 87468.1 ....(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidence by: Based on interviews and review of records, the licensee did not ensure to follow Personal Rights Violation pertaining to the sanitation of resident #1 restroom, which poses an immediate Health, Safety, or Personal Rights risk to residents in care.

Incidental Medical and Dental Care 87465 ....(1) Medications shall be centrally stored under the following circumstances:... (B)....Any medication is determined by the physician to be hazardous if kept in the personal possession of the person for whom it was prescribed....(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 is not met as evidence by: Based on interviews, review of records, the licensee did not ensure to follow the regulation pertaining to the supervision and administration of medication for residents, which poses an immediate Health, Safety, or Personal Rights risk to residents in care.

1) Personal Rights 80072 (3).... To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of punitive nature, including but not limited to: interference with the daily living function, including eating, sleeping, or toileting; or withholding of shelter, clothing, medication, or aids to physical functioning. Based on interviews and record review, facility did not meet Personnel Rights for Resident #1, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Personnel Requirements – General 87411 (a)...Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.This requirement is not met as evidence by: Based on interviews and record review, facility did not meet Personnel Requirements for Resident #1, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Reporting Requirements.. (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:... (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.This requirement is not met a evidence by: Based on record review, the licensee did no ensure to follow the proper procedures to report CCL office that medication was administered late to all residents due to staffing conflicts.

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... (1) Obtain a California clearance or a criminal record exemption... This requirement is not met as evidenced by: Based on observation, interview and records review, the Licensee did not comply with the section cited above by allowing Staff #7 to work at the facility without criminal backround exemption since 03/14/2021 whick pose immediate health, safety and personal rights risk to residents in care.

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... (2) Request a transfer of a criminal record clearance... This requirement is not met as evidenced by: Based on observation, interview and records review, the Licensee did not comply with the section cited above by not transferring the criminal background clearance of Staff #4 to the facility who had been working at the facility for four years which pose potential health, safety and personal rights risks to residents in care.

General Food ServiceRequirements: All equipment, fixed or mobile, and dishes, shall be kept clean and maintained in good repair...The facility has not met this requirement as evidenced by LPA observation of broken/dirty Salamander oven, steam cabinet and refrigerator. This is a health and safety potential for those working and receiving foods prepared in this environment.

All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. The facility has not met this requirement as evidenced by LPA observation of dirty floors, walls, fixtures, presence of rodent droppings, black substance on the ceiling, foods frozen to freezer floor and wall, dirty refrigerator floors.

(b)The following food service requirements shall apply:(27)All kitchen areas shall be kept clean and free of litter, rodents.. Based on observation and interview, the licensee did not comply with the section cited above by not keeping the kitchen clean of litter on the floor and mouse droppings.

(b)The following food service requirements shall apply:(23) All readily perishable food...shall be stored in covered containers at appropriate temperatures. Based on observation and interview, the licensee did not comply with the section cited above by having uncovered pre prepped ice cream in the freezer.

(b)The following food service requirements shall apply:(9)Procedures...protect the safety, acceptability/nutritive values of food.. observed in food storage, preparation and service. Based on observation and interview, the licensee did not comply with the section cited above by having mouse droppings were food is stored and served to residents.

b)The following food service requirements shall apply:(17)In facilities licensed for fifty (50) or more... a full-time employee qualified... responsible for the operation of the food service... Based on observation, record review and interview, the licensee did not comply with the section cited above by not having a dietitian on site and by not having proof of visits from a dietitian.