Mother Mary Care Home

87465 Incidental Medical and Dental Care (c) ...facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided...(3) A record of each dose is maintained in the resident's record...the date and time the PRN medication was taken, the dosage taken, and the resident's response. The requirement was not met as evidenced by: interview and record review showing multiple 3+ instances of given PRN's without documentation. This constitutes an immediate health and saftey risk to persons in care

California Health and Saftey code 1569.626 (a) All residential care facilities for the elderly shall meet the following training requirements, as described in Section 1569.625, for all direct care staff:(1) Twelve hours of dementia care training, six of which shall be completed before a staff member begins independently... All 12 hours shall be devoted to the care of persons with dementia.This requirement was not met as evidinced, by record review. this constiutes a potential health and saftey risk to persons in care.

Based on ecord review, the licensee did not comply with the section cited above there was only one training compleaed for staff. which 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 R1'S medications we signed off which by a staff member. This poses an immediate health, safety or personal rights risk to persons in care.

Based on observation the facility reported shopping day is tomorrow had no fresh fruit, bell perpers were the only fresh vegetable, one package of chicken for dinner this evening, no eggs, no milk and multiple packages of hot dogs and bologna.

Based on record review the licensee did not comply with the section cited above in one out of three persons staff S1 is not associated to the facility and finger print cleared. which poses an immediate health, safety or personal rights risk to persons in care.

Based on, records review the licensee did not comply with the section cited above in three out of three caes. All staff had expired CPR certification. which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation: LPM observed toxins under the kitchen sink that were not locked to residents in care.

Based on LPA record review, the licensee did not comply with the section cited above in staff 2-3 have fingerprint clearances for other facilities and were not transferred to current facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Personal AccomodationsBedroom furniture, which shall include, for each resident, a chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers. This requirement was not as evidenced by: Based on LPA Jensen's observation of 3 of 3 residents missing a lamp from their bedrooms. This poses a potential risk to the health, safety and persobal rights of residents in care.

Incidental Medical and Dental Care...Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by: Based on LPA Jensen's observation of PRN medication for a resident that has terminated services with the facility that was stored on top of a dresser and accessible to residents in care. This poses an immediate risk to the health, safety and perosnal rights of residents in care.

Resident Records....Records of resident's cash resources as specified in Section 87217, Safeguards for Resident Cash, Personal Property, and Valuables. This requirement was not met as evidenced by: Based on LPA Jensen's review of a resident file, Resident 1 did not have a personal property inventory completed upon admission or upon receipt of additional proeprty sent by family members. This poses a potential risk to the health, safety and personal rights of residents in care.

Maintenance and Operation(b) A comfortable temperature for residents shall be maintained at all times.(1) The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C).This requirement was not met as evidenced by: This requirement was not as evidenced by LPA Jensen's observation of the facility thermostat temperature reading of 67 degrees upon arrival. This poses a potential health, safety and personal rights risk to residents in care.

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...Nothing in this section [which deals with terminally ill residents and hospice care] shall be construed to relieve a licensed residential care facility for the elderly of its responsibility to notify the appropriate fire authority of the presence of a bedridden resident in the facility as required under subdivision (f) of Section 1569.72 and to obtain and maintain a fire clearance as required under Section 1569.149. This requirement was not met as evidenced by: Based on LPA's review of records including resident file, LIC 200, facility sketch and STD 850 as well as the interview with Administrator Jean Alvarez, there are two residents that are bedridden and no fire clearance for bedridden residents. This poses an immediate risk to the health , safety and personal rights of residents in care.

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident ...This requirement was not met as evidenced by: Based on LPA Jensens review of records for resident 1 which contained multiple incomplete and missing documents. This poses a potential health, safety and personal rights risk to residents in care.

Personal Rights of Residents in All Facilitiesa) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(14) To have reasonable access to telephones, to both make and receive confidential calls...This requirement was not as evidenced by: LPA Jensen's observation of 67 unretreived voicemails. This poses a potential health, safety and personal rights risk to residents in care.

Furniture, Fixtures, Equipment, and Supplies: (e) Faucets used by clients for personal care such as shaving and grooming shall deliver hot water.(1) Hot water temperature shall be maintained at not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C This requirement was not met as evidenced by hot water tested at 123.5 in the client's bathrooms. This is an immediate safety hazard.

87465(c)(2) Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Based on observation and records review, the Licensee did not ensure medications ordered for residents are given as prescribed which poses an immediate health and safety risk to residents in care.