Beatitudes Care Home

(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.(1) Nonambulatory persons. Based on observation, interview, and record review, the licensee did not comply with the section cited above by not ensuring that the facility accepted and retained ambulatory residents only. Based on observed, the licensee did not ensure that a fire clearance was requested to ensure that the garage space was a habitable living space for staff.

(3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response.This requirement is not met as evidenced by: Based on observation, interview and record review, the lceisnee did not comply with the section cited above by not ensuring that the facility maintained the Medication Administration Record (MAR) for 4 out 4 residents. This poses an immediate health, safety, and personal rights risks to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above by not ensuring that the facility accepted and retained ambulatory residents only. Based on records reviewed by LPA Pascua 5 out 6 residents were non-ambulatory. This poses an potential health, safety, and personal rights risks to persons in care.

Based on observation, interview and record review, the lceisnee did not comply with the section cited above by not ensuring that the facility maintained the Medication Administration Record (MAR) for 4 out 4 residents. This poses an immediate health, safety, and personal rights risks to persons in care.

Based on observation, the licensee did not comply with the section cited above in that there was old and unused furniture items left out in the side yard which needed to be removed since it poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that [4] out of [5] facility staff files did not current certified First Aid training which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation by this LPA, the licensee did not comply with the section cited above in that the exterior side gate was locked with a pad lock to not allow access in/out of this facility in case of any emergency since this was the sole exterior side exit which posed an immediate health, safety or personal rights risk to persons in care.