Casa Del Cielo

Based on LPA observation, Licensee did not have at least one carbon monoxide detectors in the facility which meets the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. This posed an immediate safety risk to 6 of 6 residents (R1 through R6) in care.

Based on record review and manager interview, Licensee did not ensure that 1 of 4 staff (S2, S3, and S4) had completed 20 hours of training within the last twelve (12) months, of which 8 hours were required to be on dementia care and of which 4 hours were required to be on postural supports, restricted health conditions, and hospice care. This posed a potential health and personal rights risk to 6 of 6 residents (R1 through R6) in care.

Based on record review and manager interview, Licensee did not ensure that 4 of 4 medication-passing staff (S1 through S4) had completed 8 hours of in-service training on medication-related issues within the the last twelve (12) months. This posed a potential health risk to 6 of 6 residents (R1 through R6) in care.

Limit operations to licensed capacity

Based on records and manager interview, in retaining 1 of 6 residents (R1) who was bedridden, the Licensee operated the facility beyond the conditions and limitations specified on the facility's license. This posed an immediate safety risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on LPA observation, Licensee did not ensure that cleaning solutions and tools which could pose a danger to residents were in locked storage and not left unattended. This posed an immediate health and safety risk to 6 of 6 residents (R1 through R5) in care.

First aid training requirements

Based on record review and manager interview, Licensee did not ensure that 1 of 4 staff (S2) records contained proof of current First Aid Training from persons qualified by such agencies as the American Red Cross. This posed a potential health risk to 6 of 6 residents (R1 through R6) in care.

Review and revise record after changes

Based on records review and manager interview, for 6 of 6 residents (R1 through R6), Licensee did not within the last 12 months arrange a meeting with the resident and required individuals to review and revise the resident's written record of care. This posed a potential health risk to persons in care.

Based on records review and manager interview: For 4 of 6 residents (R3, R4, R5, and R6), Licensee did not have in their record the name, address, and telephone number of a dentist to be called in an emergency. This posed a potential health risk to persons in care.

Based on records review and manager interview, 3 of 6 residents (R1, R2, and R4) each had a restricted health condition, but Licensee did not have proof that 4 of 4 direct care staff (S1 through S4), who participate in meeting the resident’s specialized care needs, completed training provided by a licensed professional, which included hands-on instruction in both general procedures and resident-specific procedures. This posed a potential health risk to persons in care.

Based on records review and manager interview, Licensee did not ensure that the hospice agency trained 4 of 4 direct care staff (S1 through S4) on 3 of 6 residents (R1, R2, and R3, who were each under hospice care) current and ongoing individual care needs. This posed a potential health risk to persons in care.