Sunrise of San Mateo

INCIDENTAL MEDICAL CAREMedications shall be centrally stored under the following circumstances...Any medication is determined by the physician to be hazardous if kept in the personal possession of the person for whom it was prescribed.This requirement is not met, as Advil and acetaminophen are stored in room #204, and client is unable to self store/admin meds, per MD. Licensee failed to ensure that meds are centrally stored for client who cannot store/ admin meds, which poses an immediate health or safety risk to clients in care.

CRIMINAL RECORD CLEARANCEA licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another...by providing (specific information) to the Department.This requirement is not met, as staff #2 has worked at facility for almost 2 years, but does not have criminal record associated to facility. Licensee failed to ensure that criminal record clearances for all staff are associated to facility, which posed an immediate health, safety or personal rights risk to clients in care. Civil penalty of $100 issued.

Onsite food stock levels for nonperishables and perishables

GENERAL FOOD SERVICESupplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met, as there is not enough non-perishable food supply maintained for 70 residents. Licensee failed to ensure that non-perishable food supply is sufficient to feed all residents for 7 days in the event of an emergency. Seventeen boxes of Easy Meal freeze dried food is maintained, which does not apprear to be enough for all residents. This poses a potential health, safety or personal rights risk to clients in care.

Keep bath, laundry and kitchen floors clean

87303(a)(1) Maintence and Operation, 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.Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition Violation of this regulation is evidence by several eyewitness who have indicated that the room was in dishevel, the mattress was soaked in urine, and the room was unsanitary. These reports were confirmed by the LPA observations on 10/27/2021, when the room was in dishevel, and had a strong urine smell, and 11/10/2021, when the room was still retaining a strong odor to urine even after the windows had been opened and facility had a chance to clean.

Regular observation and documentation of resident changes

87466 Observation of Resident, The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. Violation of this regulation is evidence by staff interviews indicating awareness that R1 had experienced health changes, among them a history of urinating in his/her clothes. This awareness is also shown by a single document indicating that the level of care had changed to a Level 2, requiring the use of additional changes of underwear and the use of pull-ups. Nevertheless, the licensee failed to update the physician report, failed to reappraise and failed to develop an appropriate needs and services plan to address R1’s health changes.