Rancho Santa Fe Villa

Ensure hazardous items are locked and not unattended

Based on LPA observation and interview, the licensee did not comply with the section cited above in ensuring that toxic chemicals were kept in secured storage and inaccessible to residents, which poses an immediate health and safety risk to all persons in care.

Requirements for locking exterior exits

Based on LPA observation and interview, the licensee did not comply with the section cited above in meeting the requirements outlined in regulation 87705(f) for locking exterior doors, which poses an immediate health, safety, and personal rights risk to all persons in care.

Obtain required California clearance or exemption

Based on LPA observation and interview, the licensee did not comply with the section cited above in ensuring a private care aid (identified as S1) had an eligible background clearance prior to being present at and performing care for a resident at the facility, which poses an immediate health and safety risk to all persons in care.

Right to personal privacy in daily care

Based on LPA observation, file review, and interview, the licensee did not comply with the section cited above in ensuring reasonal privacy was afforded for residents due to the use of unapproved camera and audio surveillance in private resident rooms, which poses a potential personal rights risk to persons in care.

87625 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry...This requirement was not met as evidenced by: Based on interviews and review of records, the licensee did not ensure R1 and R2 were kept clean and dry, which posed an potential health, safety, and personal rights risk to two residents in care.

§1569.695 Emergency Plans (c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is notrequired during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement was not met as evidenced by: Based on review of records and interviews, the Licensee did not ensure emergency drills were conducted for each shift, which posed a potential health, safety, and personal rights risk to 4 residents in care.

Obtain required California clearance or exemption

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department... This requirement was not met as evidenced by: Based on interviews, and review of records, the Licensee did not ensure S1 had a criminal records clearance, which posed an immediate health, safety, and personal rights risk to 4 residents in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(10)...regarding grievances in regard to the licensee. The licensee shall post the telephone numbers and addresses for the local offices of the State Department of Social Services and ombudsman program, according to Section 9718 of the Welfare and Institutions Code, conspicuously in the facility foyer, lobby, residents’ activity room, or other location easily accessible to residents and their representatives. This requirement was not met as evidenced by: Based on interviews and observations, the Licenssee did not ensure these postings were conspicuously posted where residents could see them, which posed a potential health, safety and personal rights risk to 4 residents in care.

Personal rights of residents in all facilities

87468.1 Personal(a)(3) Rights of Residents in All Facilities. (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: ...(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature,… not to be placed in any restraining device. This requirement was not met as evidenced by: Based on observations, records review and staff interviews, licensee used restraining devices for 2 of 3 residents. This posed a potential personal rights risk to 2 of 3 residents in care.