Comfort Home 2

Based on observation,interview and record review, the licensee did not comply with the section cited above by not providing emergency food supplies for the residents in care during emergency evacuation, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and measuring the water temperature in residents bathrooms, the licensee did not comply with the section cited above by not regulating the water temperature in the residents bathrooms, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation], the licensee did not comply with the section cited above by not keeping hot water temperature within regulation-which is 125 degrees Fahreheit, which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above,Licensee does not have Liability insurance in the facility for the residents, which poses an immediate health, safety or personal rights risk to persons in care.

Eviction Procedures...(a) A licensee of a licensed residential care facility for the elderly shall, prior to transferring a resident of the facility to another facility or to an independent living arrangement as a result of the forfeiture of a license.... (2) Provide each resident or the resident’s responsible person with a written notice no later than 60 days before the intended eviction. The notice shall include all of the following.This requirement is not met as evidence by: Based on observation, and record review, the licensee did not ensure to follow eviction procedures for 1 out of 1 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 not completing the required needs and services plan for Resident # (R1), Resident #2 (R2) and Resident #3 (R3 and resident#4 (R#4) 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 conducting the required drill at least quarterly for each shift which poses a potential health, safety or personal rights risk to persons in care.

87608 Postural Supports (a) Based on the individuals preadmission appraisal....(3) A written order from a physician indicating the need for the postural support shall be maintained in the residents record. The licensing agency... This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above by allowing Resident #1 (R1), Resident #3 (R3) and Resident #5 (R5) have half bed rails without their physician order indicating the need for half bed rail for mobility in their facility file 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 allowing Resident #1 (R1), Resident #3 (R3) and Resident #5 (R5) have half bed rails without their physician order indicating the need for half bed rail for mobility in their facility file which poses a potential health, safety or personal rights risk to persons in care. ***Deficiency will be deleted as it should be CCR 87608(a)(3)*** Please reference new LIC809D created***

Based on observation, interview, and record review, the licensee did not comply with the section cited above by not locking the two (2) bottles of Staff #2 (S2) medications found in the kitchen cabinet and plant fertilizer found in the backyard, 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 and record review, the licensee did not comply with the section cited above by locking the side fence gate with a padlock without approved fire clearance that includes approval of locked perimeter fence gate 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 regulating the hot water temperature in residents' shared bathroom between 105 degree F to 120 degree F 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 maintaining a liability insurance for the facility 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 conducting the required drill at least quarterly for each shift 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 completing the required needs and services plan for Resident # (R1), Resident #3 (R3) and Resident #5 (R5) 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 having one (1) screen door in disrepair 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 transferring Staff #5 (S5) criminal background clearance to the facility before allowing S5 to work 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 not having the required Pre-Admission Appraisal for Resident #1 (R1), Resident #3 (R3) and Resident #5 (R5) which posesa 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 pre-pouring all residents medications for the day/transferring all residents medications for the day to 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 not developing the required Infection Control Plan for the facility which poses a potential health, safety or personal rights risk to persons in care.

87705 Care of Persons with Dementia: (I) The following initial and continuing requirements shall be met by the licensee to lock the exterior doors or perimeter fence gates: (2) The Licensee shall ensure that the Fire Clearance includes approval of locked exterior doors or locked perimeter fence gates. This requirement is not met as evidenced by: Based on observation,interview and records review, the Licensee did not comply with the regulation by locking the side gate/perimeter fence gate in a manner that residents are unable to exit without assistance. This poses an immediate health, safety, and personal rights risk to residents in care.

87608 Postural Supports (a) Based on the individuals preadmission appraisal....(3) A written order from a physician indicating the need for the postural support shall be maintained in the residents record. The licensing agency... This requirement is not met as evidenced by: Based on observation, interview andr ecord review, the licensee did not comply with the section cited above by having Resident #3 (R3) half bed rail with no written order from R3's physician indicating the need for the postural support maintained in R3 facility record which poses a potential health, safety or personal rights risk to residents in care.