Serene Residential Care Home

Based on record review the licensee did not comply with the section cited above. R1 and R3 did not have updated needs and service plans on file for review during this visit. This poses/posed a potential health, safety or personal rights risk to persons in care.

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal.(A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. Based on LPA's conversation with licensee and staff it was confirmed that there is not always awake night staff. This poses an immediate health, safety or personal rights risk to persons in care.

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. Based on LPA's observation there is a sick in the back door in the kitchen preventing the door from being opened. After and speaking with the licensee he states "that should have been removed in the morning " This poses an immediate health, safety or personal rights risk to persons in care.