Valley Vista Residential Care Iii

Update reappraisal at required intervals

(a) The pre-admission appraisal... shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition... This requirement is not met as evidenced by: Based on record, the licensee did not comply with the section cited above when three of six residents did not have a current appraisals which poses a potential health, safety or personal rights risk to persons in care.

(h) The following requirements shall apply to medications which are centrally stored: (1) Medications shall be centrally stored under the following circumstances:...This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above when they could not provide the CSMDRs for the five of the six residents they store and assist administering medications to which poses a potential health, safety and personal rights risk to persons in care.

Store centrally held medications in locked secure place

(h) ...(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by; Based on observation and interviews, the licensee did not comply with the section cited above when staff left multiple medications throughout the facility accessible and unlocked which possessed an immediate health and safety risk to residents in care.

Based admission the licensee did not comply with the section cited above by using a gait belt to restrain R1 to a chair in the living room on multiple occasions which poses an immediate health, safety or personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

Based on observation, interview and record review, the licensee did not comply with the section cited above by retaining a R2 who is bedridden without a bedridden fire clearance which poses an immediate health, safety or personal rights risk to persons in care.

Passageways and stairways kept clear

Based on observation, the licensee did not comply with the section cited above by allowing two emergecny exits to be blocked which posed a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, interview, and record review, the licensee did not comply with the section cited above when they left hazardous items accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

Facility personnel sufficiency and competence

Personnel Requirements. (a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on interview, the Licensee did not comply with the section cited above when they left the facility to go shopping leaving residents unattended, which posed an immediate health and safety risk to residents in care.

Store centrally held medications in locked secure place

(h) ...(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by; Based on observation and interviews, the licensee did not comply with the section cited above, staff left unlocked lorazepam in kitchen refrigerator and kitchen medication drawer was unlocked which possessed a potential health and safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in 2/3 staff did not have 1st Aid/CPR certification on file which poses a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above in laundry room had cleaning supplies accessible to wandering residents in care which poses a potential health, safety or personal rights risk to persons in care.

Health screening and fitness requirements

Based on record review, the licensee did not comply with the section cited above in 2/3 staff did not have health screening with TB results on file at the facility which poses a potential health, safety or personal rights risk to persons in care.

87355 Criminal Record Clearance(a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve or deny a facility license, or employment, residence, or presence in the facility, based upon the results of such review. This requirement was not met by admission of Licensee, as to F1 residing in the facility for the past 5 days. Which poses a risk to residents in care.

Obtain California clearance or exemption

87411 Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (1)Obtain a California clearance or a criminal record exemption as required by law or Department regulations. This requirement was not met by evidence of LPA observing Henie Cabrilla providing direct care to resident. Which poses a potential risk to resident in care.