Irene's Board & Care

Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times...This requirement was not met as evidenced by: Based on observation, the licensee did not ensure two electrical outlets were covered with faceplates which poses a potential Health and Safety risk to persons in care.

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.This requirement was not met as evidenced by: Based on observation, interview, and record review, the licensee tansffered medications into three different medication bottles which poses an immediate Health, Safety, and Personal Rights risk to persons in care.

Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility... (4)The licensee shall assist residents with self-administered medications as needed.This requirement was not met as evidenced by: Based on observation, interview and record review, the licensee is not providing reisdents their medications as prescribed, which poses an immediate Health, Safety, Personal Rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in 4 out of 4 resident reappraisals not up to date or complete per regulation which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above when nine resident medications were not documented on the (CSMR) and five expired medications were observed in resident current stock of medications which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above when R1 was not provided privacy when recieving care from staff allowing other residents and visitors to see R1 while indicposed which poses a personal rights risk to persons in care.

Storage Space and Access (a) ...the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives,...sharp objects,... and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not met as evidenced by: Based on observation, the licensee did not follow this regulation when they left disinfectants, cleaning solutions, knives, and sharp objects out and accessible to residents in care which poses an immediate Health and Safety risk to persons in care.

Storage Space and Access (a) ...the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances,... and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not met as evidenced by: Based on observation, the licensee did not follow this regulation when they left bug spray and cleaning solutions out and accessible to residents in care which poses an immediate Health and Safety risk to persons in care.

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. ... This requirement is not met as evidenced by: Based on interview and not being able to produce evidence of quarterly drills, the licensee did not comply with the section cited above during the facility visit which poses a potential health, safety or personal rights risk to persons in care.

Fire Clearance(a)...Prior to...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,...fire department,...or the State Fire Marshal. (2)Bedridden persons. This requirement was not met as evidenced by: Based on observation and interview, the licensee did not follow their fire clearance a bedridden resident, R1, resides in a non bedridden room and fire extinguisher not serviced annually which poses an immediate Health and Safety risk to persons in care.

(e) Water supplies and plumbing fixtures shall be maintained as follows:(2)...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... This requirement is not met as evidenced by: Based on observation the licensee did not meet this regulation when LPA tested the resident shower temp reaching a maximum of 97.9 degree F which poses a potential health, safety or personal rights risk to persons in care.

87203 Fire Safety, 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 requirement was not met by evidence of W1, W2, and LPA observing Resident Room's exits being blocked by obstacles, which poses a potential risk to residents in care.

Based on not being able to produce evidence of quarterly drills, the licensee did not comply with the section cited above during the annual facility inspection which poses/posed a potential health, safety or personal rights risk to persons in care.

Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons.(10) To be free from neglect, ... punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. Based admission the licensee did not comply with the section cited above by tying and allowoing S2 to tie R1 to the bed with a sheet, which poses a potential health, safety or personal rights risk to persons in care.

87468.2 Additional Personal Rights of Residents…(a)In addition to the rights listed in Section 87468.1, …shall have all of the following personal rights: (1)To have a reasonable level of …communications…This requirement was not met based on Staff admission of aggressive verbal interactions with Resident, which poses an potential health, safety and personal rights risk to residents in care.