Southland Home

87555 General Food Service Requirements (a) The total daily diet shall be of the quality... necessary to meet the needs of the residents... All food shall be selected, stored, prepared, and served in a safe and healthful manner. This requirement is not met as evidenced by: Based on interviews, and observation, the licensee did not comply in the section cited above as spoiled/expired food was found which poses a health and safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above as the Licensee does not have an updated fire clearance for a bedriddent resident, which poses an immediate health, safety or personal rights risk to persons in care.

(d) All client 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. Removal of records shall be subject to the following requirements: This requirement was not met as evidenced by: Based on record review the licensee did not comply with the above regulation the facility was unable to provide all the records requested by the LPA on 02/01/2023 visit which poses a potential personal rights risk to residents in care.

(h)...(1) Records of clients' cash resources maintained as a drawing account, which shall include a current ledger accounting, with columns for income, disbursements and balance, for each client. Supporting receipts for purchases shall be filed in chronological order. This requirement was not met as evidenced by: Based on record review and audit of P&I funds the licensee did not comply with the regulation above supporting receipts were not provided for all transactions listed on the LIC 405, handwritten ledger, or the RFMS statement which poses a potential personal rights risk to residents in care.

(a)...(1)... (D)Any incident which threatens the welfare, safety or health of any resident,...This requirement was not met as evidenced by: Based on record review the licensee did not comply with the above regulation Staff did not report two ER visits to CCL which possess a potential Health and Safety risk to residents in care.

(a)...(8)To have their representatives regularly informed by the licensee of activities related to care...This requirement was not met as evidenced by: Based on interviews and record review the licensee did not comply with the regulation above R1’s POA W1 was not notified prior to W2 and W1 was not notified of a new medication which possess a potential Personal Rights risk to residents in care.

(a)...(2)...(A)...training topics shall be covered annually, and all topics shall be covered within a three-year period (1-6)...: This requirement was not met as evidenced by: Based on interviews and record review the licensee did not comply with the above regulation as staff did not have dementia training which poses an immediate health,Personal rights risk to residents in care

Based on LPA observation, the licensee did not comply with the section cited above the facility does not have a valid administrator or manager present at the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above the emergency plan LIC 610E (10/030 signed and dated 10/01/2015 is no longer valid and requires to be updated which poses a potential health, safety or personal rights risk to persons in care.

(a)...(5)Residents who depend on others to perform all activities of daily living for them as set forth in Section 87459, Functional Capabilities. This requirement was not met as evidenced by: Based on documentation the license did not comply with the above as R1 had a physician report dated 11/30/2021 stating R1 was total care and no exception approval on file for R1 with CCL which poses a potential Health, Safety and Personal rights risk to residents in care.

(a)...resident is unable to do for himself/herself...may be used under the following...(2)...shall...in a manner that permits quick release by the resident. This requirement was met as evidenced by: Based on documentation the licensee did not comply with the above as R1 is not able to release/takeoff the postural supports and an exception has not been approved by CCL which poses a potential safety and personal rights risk to the resident in care.

87468.2 (a)(1)...personal privacy in accommodations,... and assistance, visits, communications, telephone conversations,... This requirement was not met as evidenced by: Based on observation the license did not comply with the above as R1 had baby monitors in their bedroom which poses a potential personal rights risk to residents in care.