Casa Del Sol

87211(a)(1)(A) Each licensee... A written report shall be submitted to the licensing agency ... Death of any resident from any cause regardless... Based on observation and record review, the licensee did not ensure to send the death report of a resident to CCDS, Licensing Division.

Ensure hazardous items are locked and not unattended

87309(a) Except as specified in subsection (b), the licensee shall ensure that ... poisonous substances, knives... are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation, the licensee did not ensure sharps and poisonous substances are stored in a locked drawer/ cabinet, as well as access to a camper with poisonous substances located in the facility.

(a) Each licensee shall furnish to the licensing agency...and to the person responsible for the resident within seven days of the occurrence …any incident which threatens the welfare, safety, or health of any resident…This requirement was not met as evidence by: Based on observations, interviews and records review, licensee did not report two (2) incidents that occurred at the facility for two (2) residents (R1 and R2), which posed a potential health risk to 2 of 3 residents in care.

Signed rights acknowledgement in resident record

87468 Personal Rights: “(b) At the time the admission agreement is signed, a resident and the resident's representative shall be personally advised of and given a copy of: (1) The personal rights of residents specified in Sections 87468.1…and 87468.2…(A) The licensee shall have each resident and the resident's representative sign a copy of these rights, and the signed copy shall be included in the resident's record.” This requirement was not met, as evidenced by: Based on records and interviews, for 6 of 6 residents (R1, R2, R3, R4, R5, and R6), Licensee did not ensure that a signed copy of the resident rights was included in the residents’ records, which posed a potential personal rights risk to persons in care.

87705 Care of Persons with Dementia: “(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs.” This requirement was not met, as evidenced by: Based on records and interviews, licensee did not ensure that 1 of 6 residents (R6), who was diagnosed with dementia, had a medical assessment performed within the last year, which posed a potential health, safety, and personal rights risk to persons in care.

1569.317 Absentee Notification Plan for Missing Residents: “Every residential care facility for the elderly…shall, for the purpose of addressing issues that arise when a resident is missing from the facility, develop and comply with an absentee notification plan…” This requirement was not met, as evidenced by: Based on records and interviews, licensee did not develop an absentee notification plan for 6 of 6 residents (R1, R2, R3, R4, R5, and R6), which posed a potential safety 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 6 of 6 residents (R1, R2, R3, R4, R5, and R6), 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.

Obtain baseline medical assessment before resident admission

87458 Medical Assessment: “(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment.” This requirement was not met, as evidenced by: Based on records and interviews, for 4 of 6 residents (R1, R3, R4, and R5), prior to their acceptance as a resident, licensee did not obtain and keep on file, documentation of a medical assessment, signed by a physician, which posed a potential health, safety, and personal rights risk to persons in care.

Arrange appropriate medical and dental care

87465(a)(1) Incidental Medical and Dental Care. The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidence by: Based on observations, interviews and records review, the licensee did not arrange for medical care as appropriate to treat R1’s observed medical condition, which posed a potential health risk to 1 of 5 persons in care.

87633(d) Hospice Care of Terminally Ill Residents. The licensee shall ensure that the hospice care plan is current, accurately matches the services actually being provided, and that the client’s care needs are being met at all times. This requirement was not met as evidence by: Based on observations, interviews and records review, the licensee did not coordinate medical care as the care plan required for R1, which posed a potential health risk to 1 of 5 persons in care.

Regular observation and documentation of resident changes

87466 Observation of the Resident.The licensee shall ensure that residents are regularly observed for changes in physical,... the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person. This requirement was not met as evidence by: Based on observations, interviews and records review, licensee did not notify R1’s responsible party of change in condition, which posed a potential health risk to 1 of 5 persons in care.