C.a.l.l. - Valdez House

Based on record review, the licensee did not comply with the section cited above in the admission agreements do not have this information in them which poses a potential 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 3/4 staff did not have records on file at the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above 3/5 files were not complete at the facility for staff and administrator which poses a potential 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 medical visits and recoes were not updated every 12 months which poses a potential 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 3/5 staff did not have CPR card on file at the facility which poses a potential 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 3/5 files reviewed did not have the required trianing in the files which poses a potential 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 4 files did not have preplacment appriosals and functional capabilites asseseements to determin adequate placements were done which poses a potential 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 4/4 files did not have funcational capabilties assessments which poses a potential 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 2/4 were missing signed admission agreement, pre placement appraisal or reapprisals were not present in the files which poses a potential 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 1/4 residents did not have an admission agreements on file which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above in food was stored without wrapping or covers in the refrigerator which poses a potential 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 1/4 residents did not have an update ANS or ISP on file at the facility which poses a potential health, safety or personal rights risk to persons 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, residents, and other persons. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above when residents were not treated with dignity, which posed a potential personal rights risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in 8/8 staff were not meeting the intial or annual trianing requirements which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above, the facility did not have a working carbon monxicde detector which poses a potential health, safety or personal rights risk to persons in care.

(b) ...Plan of Operation, the plan of operation shall address the needs of residents with dementia, including:(1)Procedures for notifying...(2)Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic...This requirement has not been met as evidenced by: Based on record review the Licensee did not comply with the regulation above the facility does not have a plan of operation approved for dementia which poses an immediate risk to residents in care.

87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet residents’ needs. This requirement was not met by evidence of time sheets and interviews that on at least 5 to 15 occasions there was only one staff without basic regulated training was on shift during 7am to 10am which puts resident in immediate danger.

87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.(1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement was not met by evidence of black mold in the bathroom which poses an immediate danger to residents in care.

1569.626 Training requirements for direct care staff (a) All residential care facilities for the elderly shall meet the following training requirements, as described in Section 1569.625, for all direct care staff:(1) Twelve hours of dementia care training, six of which shall be completed before a staff member begins working independently with residents, … This requirement was not met by S1 being left alone and not properly trained, which poses an immediate danger to residents in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.