New World Villa South

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition ...residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (25) To protection of their property from theft or loss according to Health and Safety Code sections 1569.152,1569.153, and 1569.154.This requirement was not met as evidenced by: Based on record review and interview, the licensee did not file a law enforcement report within 36 hours of learning that care staff (S1) stole a $2,000 bracelet from a resident (R1). This posed an immediate personal rights risk to 5 of 5 residents 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, financial exploitation…and abuse.This Requirement was not met as evidenced by: Based on record review and interview, one staff member (S1) took a resident’s bracelet valued at $2,000. This posed an immediate personal rights risk to 1 of 5 (R1) residents in care.

Based on record review, the licensee did not comply with an appropriate care plan on file for 1 [R1] out of 5 residents which poses/posed a potential health to R1.

Based on a staff record reveiw S1 and S2 did not have Health Screening forms on file. This posed a potential health risk to 5 out of 5 residents in care.

Based on a staff record review S1 - S10 did not have records of required training on file. This posed a potential health and safety risk to 5 out of 5 residents in care.

Based on observations and interviews the licensee did not comply with the section cited above by not addressing a pest infestation in the facility kitchen which poses/posed a potential health or personal rights risk to 5 out of 5 persons in care.

Based on an interview with the licensee they did not have an infection control plan and was in non-compliance with the section cited above for 5 out of 5 residents poses/posed a potential safety risk to persons in care.

Personnel Requirements - General. Facility personnel shall ... be sufficient in numbers, and competent to provide the services... to meet resident needs... The licensing agency may require any facility to provide additional staff whenever... the extent of services provided, or the physical arrangements of the facility require such additional staff for ... adequate services.This requirement was not met as evidenced by: Based on staff interviews and record reviews they did not have adequate staff to meet Resident 1 (R1) needs.This posed an immediate health risk to one out of five (5) residents in care.

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services...for... well-being of residents...(1) Floor surfaces ...and kitchen areas shall be maintained in a clean, sanitary...condition.This requirement was not as evidenced by: Based on LPA observations the facility kitchen had dead, as well as alive pests, in the kitchen cupboards.This posed a potential health and personal rights risk to five (5) residents in care.

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility (3) Request a transfer of a criminal record clearance... This requirement was not met as evidenced by: Based on record review, the licensee did not ensure that a criminal record clearance transfer was complete for 1 of 7 staff members (S5) prior to working in the facility, which poses an immediate health, safety and personal rights risk to 5 of 5 residents in care.

87309 Storage Space and Access (a) ...the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances... sharp objects, and other... items which could pose a danger... are... not left unattended if outside the locked storage. This requirement was not met as evidenced by: Based on observation, the licensee did not ensure that rubbing alcohol, injection needles, and lysol were locked and inaccessible to residents which poses an immediate health, safety and personal rights risk to 5 of 5 residents in care (R1-R5).

87465 INCIDENTAL MEDICAL AND DENTAL CARE (a) (5)Facility staff... shall not administer injections... This requirement was not met as evidenced by: Based on observation and record review, the licensee did not ensure that an appropriately skilled professional administered medications to 1 (R5) of 5 residents in care. This posed an immediate health, safety and personal rights risk to R5.

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review... shall prior to working... 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 record review, the licensee did not ensure that a criminal record clearance was obtained for 2 of 7 staff members (S4 and S6) prior to working in the facility, which poses an immediate health, safety and personal rights risk to 5 of 5 residents in care.

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met as evidenced by: Based on record review, resident records were incomplete for 5 Residents (R1-R5), which poses a potential health, safety and personal rights risk for 5 of 5 residents in care.