Sierra Sunshine Care

87412 Personnel Records: (c) Licensees shall maintain in the personnel records verification of required staff training and orientation... This requirement was not met as evidence by: Based on records review and interviews, the licensee did not have training for staff caring for 4 of 4 residents in care which posed a potential personal rights risk to residents in care.

87305 Alterations to Existiing Building or New Facilities: (b) The licensing agency may require the facility to acquire a local building inspection where the agency determines that a suspected hazard to health and safety exists... this requirement was not met as evidence by: Based on interview, records review and observations, the licensee did not notify the Department of the alterations being constructed in the facility garage which posed a potential safety risk to 4 of 4 residents in care.

87468.1 Personal Rights of Residents in all Facilities: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. Based on interview and observations, the licensee did have auditory voice installed with their surveillance footage in the common areas for 4 of 4 residents in care which posed a potential personal rights risk to residents in care.

87468.1 Personal Rights of Residents in all Facilities: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Based on interview and observations, the licensee did not notify the Department of the camera(s) being installed for 4 of 4 residents in care which posed a potential personal rights risk to residents in care.

80075 Health Related Services (e)(2) (D) All electrical equipment is checked for defects that may cause sparks… This requirement was not met as evidence by: Based on LPA observations and interviews, facility did not ensure that the electrical outlets had no defects. This posed a potential safety risk to 1 of 4 residents in care.

87465 Incidental Medical and Dental Care (h)(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidence by: Based on LPA observations and interviews, facility did not centrally store the residents medication in a safe and locked location. This posed a potential health risk to 1 of 4 residents in care.

(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement was not met as evidence by: Based on LPA observations, facility did not ensure that hot water at taps were within the allotted measures. This posed a potential health risk to 3 of 4 residents in care.

Incidental Medical and Dental Care (h)(5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers...This requirement was not met as evidence by: Based on LPA observations, facility did not store residents medication in its original container. This posed a potential health risk to 3 of 4 residents in care.