Berland Home Care

Based on observation, interview and record review, the licensee did not comply with the section cited above in one out of six residents which poses an immediate health, safety or personal rights risk to persons in care.

Based on records review and manager interview, for 6 of 6 residents (R1 through R6), Licensee did not attach to their admission agreement and have signed the required Telecommunications Device Notification form. This posed a potential personal rights risk to persons in care.

Based on records review and manager interview, Licensee did not ensure that 9 of 9 facility staff (S1 through S9) were trained annually on the facility's written Emergency Disaster Plan, and the staff's responsibiltiies during an emergency or disaster. This posed a potential safety risk to 6 of 6 residents (R1 through R6) in care.

Based on records review and manager interview, Licensee did not conduct disaster drills at least quarterly for each shift. This posed a potential safety risk to 6 of 6 residents (R1 through R6) in care.

Based on LPA observation and manager interview, Licensee did not maintain ongoing compliance with the facility’s prior approved fire clearance. This posed an immediate safety risk to 6 of 6 residents (R1 through R6) in care.

Based on records review and manager interview, Licensee did not ensure that an initial personal property inventory was completed for 6 of 6 residents (R1 through R6). This posed a potential personal rights risk to persons in care.

Based on LPA observation, Licensee did not ensure that disinfectants, cleaning solutions, and other items which chouse pose a danger if readily accessible to clients, were stored where inaccessible to them. This posed an immediate health and safety risk to 6 of 6 residents (R1 through R6) in care.

Based on records review and manager interview, Licensee did not ensure that 1 of 9 staff (S2), who was subject to a criminal record review, requested and received approval for a transfer of a criminal record clearance, prior to working at the facility. This posed a potential safety risk to 6 of 6 residents (R1 through R6) in care.

Based on records and interviews, Licensee did not ensure that 2 of 9 staff (S4 and S5) had current first aid training from a qualified agency. This posed a potential health and safety risk to 6 of 6 residents (R1 through R6) in care.

Based on records review and manager interview, Licensee did not possess a completed and signed health screening for 2 of 9 staff (S2 and S3). This posed a potential health and safety risk to 6 of 6 residents (R1 through R6) in care.

Based on records review and manager interview, Licensee did not maintain at the facility a personnel record on 1 of 9 staff (S1). This posed a potential health and safety risk to 6 of 6 residents (R1 through R6) in care.

Based on records review and manager interivew, Licensee did not ensure that 1 of 6 residents (R4) had an examination for communicable tuberculosis, as evideced by a diagnosic test. This posed a potential health risk to 6 of 6 residents (R1 through R6) in care.

Based on records review, for 6 of 6 residents (R1 through R6), Licensee did not assess the person’s need for personal assistance and care by determining his/her ability to perform specified activities of daily living. This posed a potential health and personal rights risk to persons in care.

Based on LPA observation, Licensee did not ensure that centrally stored medications were kept locked and not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This posed an immediate health and safety risk to 6 of 6 residents (R1 through R6) in care.

Based on records review and manager interview, Licensee did not ensure that 6 of 6 residents (R1 through R6) were regularly observed for changes in physical functioning, in include unusual wieght gains or losses. This posed a potential health risk to persons in care.

Based on records review and manager interview, for 6 of 6 residents (R1 through R6), Licensee did not arrange a meeting with the resident and appropriate individuals identified in Section 87467(A)(1) to review and revise the written record of care at least once every 12 months. This posed a potential health and personal rights risk to persons in care.

Based on records review and manager interview, Licensee did not ensure that 9 of 9 facility staff (S1 through S9) were trained in the proper use of all required PPE annually. This posed a potential health risk to 6 of 6 residents (R1 through R6) in care.

Based on records review and manger interview, Licensee did not ensure that the care records for 6 of 6 residents (R1 through R6) contained 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, for 3 of 6 residents (R1, R3, and R4) who were under hospice care, Licensee did not ensure that the hospice agency provided training to 9 of 9 staff (S1 through S9), specific to the current and ongoing needs of the individual resident receiving hospice care, before such care began. This posed a potential health and personal rights risk to persons in care.

Based on records review and manager interview, Licensee did not ensure that 4 of 6 residents (R2, R4, R5, and R6), who were each diagnosed with Dementia, had a medical assessment and reappraisal done at least annually. This posed a potential health, safety, and personal rights risk to persons in care.

Based on LPA observation, Licensee did not store tools, and other items that could constitute a danger, inaccessible to residents with dementia. This posed an immediate safety risk to 6 of 6 residents (R1 through R6) in care.

Based on LPA observation and manager interview, Licensee did not maintain an auditory device or other staff alert feature to monitor exits on 2 of 4 exterior exit doors which residents had direct access to. This posed a potential safety risk to 4 of 6 residents in care (R2, R4, R5, and R6) who were diagnosed with Dementia.

Based on records review and manager interview, Licensee did not have signed copies of the latest resident personal rights for 6 of 6 residents (R1 through R6). This posed a potential personal rights risk to persons in care.