Highland Senior Home Care Llc

Based on observation and record review, the licensee did not comply with the section cited above by not ensuring the the over the counter medications (Tylenol and Immodium) had a physician's order for the resident(s), 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 that the Admission Agreement for Resident 4 (R4) was signed by the resident or their responsible party, which poses/posed a potential 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 ensuring that water temperatures tested between 105 -120 degrees Fahrenheit, which poses an immediate 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 ensuring that the facility is free from roaches, which poses an immediate health, safety or personal rights risk to persons in care.

87211 (1)(D) Reporting Requirements(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days...(D) Any incident which threatens the welfare, safety or health of any resident...This requirement was not met as evidenced by: Based on interview and record review, the Licensee/Administrator and confirmed that several incidents involving R1 were not reported, which posed an immediate risk to the health and safety of resident(s) in care.

87465(c)(3) Incidental Medical and Dental Care (c)If the resident's physician has stated in writing that the resident is unable to determine his/her..(3) A record of each dose is maintained in the resident's record. This requirement is not met as evidenced by: Based on record review, the facility did not ensure that R1, R3 and R4 had completed information on their Medication Administration Record (MAR) and/or their Centrally Stored Medications List (CSM), which posed an immediate risk to the health and safety or residents in care.

Based on observation and interview , the licensee did not comply with the section cited above by not ensuring cleaning solutions such as bleach and Ajax were kept locked and inacceisble, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, iinterview and record review, the licensee did not comply with the section cited above by not ensuring that once medication is administered, staff must initial each day and time that the medication is given into the MAR, which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview and rrecord review, the licensee did not comply with the section cited above by not ensuring that when fire/earthquake drills are conducted, a log is kept of the day, time and participants, which poses/posed a potential health, safety or personal rights risk to persons in care.

Eviction Procedures 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 forfeiture of a license...(2) Provide each resident or theThis standard was not met as evidenced by: Based on interviews, observation and record review, the licensee did not ensure that the licensee followed eviction procedures which poses an immediate Health, Safety or Personal Rights risk to persons in care.

87355(e)(2) Criminial 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 as specified in Section 87355(c). 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 not transferring S3's criminal records background clearance to the facilty prior to employment on 08/2024 which poses a potential health, safety and personal rights risk to residents in care.

Health and Safety Code 1569.311 Carbon monoxide detectors required, inspection. Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards...This requirement is not met as evidenced by: Based on observations and interview, the Licnesee did not comply with the section cited above by not ensuring that the carbon monoxide detector at the facility is in good working condition which poses an immedicate health, safety and personal rights risk to residents in care.

87705(f)(2) Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medicatioh, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. 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 ensuring the one (1) gallon of bleach and two (2) spray bottles of cleaning solution were locked and inaccessible to residents, which poses an immediate health, safety and personal rights risk to residents in care.

Based on LPA observation and record review, the licensee did not comply with the section cited above in that neither staff nor hospice records show training received by facility staff regarding the needs of residents receiving hospice services, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observations and resident records review, the licensee did not comply with the section cited above as Resident 2 (R2) bed was observed with full bed rails, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation and staff interview, the licensee did not comply with the section cited above as Licensee did not have documentation of conducted disaster drills which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, staff interview, resident record review, the licensee did not comply with the section cited above as Resident 1 (R1) was observed with nonprescription medication without a physician's order, which poses a potential health, safety or personal rights risk to persons in care.