La Marea Senior Living

87464 Basic Services"(f) Basic services... include: (4) Personal assistance and care as needed by the resident... indicated in the pre-admission appraisal... such as dressing and assistance with taking prescribed medications..." Based on observation and record review, the licensee did not comply with the section cited above in ensuring resident was supervised as needed which posed an immediate health, safety or personal rights risk to 1 of 120 persons in care.

87355 Criminal Record Clearance(e): All individuals... shall prior to working.. in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department… Based on interview and record review, the licensee did not comply with the cited section that Staff 1 had been working at the facility for at least 5 calendar days and did not have a criminal background clearance association, which poses an immediate safety risk to 108 of 108 residents 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 interview and record review, the licensee did not comply with the sections cited above as one(1) out of one hundred and twenty-five(125) residents did not recieve medication, which posed a potential health and safety risk to persons in care.

Personnel Requirements – General. Facility personnel shall at all times be sufficient in numbers...In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care...The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents…require such additional staff for the provision of adequate services. This requirement is not met as evidenced by: Based on interviews and record review the licensee did not ensure residents were checked on during the night for 1 out of 89 [R1] residents, which posed a potential health, safety, and personal rights risk to residents in care.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency … (1) A written report… to the licensing agency and to the person responsible for the resident within seven days of the occurrence of… (B) Any serious injury… occurring while the resident is under facility supervision.This requirement was not met as evidenced by: Based on record review the Licensee did not report a serious incident for one resident (R1) within 7 days. This posed a potential health, safety and personal rights risk to 1 of 100 residents in care.

87464 Basic Services (f) Basic services shall… include (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal…This requirement was not met as evidenced by: Based on record review and interview, the Licensee did not put measures in place to protect one resident (R1) from falls, which resulted in serious injuries. This posed an immediate health, safety and personal rights risk to 1 of 100 residents in care.

87465 Incidental Medical and Dental (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resultedin an imminent threat to a resident’s health…This requirement was not met as evidence by: Based on interview and record review, staff did not arrange emergency medical care for one resident (R1) who was experiencing severe pain. This posed an immediate health, safety and personal rights risk to 1 of 100 residents in care.

87466 Observation of the ResidentThe licensee shall ensure that residents are… observed… When… deterioration of…. mental ability or a health condition are observed, the licensee shall ensure that such changes are documented and brought to… the … physician and… responsible person…This requirement was not met as evidenced by: Based on record review and interview, staff did not inform one resident’s (R1) doctor or responsible when they experienced a change in condition. This posed a potential health, safety and personal rights risk to 1 of 100 residents 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 is not met as evidenced by: Based on LPAs interviews and record reviews, call button response times were in excess of 20 minutes on 76 different occasions during the period of 01/22/24 – 02/05/24. This poses a potential health and safety risk to 96 of 96 residents in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility (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 did not ensure that 9 of 24 residents were assisted as needed with self-administration of prescription medications on 05/10/24, which posed a potential health 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: (8) To be free from neglect,…punishment,…mental, physical…abuse.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee’s staff (S1) did not ensure that 3 of 87 residents (R1, R2, and R3) were free from neglect, punishment, and/or mental/physical abuse. This posed an immediate health and personal rights risk to persons in care.

87211 Reporting Requirements: "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, 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...(D) Any incident which threatens the welfare, safety or health of any resident." This requirement was not met, as evidenced by: Based on records and interviews, 1 of 87 residents (R3) had an incident which threatened their welfare, safety, or health, and Licensee did not submit a written report of the incident to CCLD and the residents’ responsible person within seven days. This posed a potential personal rights risk to persons in care.

1569.317 Absentee Notification Plan for Missing Residents: “Every residential care facility for the elderly…shall…develop and comply with an absentee notification plan…The plan shall include…a requirement that an administrator of the facility, or his or her designee, inform the resident’s authorized representative when that resident is missing from the facility…and the circumstances in which [they] shall notify local law enforcement.” This requirement was not met, as evidenced by: Based on records and interviews, licensee’s staff did not develop a written absentee notification plan, which posed a potential safety risk to 96 of 96 clients (C1 through Client #96) in care.

87411 Personnel Requirements – General: “(a) Facility personnel shall at all times be…competent to provide the services necessary to meet resident needs.” This requirement was not met, as evidenced by: Based on records and interviews, the licensee did not ensure facility personnel (S1) was competent in knowledge to provide the services necessary to meet the safety needs of 1 of 96 residents (R1), which posed a potential safety risk to persons in care.

87211 Reporting Requirements: "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, 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...(D) Any incident which threatens the welfare, safety or health of any resident." This requirement was not met, as evidenced by: Based on records and interviews, 1 of 96 residents (R1) had an incident which threatened their welfare, safety, or health, and Licensee did not submit a written report of the incident to CCLD and the person responsible for the resident within seven days of incident occurrence. This posed a potential personal rights risk to persons in care.