C.a.l.l.-carmelita House

Based on record review, the licensee did not comply with the section cited above in 5/5 staff did not meet annual trianing for hours or topics which poses a potential health, safety or personal rights risk to persons in care.

(a) plan for incidental medical and dental care shall be developed by each facility. The...:(1)The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on staff interviews and records review the Licensee did not comply with the regulation above, R1 had immediate dental needs that were not addressed timely by the lead/supervisor based on staff charting notes and verbal notifications which poses an immediate health, safety and personal rights risk to residents in care.

(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (16)To receive or reject medical care or other services. This requirement was not met as evidenced by: Based on staff interviews and charting records the Licensee did not comply with the regulation above R1 was having discharge and odor in 2024 but R1 was not taken to see a doctor till 2025 which poses an immediate health, safety, and personal rights risk to residents in care.

(a)All facilities shall have a qualified and currently certified administrator....shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility...This requirement was not met as evidenced by: Based on staff interview and record review the Licensee did not comply with the regulations above, Administrators or back up were not on the premises, to permit adequate attention to the management or administration of the facility operations which possess a potential health, safety, and personal rights risk to residents in care.

(e)...:(1) A resident roster with the date of birth for each resident.(2) An ANS plan for each resident.(3) A resident medication list for residents with centrally stored medications.(4) Contact information for the responsible party and physician for each resident. This requirement was not met as evidenced by: Based on interviews and record review the Licensee did not comply with the regulation above, staff were unable to locate the records for Resident to provide the EMT’s on a 911 call, which poses an immediate health, safety and personal rights risk to residents in care.

(c)All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement was not met as evidenced by: Based on record review the Licensee did not comply with the regulation above staff were not properly training meeting all initial and annual training requirement which poses a potential health, safety, and personal rights risk to residents in care.

(d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying....: This requirement was not met as evidenced by: Based on record review the licensee did not comply with the regulation above, records were not provided to LPA, LPA had to look for records requested, copies of records took over 3 hours to be provided which poses a potential personal rights risk to residents in care.

87468.1(a)(1) Personal Rights. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff,... This requirement was not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above when S1 yelled at residents in care, which posed a potential personal rights risk to residents in care.

87468.2(a)(4) Personal Rights. To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in...qualifications, and competency to meet their needs. This requirement was not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above when S1 deviated from protocol and had R2 sit on their

Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents…shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. On 07/25/2022, staff did not follow C1’s special diet plan by giving C1 soda without Thick It powder and a non-pureed hot dog, which posed an immediate health and safety risk to residents in care.

Personal Rights of Residents in All Facilities (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights:(8)To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met as evidenced by: Based on witness interviews and documentation the Licensee did not comply with the regulation above and did not notify R1’s representatives of R1’s fall which poses a potential personal rights risk to residents in care.

87468.1(a)(1) Personal Rights to Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not as evidenced by: Based on interviews and record review, the licensee did not ensure the personal rights of residents in care. S1 was speaking to residents in an unsafe manner which posed a potential health, safety, and personal rights risk to residents in care.