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HEALTH AND SAFETY CODERCFEs shall provide training to direct care staff on postural supports, restricted conditions or health services, hospice care...training shall include...4 hours of training on the care, supervision, and special needs of those residents... Four hours of training thereafter of in-service training per year on the subject of serving those residents. This requirement is not met, as there is no proof of this annual training for staff #2, #4 and #5. Licensee failed to ensure that all direct care providers have this annual training, which poses a potential health, safety or personal rights risk.

First aid training requirements

PERSONNEL REQUIREMENTS GENERALStaff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.This requirement is not met, as all staff have expired first-aid training. Licensee failed to ensure that staff providing care maintain valid first-aid training, which poses a potential health and safety risk to clients in care.

HEALTH AND SAFETY CODEA facility shall conduct a drill at least quarterly for each shift... type of emergency covered in a drill shall vary... taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, type of emergency ... names of staff participating in the drill. This requirement was not met, as there is no record that facility has conducted emergency disaster drills.

Keep administrator certification or recertification records

PERSONNEL RECORDSThe licensee shall maintain documentation that an administrator has met... recertification requirements in Section 87407, Administrator Recertification Requirements.This requirement is not met, as there is no evidence that administrator has met the RCFE administrator recertification requirements. Licensee failed to ensure that there is certified RCFE administrator overseeing facility operations, which poses an immediate health, safety or personal rights risk to clients in care.

HEALTH AND SAFETY CODE...after July 1, 2015, all RCFEs... shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees.This requirement is not met, as there is no evidence that facility maintains liability insurance, as required. Licensee failed to maintain required liability insurance coverage, which poses a potential health, safety or personal rights risk to clients.

HEALTH AND SAFETY CODEEach employee who received training and ...who continues to assist with the self-administration of medicines, shall also complete 8 hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met, as there is no evidence that staff have received 8 hours of annual medication training. Licensee failed to ensure that staff who manage clients' medications received annual medication training, which poses a potential health, safety or personal rights risk to clients 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.

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.

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 an immediate health, safety or personal rights risk to persons in care.

Keep administrator certification or recertification records

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 an immediate health, safety or personal rights risk to persons in care.

(A) All occupied resident units.(B) All facility vehicle(C) All facility exit doors.Based on observation, the licensee did not comply with the section cited above, as an emergency set of keys is not maintained, which poses a potential health, safety or personal rights risk to persons in care.

Based on staff record review, the licensee did not comply with the section cited above, as there is no evidence that all staff have received at least 4 hours of training on hospice care, restricted health conditions and postural supports.This poses a potential health, safety or personal rights risk to persons in care.