The Oaks at Inglewood Assisted Living

87203 Fire Safety-All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by observation. The facility has an expired five year sticker and the annual sticker on the fire hydraulic system/ fire riser. This is an immediate safety risk to residents in care.

(a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: (5) Staffing plan, qualifications and duties.(6) Plan for training staff, as required by Health and Safety Code sections 1569.625, 1569.626, and 1569.69 and as specified in Section 87411, Personnel Requirements–General and Section 87705, Care of Persons with Dementia.

(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 requirement is not met as evidenced by: based on observation the licensee failed to secure toxins. A cabinet under the sink in the resident's activity room was left unlocked and it contained toxins. This poses an immediate health and safety risk to residents in care.

87411(a)- Personnel Requirements - General-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 by interviews conducted and records review R-1 AWOL'd from the facility. The LIC 602 states the resident was not allowed to leave the facility unassisted. This presents an immediate health and safety risk to the resident in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by the facility not following the doctor's orders to allow R1 to take and control the medications as identified on the physician's report and forcing R1 to surrender the medications at the wishes of family without the appropriate/required Powers of Attorney.

b) The following food service requirements shall apply:(9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirement is not met as evidenced by observation and records reviewed. observation on 6/21/2024, 8/22/2024, and records reviewed the facility is not in compliance with the regulatory requirement to maintain a clean and sanitary kitchen with storage of food, expired food, unlabeled food, bread storage area not clean and open containers.

Incidental Medical and Dental CareThe licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not as evidenced by: Based on review of facility records, R1 complained of pain on 6 separate occasions with no attempt by facility staff to obtain medical care appropriate to R1’s condition. This poses an immediate risk to the health, safety and personal rights of residents in care.

87464 Basic Services (f) Basic services shall at a minimum include: (6) Arrangements to meet health needs, including arranging transportation, as specified in Section 87465, Incidental Medical and Dental Care Services. This requirement was not met as evidenced by The facility not following the doctors orders and not taking R1 to have a X-ray on the left arm at the request of the PCP.

Incidental Medical and Dental CareThe licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis... This requirement was not met as evidenced by the facility notes and medical records which show medical assistance as delayed to R1. This poses an immediate risk to the health, safety and personal rights of residents in care.

Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes ...the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician....This requirement was not met as evidenced by: A review of medical records and facility notes showing R1's complaints of pain were not brought to the attention of R1's physician or responsible party on multiple occasions. This poses an immediate risk to the health, safety and personal rights of residents in care.

87218 Theft and Loss(a) The licensee shall ensure an adequate theft and loss program as specified in Health and Safety Code Section 1569.153.(1) The initial personal property inventory shall be completed by the licensee, and the resident, or the resident’s representative. This requirement was not met as evidenced by: Based on LPA Jensen's observation of 3 of 3 resident files lacking record of any inventory conucted upon admission. This poses a potential risk to the health, safety and personal rights of residnets in care.

Resident Participation in DecisionmakingThe licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident’s condition, or once every 12 months, whichever occurs first. Significant changes shall include, but not be limited to occurrences specified in Section 87463, Reappraisals. This requirement was not met as evidenced by: This requirement was not met as evidenced by the resident file for R1 not having an updated appraisal since 3/17/21. This poses a potential risk to the health, safety and personal rights of residents in care.

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:...(2) To be accorded safe, healthful and comfortable accommodations...This requirement was not met as evidenced by: Based on LPA's observation of staff wearing masks incorrectly and a lack of PPE and signage outside of COVID positive resident rooms. Also based on staff interviews showing inconsistent handling of resident monitoring and isolation times. This poses a potential threat to the health, safety and personal rights of residents in care.