Oceanside Senior Living

87211(a)(3) Fires or explosions which occur in or on the premises shall be reported... no later than the next working day to the licensing agency.This requirement has not been met as evidenced by: Based on interviews, the Licensee did not comply with the section cited above in that the Licensee did not notify the Department of the fire the following working day. This poses a potential safety risk of 90 of 90 residents in care.

87464 Basic Services (a) The services provided by the facility shall be conducted so as to continue and promote, to the extent possible, independence and self-direction for all persons accepted for care. Such persons shall be encouraged to participate as fully as their conditions permit in daily living activities both in the facility and in the community.(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). The following requirement has not been met as evidenced by: Based on interviews conducted Resident1 eloped from the facility resulting in injury, which poses an immediate health, safety, or personal rights risk to residents in care.

87507(g)(5)(E) Preadmission fees shall be refunded according to the following conditions:(3)... paid preadmission fees greater than five hundred dollars ($500) shall be refunded... as follows: (c) Refunds... shall be paid within 15 days of issuing the notice... This requirement has not been met as evidenced by:Based on interview and record review, the licensee did not ensure that R1 was issued a refund of their pre-admission fee within 15 days of notice. This poses a potential personal rights risk to R1.

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers... as necessary to perform... house cleaning...This requirement has not been met as evidenced by: Based on interviews, the licensee did not comply with the section cited above in that there were not enough housekeeping staff employed to provide weekly housekeeping services per the admission agreement. This poses a potential personal rights risk to 110 of 110 residents in care.

87625 Managed Incontinence (b) ... the licensee shall be responsible for the following: (3) Ensuring that... the facility remains free from odors from incontinence. This requirement has not been met as evidenced by: Based on interviews, the licensee did not comply with the section cited above in that resident apartments smelled of urine due to soiled incontience briefs. This poses a potential personal rights risk to 110 of 110 residents in care.

87555 General Food Service Requirements (b) (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner.This requirement was not met as evidenced by: Based on interviews, the licensee did not ensure the food provided to residents was of good quality, which posed a potential health, safety, and personal rights risk to all residents in care.

87468.1 Personal Rights of Residents in All Facilities: “(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff...” This requirement was not met, as evidenced by: Based on records and interviews, during the incident, licensee’s staff (S1, S2, and S3) did not accord 1 of 112 residents (R1) dignity, which posed an immediate personal rights risk to persons in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities: “(a)…residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in…personal care and assistance…” This requirement was not met, as evidenced by: Based on records and interviews, during the incident, licensee’s staff (S1, S2, and S3) did not uphold the personal privacy of 1 of 112 residents (R1), which posed an immediate personal rights risk to persons in care.

87705 Care of Persons with Dementia: “(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs.” This requirement was not met, as evidenced by: Based on records and interviews, licensee did not ensure that 1 of 112 residents (R1), who was diagnosed with dementia, had a medical assessment performed within the last year, which posed a potential health, safety, and personal rights risk to persons in care.

87465 Incidental Medical and Dental Care: “(a)(4) The licensee shall assist residents with self-administered medications as needed.” This requirement was not met, as evidenced by: Based on records and interviews, the licensee's staff (S1) did not assist 1 of 108 residents (R1) with self-administered medications as needed/prescribed, which posed a potential health risk to persons in care.

87464 Basic Services (f)(1) Basic services shall at 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 evidenced by: Based on interviews and record reviews, the licensee did not provide supervision as defined in Section 87101 (c)(3) for 1 of 104 persons in care.

87455 Incidental Medical and Dental Care (c)(2)... the facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met:...Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by; Based on interviews and records review, the facility staff did not administer medications as prescribed for 1 out of 112 residents,which poses a potential health risk to residents in care.