Tomas Residential Care

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 3 out of 3 residents did not have updated medication profile sheets or medication list which posed a potential health risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 1 staff did not obtain their updated Administrator's certificate which posed a potential personal rights risk to persons in care.

Keep prescriptions in original containers

Based on observation, the licensee did not comply with the section cited above in 3 out of 3 resident's medications were stored in medication boxes which posed a potential health risk to persons in care.

Based on interview, the licensee did not comply with the section cited above in the fire drills not being completed which posed a potential safety risk to persons in care.

Certified administrator requirements and substitute coverage

Based on record review, the licensee did not comply with the section cited above in 2 out of 2 administrators certifications had lapsed which posed a potential personal rights risk to persons in care.

Annual routine visit with medical professional

Based on record review, the licensee did not comply with the section cited above in 3 out of 3 residents did not have an updated medical assessment in their files which posed a potential health risk to persons in care.

Reappraisal identifies facility is not appropriate

87224(a)(4) EVICTION PROCEDURES If, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted pursuant to Section 87463, and the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident. This requirement was not met as evidenced by: Based upon record review and interviews, the licensee did not serve a lawful written 30-day eviction notice and did not conduct a reappraisal prior to issuing the notice in one of six residents in care. This posed a potential personal rights risk to residents in care.

Document behavioral expression and related causes

87463(c) Reappraisals: The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. This requirement was not met as evidenced by: Based on records reviewed and interviews conducted, the licensee did not conduct a reappraisal to document changes in R1’s condition prior to eviction, which posed an immediate health risk to residents in care.

Reappraisal identifies facility is not appropriate

EVICTION PROCEDURESIf, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted pursuant to Section 87463, and the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident. This requirement was not met as evidenced by: Based upon record review and interviews, the licensee did not serve a lawful written 30-day eviction notice and did not conduct a reappraisal of the resident prior to issuing the notice. This posed a potential personal rights risk to one (R1) of six residents in care.