Woodland Garden Residential Care Ii

87458 Medical Assessment(b)The licensee shall obtain an updated medical assessment when required by the Department. This requirement was not met as evidenced by: Based on interview and record review all (4) residents had a LIC602 that was more than a year old, (2) of (4) had inaccurate information on their LIC602 which required updating. This poses a potential health saftey or personal rights risk to residents in care.

87609 Allowable Health Conditions and the Use of Home Health Agencies(a) (4)The licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical condition(s). This requirment was not met as evidenced by: Based on interview and record review (2) residents did not have a home health care agreement in their file. This poses a potential health saftey or personal rights risk to residents in care.

Review and revise record after changes

87467 Resident Participation in Decisionmaking(a)(3) The licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident’s condition, or once every 12 months, whichever occurs first. This requirement was not met as evidenced by: Based on interview and record review all (4) residents had an appraisal of needs assesment dated more than 12 months old. This poses a potential health saftey or personal rights risk to residents in care.

Retain original records for at least three years

(e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement was not met as evidenced by: During a complaint investigation, LPA requested to review R1's resident file at the facility. Licensee reported R1 vacated the facility in late 2024. Licensee searched the facility and reported they were unable to locate R1's file. Staff then reported R1's file was removed by R1's family.This poses a potential health, safety, and/or personal rights risk to residents in care.

Infection Control Requirements : A licensee shall ensure that infection control practices are maintained. Based on observation and review of Covid-19 related records, staff did not ensure that infection control practices were maintained. This posed a potential health risk to 5 out of 5 residents in care.

(a) Each licensee shall furnish to the licensing agency reports as the Department may require, including, but not limited to... (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurence from any cause regardless of where the death occurred...This requirement is not met as evidenced by R1's death not being reported to the dept. This posed a potential health, safety, and personal rights risk to persons in care.

Health and Safety Code section 1569.185 provides: (a) An application fee adjusted by facility and capacity shall be charged by the department for the issuance of a license to operate a residential care facility for the elderly. After initial licensure, a fee shall be charged by the department annually on each anniversary of the effective date of the license. This requirment is not met as evidenced by: the annual fees were not paid by the due date of 12/17/23. This poses a potential health, safety and personal rights risk to persons in care.

Store centrally held medications in locked secure place

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by: Based on LPA observations and interviews, the centrally stored medicines were not kept in a safe and locked place and were accessible to a resident. This posed an immediate health risk to one (1) out of six (6) residents in care.

Ensure hazardous items are locked and not unattended

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement was not met as evidenced by: Based on LPA observation and staff interviews, Licensee did not ensure that cleaning supplies were inaccessible to resident in care. This posed an immediate safety risk to one (1) out of the six (6) residents in care.

Store centrally held medications in locked secure place

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by: Based on LPA observations and staff interviews, the centrally stored medicines were not kept in a safe and locked place and were accessible to resident(s). This posed an immediate health risk to four (4) out of the four (4) residents in care.

Ensure hazardous items are locked and not unattended

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement was not met as evidenced by: Based on LPA observation and staff interviews, the Licensee did not ensure that several cleaning supply items in various areas of the facility were inaccessible to residents in care. These items included multiple cleaning supplies under the bathroom sink and in the open, unlocked garage on and near the washing machine. These items posed an immediate safety risk to four (4) out of the four (4) residents in care.