St. Anthony's Board and Care

Based on record review, the licensee did not comply with the section cited above in 2 of 2 staff did not have training records within their file which posed a potential personal rights risk to persons in care.

Admission agreement signing and dating deadline

Based on record review, the licensee did not comply with the section cited above in1 out of 5 residents did not have an admission agreement on file which posed a potential personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

Based on record review, the licensee did not comply with the section cited above in 2 out of 5 residents [R4 and R5] did not have an updated Physician's Report on file which posed a potential rights risk to persons in care.

Maintain fire clearance before retaining specified persons

Based onobservation, the licensee did not comply with the section cited above in 1 of 1 fire extinguishers were not serviced within the last 12 months which posed a potential safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 1 out of 2 staff did not have a TB on file which posed a potential health, and personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 3 of 5 residents did not have an updated needs and service plan [R2, R3, and R4] which posed a potential personal rights risk to persons in care.

Dignity in personal relationships

Personal Rights of Resident in All Facilities (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 the Departments investigation during interviews there was confirmation that staff #1 (S1) would yell at three of 5 residents in care which posed an potential risk to residents in care.

Health screening and fitness requirements

Personnel Requirements - General: (f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks...this requirement was not met as evidenced by: Based on the Department's investigation, during staff and resident interviews, they confirmed that S1, had hearing and vision conditions that needed to be addressed which posed an potential risk to 5 of 5 residents in care.

Require physician order and label for PRN medication

Incidential Medical and Dental: e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information... this requirement was not met as evidenced by: Based on the Departments investigation during the records review, the facility did not maintain an accurate MAR for resident #1 (R1) of 5 residents in care which posed an immediate health risk to 1 of 5 residents in care.

Based on observation, the licensee did not comply with the section cited above in 1 out of 2 bathrooms had cockroaches which posed a potential personal rights risk to persons in care.

Keep bathing and hygiene facilities in operating condition

Based on observation, the licensee did not comply with the section cited above in 1 out of 2 bathroom sink was broken in bathroom #1 and was leaking which posed a potential personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

Based on records review, the licensee did not comply with the section cited above in 2 out of 5 residents did not have an updated Physician's Report in their file which posed a potential health risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 1 out of 5 residents did not have their TB clearance on file which posed a potential health risk to persons in care.

Personal rights of residents in all facilities

87468.1 Personal Rights of Residents in All Facilities(14) To have reasonable access to telephones, to both make and receive confidential calls. This was not met as evidence by: Based on interviews, staff did not have a working telephone which posed a potential personal rights risk to 3 of 3 residents in care.

87555 General Fod Service RequirememtsSupplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This was not met as evidence by: Based on interviews, staff did not have sufficient food items during an inspection. This posed a potential health risk to 3 of 3 residents in care.

Kitchen sanitation against contamination sources

Based on observation, the licensee did not comply with the section cited above in that there were cockaroaches in the kitchen, bathroom, and garage areas, which posed a potential personal rights risk to 6 of 6 persons in care.

80072 Personal Rights (a)(9) To receive or reject medical care, or health-related services, except for minors and other residents for whom a guardian, conservator, or other legal authority has been appointed. … this requirement was not met as evidenced by: Based on interviews and records review, staff did not notify resident’s responsible party regarding their medical appointments. This posed a potential health risk to one [R1] of six residents in care.

1569.317 Absentee Notification Plan for Missing Residents: “Every residential care facility for the elderly…shall…develop and comply with an absentee notification plan…The plan shall include…a requirement that an administrator of the facility, or his or her designee, inform the resident’s authorized representative when that resident is missing from the facility…and the circumstances in which [they] shall notify local law enforcement.” This requirement was not met, as evidenced by: Based on records and interview, the Licensee did not develop an absentee notification plan for 5 of 5 residents (R1 through R5), which posed a potential safety risk to persons in care.

87505 Admissions Agreements: “(a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any.” This requirement was not met, as evidenced by: Based on LPA observation and staff interview, for 1 of 5 residents (R3), licensee did not complete an individual written admission agreement, which posed a potential personal rights risk to persons in care.

87218 Theft and Loss: “(a) The licensee shall ensure an adequate theft and loss program as specified in Health and Safety Code Section 1569.153. (1) The initial personal property inventory shall be completed by the licensee, and the resident, or the resident’s representative.” This requirement was not met, as evidenced by: Based on records and interviews, for 3 of 5 residents (R2, R3, and R4), Licensee did not maintain a personal property inventory, completed by the licensee and the resident and/or their representative, which posed a potential personal rights risk to persons in care.

Facility must safeguard entrusted cash and valuables

87217 Safeguards for Resident Cash, Personal Property, and Valuables: “(b) Every facility shall take appropriate measures to safeguard resident cash resources, personal property and valuables which have been entrusted to the licensee or facility staff.” This requirement was not met, as evidenced by: Based on records and interviews, the licensee did not take appropriate measures to safeguard resident cash resources that were entrusted to them, affecting 4 of 5 residents (R2 through R5), which posed a potential personal rights risk to persons in care.

87216 Bonding: “(a) Each licensee…who is entrusted to safeguard resident cash resources, shall…have on file with the licensing agency a copy of a bond issued by a surety company to the State of California as principal. (1) The amount of the bond shall be in accordance with the following schedule: $750 or less safeguard = $1,000 bond required; $751 to $1,500 safeguarded = $2,000 bond required, $1,501 to $2,500 safeguarded = $3,000 bond required. Every further increment of $1,000 or fraction thereof shall require an additional $1,000 on the bond.” This requirement was not met, as evidenced by: Based on record review and interview, licensee did not possess a surety bond meeting the minimum amount required per regulation, based on the actual amount of resident monies that Licensee was safeguarding, which affected 4 of 5 residents (R1 through R4), and posted a potential personal rights risk to persons in care.

Facility must clear fire safety for bedridden persons

87202 Fire Clearance: “(a) All facilities shall maintain a fire clearance approved by the…district providing fire protection services, or the State Fire Marshall. Prior to accepting or retaining any of the following types of persons...the licensee shall notify the licensing agency and obtain an appropriate fire clearance…: (2) Bedridden persons.” This requirement was not met, as evidenced by: Based on records review and interviews, Licensee did not notify the licensing agency and obtain an appropriate fire clearance prior to retaining a bedridden resident (R3), who was 1 of 5 residents, which posed an immediate safety risk to persons in care.