Living Grace Assisted Living and Memory Care

(a) The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This is not met as evidenced by: Based on record review, the licensee did ensure that the facility was financially solvent. This poses a potential health, safety, and personal rights risks to persons in care.

The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency. Such request shall explain the need for disclosure. The licensing agency reserves the right to reject any financial report and to request additional information or examination including interim financial statements.This is not met as evidenced by: Based on record review, the licensee did not ensure that the licensee had a financial plan and sufficient resources to meet operating costs for the facility, this poses a potential health, safety, and personal rights risks to persons in care.

(b) The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. This is not met as evidenced by: Based on record review, the licensee did not ensure that the facility administrator had the responsibility and authority to ensure that the facility was financially solvent. This poses a potential health, safety, and personal rights risks to persons in care.

Based on record review, the licensee did not comply with the section cited above in that [2] out of [6] facility personnel files did not have updated First Aid training which poses an immediate 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 [2] out of [6] facility personnel files did not contain updated annual training topics and hours which poses an immediate health, safety or personal rights risk to persons in care.

(a) A licensee shall ensure that infection control practices are maintained as follows:This is not met as evidenced by: Based on observation, interview, and record review, the facility did not ensure that infection control practices were followed as stated in the facilities infection control plan.

(2) Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This is not met as evidenced by: Based on observation, interview, and record review, the facility did not ensure that the facility outbreak was reported to licensing within 24 hours upon notification of suspected scabies outbreak. This poses an immediate health, safety, and personal rights risks to persons in care.

All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This is not met as evidenced by: Based on observation, interview and record review the licensee did not maintain proper fire clearance by padlocking the outside emergency gate near the parking lot.This poses an immediate health, safety, and personal rigths risks to persons in care.