Aspire Residential Care, Llc

87411(a) Personnel Requirements. (a) 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 record review, interviews, and observations, Licensee did not ensure appropriate numbers of staff available to meet the identified needs of residents in care. This poses an immediate health, safety, and resident rights risk to residents in care.

87405(h)(5). Administrator Qualifications and Duties. (h) The administrator shall have the responsibility to: (5) Provide or ensure the provision of services to the residents with appropriate regard for the residents' physical and mental well-being and needs, including those services identified in the residents' Pre-Admission Appraisals, specified in Section 87457, Pre-admission Appraisal, and Reappraisal, as specified in Section 87463. This requirement was not met as evidenced by: Based on interview, record review, and observation, Administrator did not provide appropriate staffing solutions to meet the needs of residents as identified on appraisal and needs and service plans. This poses an immediate health and safety risk to residents in care.

87465(a)(4). 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 record review, Licensee did not ensure receive medication as ordered as indicated by lack of staff initials on medication log sheets. This posed a potential health and safety risk to residents in care.

87468.1(a)(3) Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions…such as…interfering with daily living functions such as…elimination. This requirement was not met as evidenced by: Based on interview, Licensee is not adhering to resident rights as stated above in that R2 has been told to eliminate self in diaper due to only 1 caregiver on duty to assist. This poses an immediate health, safety, and resident rights risk to residents in care.

Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement was not met as evidenced by: Based on record reviews, S5 is not currently associated with facility and demonstrates employment in facility since 7-12-23. This poses an immediate health and safety risk to residents in care.

Based on observation and record review the licensee did not comply with the section cited above in 2 out of 3 resident charts reviewed. Resident1 (R1) and R2 beds were observed to have half rails attached to their beds with no physician's orders present in their charts which poses a potential health, safety or personal rights risk to persons in care.