Manalo's Board and Care V

Give PRN medication by physician order

87465 Incidental Medical and Dental Care (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This was not met as evidenced by:Based on interviews, records review and observations, R1s medication had a half pill in the bottle where it’s indicated that the dosage is 1 pill daily once a day, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Staff training; legislative findings; contents - In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This regulation has not been met as evidenced by: During an audit of staff training LPA was told and provided documentation of training that last took place in February 2020 and no other training has been provided to meet the annual 20 hour training within the last year.

Provide resident hot water for personal care

Maintenance and Operation - Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This regulation has not been met as evidenced by: LPA tested water temperatures in two resident bathrooms, one at the front of the facility is tested at 140F, the other at the rear of the facility is tested at 136F.

Ensure hazardous items are locked and not unattended

Storage Space - Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This regulation has not been met as evidenced by: LPA observd Comet cleaning powder in both resident bathrooms as well as observing Lysol disinfectant spray. Lysol spray was also observed outside in the backyard adjacent to the door leading into the facility.

First Aid Requirements. All direct care staff and the facility manager shall have first aid training from persons qualified by agencies including, but not limited to, the American Red Cross. This requirement was not met as evidenced by: LPA checked first aid cards for staff and S1 first aid card expired on 1/27/22. Per staff all staff cards are expired as there has been not first aid training to renew since the last training.