Arlyn's Guest Home

Based on LPA record review, the licensee did not comply with the section cited above in facility conducted last fire drill on 7/8/2023 which poses an immediate health, safety or personal rights risk to persons in care.

87202 Fire Clearance(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement was not met as evidenced by testing two detector not working in the main hallway. This is an immediate safety risk.

Personal Rights: ..(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:.(3) To be free from...interfering with daily living functions such as eating, sleeping, or elimination.This was not met as evidenced by: The LPM observed a chain and lock on the refridgerator.

Care of Persons with Dementia (A) In addition to requirements a facility with fewer than 16 residents shall have at least one night staff person awake and on duty ...This regulation was not met as evidenced by: According to staff interview there is one CG present in the facilily from 430 pm to 6am whom sleeps during sleeping hours.

Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.This regulations was not met as evidenced by: lpm observed medications that were accessible in the staff room, cleaning supplies were unlocked under the sink and in unlocked cabinets in the unlocked garage

Personnel Requirements: (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall:(2) Request a transfer of a criminal record clearance as specified in Section 87355(c)This was not met as evidenced by: LPM reviewed the facility roster at time of visit and CG1 had a criminal record clearance, however the staff was not associated to the facility and a transfer request had not been submitted.

(3) Fire and earthquake drills shall be conducted at least once every three months on each shift and shall include, at a minimum, all direct care staff. The facility conducted a fire drill on 2/5/2022. This does not met the requirement for this regulation while caring for a resident with Dementia.

The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any, when there is significant change in the resident’s condition, or once every 12 months, LPA observed Needs and Services Plan is outdated for R1 thru R3.

(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 is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above in (2) out of (2) residents diagnosed with dementia which poses/posed a potential health and safety risk to persons in care.

Disaster and Mass Casualty Plan - Disaster drills shall be conducted at least every six months. The drills shall be documented and the documentation maintained in the facility for at least one year. This requirement is not met as evidenced by:Based on records reviewed, care home states it is conducting fire drills but a log is not present in the facility. This poses a potential safety risk to the residents in care.

80075(f) Health Related Services. Staff providing care and supervision shall receive first aid training from qualified agencies including but not limited to the American Red Cross.No First Aid and CPR proof in file. Administrator could not provide proof for S1. Based on records review S1 does not have a First Aid/ CPR Card.

Incidental Medical and Dental Care Services. Centrally stored medications shall be kept in a safe locked place that is not accessible to persons other than employees responsible for the supervision of the medication. This requirement was not met as evidencied by observation during the tour LPA observed medications in residents rooms, in the refrigerator, on the table and in the staff room. This is an immediate risk to residents in care.