La Vida Real

Personnel Requirements – General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on record review, the licensee did not respond to 2 out of 124 [R2;-R6] residents’ requests for assistance in a timely manner. Some residents waited more than 30 minutes for staff to respond to and restore pendants. This poses a potential health and safety risk to residents in care.

Incidental Medical and Dental Care. Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy...shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record, to be retained for at least three years, which lists the following: Based on interviews, the licensee did not ensure the medications were destroyed by the Administrator for 121 out of 121 [R1;-R121] residents, which poses a potential health and safety risk to residents in care.

87468.2 (a) ...residents in privately operated residential care facilities ... shall have all of the following personal rights: (4)To ...services that meet their individual needs and are delivered by staff that are sufficient in numbers... and competency to meet their needs. This requirement was not met as in evidence:Based on interviews and record reviews the licensee did not provide R1 with services that met their individual need in 1 of 124 people in care which posed an potential safety risk to persons in care.

87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement was not met as in evidence: Based on interviews and record reviews the licensee did not provide R1 with supervision in 1 of 124 people in care which posed an immediate health and safety risk to persons in care.

87464 Basic Services.(f)Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement was not met as in evidence: Based on interviews and records reviewed the licensee did not provide assitance in feeding in 1 of 126 persons in care (R1) which posed a potential Health and personal rights risk to persons in care.

(a)... licensee shall furnish to the licensing agency... reports... including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. Based on records the licensee did not provide the licensing agency with twenty five incident reports within 7 days of occurrence in which posed a safety risk to persons in care.

(a) (4) The licensee shall assist residents with self-administered medications as needed.This requirement was not met as in evidence: Based on records and interviews the licensee did not assist resident with prescribed medication in one out of 126 (R1) persons in care which posed a potential health risk to persons in care.

(a) residents in privately operated residential care facilities shall have all of the following...: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as in evidence; Based on interviews and records the licensee did not provide supervision and care to one resident in care (R1) of which posed a potential Health, Safety, and Personal Rights risk to persons in care

Managed Incontinence- b).... the licensee shall be responsible for the following (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.This requirement was not met as in evidence: Based on observations and records reviewed the licensee did not did not keep R1's room free of odors from incontinence in 1 of 120 persons in care which poses a potential personal rights risk.

87468.1(a)Residents.... shall have... the following personal rights: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met as evidence in that: Based on interviews the licensee did not accord residents with dignity in 3 of 120 #persons in care (R1, R2, R3) which posed a Personal Rights risk to persons in care.

87465 Incidental Medical and Dental Care(a) (4) The licensee shall assist residents with self-administered medications. Based on interviews and records reviewed the licensee did not assist R1 with medication in 1 of 65 persons in care [R1] which posed a potential Personal Rights risk to persons in care.

Personnel Requirements-Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement was not met as evidence by: Based on interviews and records reviewed the licensee did not provide suffient staffing to respond timely to 1 of 65 persons in care [R1] which posed a potential Personal Rights risk to persons in care.

87411 Personnel Requirements – General: “(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.” This requirement was not met, as evidenced by: Based on interviews and records, during the incident in question, Licensee did not ensure facility personnel were sufficient in numbers to provide the services necessary to meet the needs of 1 of 115 residents (R1), which posed a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in 5 of 8 resident rooms, which poses a potentia safety risk to persons in care.

87303(a) Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times… this requirement was not met as evidence by: Based on documentation, staff did not fix R1’s toilet tank cover timely resulting in worms breeding inside the tank. This posed a potential personal rights risk to 1 of 306 [R1] residents in care.

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: (1) Obtain a California clearance or a criminal record exemption as required by the Department…” This requirement was not met, as evidenced by: Based on records and interviews: Licensee did not ensure that S1 (who was subject to a criminal record review) obtained a California clearance or a criminal record exemption prior to working at the facility, which posed an immediately safety risk to persons in care.