Magnolia Care Home 1

87468.1 personal rights (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, furnishings and equipment.This requirement was not met as evidenced by: record review of staff duty list not documenting wandering resident is checked at night. 2 staff interviews indicating that an inccident occured where wandering resident entered the room of another resident at night, this consitiutes a personal rights risk to clients in care.

Based on observation, the licensee did not comply with the section cited above in 20+ containers of soaps/shampoos/detergents/hair products which 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 3 out of 3 records which posed a potential health, safety or personal rights risk to persons in care.

87705(I)(8) Care of Persons with Dementia. 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. This requirement is not met based on: LPA was observed that the last drill was conducted on 8/29/2022, which posed an immediate risk to residents in care.

87303(e)(2) Maintenance and Operation -Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C)and not more than 120 degree F (49 degree C)-This requirement was not met as evidenced by observation: Hot water measured at 68.5*F in residents bathroom.This poses a potential health and safty risks to residents.

All staff who assist residents with personal activities of daily living shall receive at least ten hours of initial training within the first four weeks of employment and at least four hours annually thereafter. LPA did not observe any documentation of annual staff training for S1 and S2

Care of Persons with DementiaLicensees who accept and retain residents with dementia shall ensure that each resident with dementia has an annual medical assessment and a reappraisal done at least annually. LPA observed that R1 diagnosed with dementia didn't have an updated LIC 602

Reappraisals. (a) The pre-admission appraisal shall be updated in writing…as frequently as necessary to note significant changes and to keep the appraisal accurate. This requirement is not met as evidenced by: text message saying that R1's rent increase would take place on August 4 the same day they said her level of care changed. On 8/16 the facility gave the family a 30 day notice to move R1. This poses a potential health and safety risk to residents in care.

87224 Eviction Procedures(b) The licensee may, upon obtaining prior written approval from the licensing agency, evict the resident upon three (3) days written notice to quit. The licensing agency may grant approval for the eviction upon a finding of good cause. Good cause exists if the resident is engaging in behavior which is a threat to the mental and/or physical health or safety of himself or to the mental and/or physical health or safety of others in the facility. This regulation was not met as evidence by based on the interviews conducted, the licensee did not ensure proper procedures and approval was received prior to not accepting the resident back into care. This poses a potential risks to resident in care.

80075(k)(1) Health Related Services. Medication shall be kept in a safe and locked place that is not accessible to persons other than employees... Based on observation, the licensee failed to keep medications in a safe and locked place. LPA observed unlocked medication in the kitchen drawer and the refrigerator. This poses an immediate health and safety risk to residents in care.

Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F and not more than 120 degrees F. This requirement is not met as evidenced by: Hot water temperature was measured at 126.5' This poses an immediate health and safety risk to residents in care.

87705 (l)(8)-Care of persons with dementia. 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.- There was no documentation that a recent fire drill had been conducted.This poses an immediate health and safety risk