complaint·May 10, 2021

On the allegation: Facility is not kept clean and sanitary. LPA interviewed W1 regarding observations made at the facility. W1 reported that the kitchen floor was sticky on 04/06/2021 and the bathroom floor had dirt and debris at the bottom of the walls and corners on 04/08/2021. On 04/16/2021 at approximately 12:000 pm LPA observed some debris in the corners of the bathroom floor. Based on observations made this allegation is deemed Substantiated at this time. On the allegation: Facility staff lack training to safely transfer residents in care. LPA interviewed W1 regarding the observations made at the facility. W1 reported S2 was assisting R2 with a transfer to the wheelchair and S2 did not set the breaks on the wheelchair before assisting R2 with the transfer. LPA reviewed the training documentation on 04/19/2021 at 8:30 am and the training documentation does not meet the requirements set in regulation for proper training of staff. Therefore, the allegation is deemed Substantiated at this time. Exit interview conducted, deficiencies cited, copy of report and appeal rights emailed to Licensee to sign and return to the Goleta office. from previous facility on hospice services. S1 was able to provide a written physicians order for the W/C lap belt, but the order was written after LPA requested the documentation on 04/16/2021. Regulation requires that postural supports shall be fastened or tied in a manner that permits quick release by the resident and R1 is unable to release belt on own, therefore the allegation is deemed Substantiated at this time. On the allegation: Medications were improperly stored. LPA conducted a physical plant tour of the facility on 04/16/2021 at 11:42 AM. During the tour LPA observed the laundry room door does have a locking latch that slides to lock at the top of the door to enter but does not have a locking door knob/handle, in the laundry room area was a shelving unit containing distilled water, syrup, cleaning products, personal grooming and hygiene items that were all mixed together on the shelving unit, the medication was stored in the laundry room lower cabinets with other items, cleaning products and a plastic box with lid containing kitchen knives/sharps. LPA observed a locked office door, in the office was magnetic locked cabinets containing paperwork, medications and the magnetic key was hanging beside the cabinets. On 04/06/2021 W1 observed medication in the dishwasher and in an unlocked lower cabinet in the laundry room. On a follow up visit on 04/08/2021 W1 observed that some medication remained in the refrigerator, not in the locked box. Other medication was left in an unlocked bottom cabinet in the laundry room and other medication was in the office cupboard locked with a magnetic locking system with the magnetic key hanging right next to the cabinet. LPA explained to the Licensee that medication, records, kitchen utensils/knives/sharps, and cleaning products needed to be locked, stored separately and the magnetic key needed to be secured. Based on the observations made this allegation is deemed Substantiated at this time. On the allegation: Dangerous items were not secured. LPA interviewed W1 regarding the observations made at the facility. W1 observed kitchen knives in an unlocked drawer in the kitchen on 04/06/2021 and 04/08/2021. LPA observed on 04/16/2021 the kitchen knives in a plastic box with lid in lower cabinet in the laundry room mixed with cleaning products and medications. LPA explained to the Licensee that each item needed to be stored locked. Based on the observations made this allegation is deemed Substantiated at this time.