Enchanted Garden for Seniors

CRIMINAL RECORD CLEARANCEA licensee ...may request a transfer of a criminal record clearance from one state licensed facility to another...state licensed facility by providing the following... to the Dept: signed ... LIC 9182, a copy of the individual's driver's license, or valid ID card issued by the DMV or valid photo ID issued by another state or the U.S. government if the individual is not a CA resident. This requirement is not met, as 3 out of 15 staff do not have criminal record clearance associated to facility. Criminal record clearances for Staff #1, #2, #3 must be transferrred to this facility.

Maintain physician order documentation in resident record

POSTURAL SUPPORTSA written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met, as there are no MD orders maintained for clients #3 and #5, who have half bed rails. This poses a potential health, safety or personal rights risk to clients in care.

Facility must keep complete hospice care plan on file

HOSPICE CARESee Page 2 for regulation .This requirement was not met, as ANX hospice care plan for client #1 is incomplete. Licensee failed to ensure that complete hospice care plans are maintained, which poses a potential health, safety or presonal rights risk.

Update reappraisal at required intervals

REAPPRAISALSThe pre-admission appraisa... shall be updated in writing as frequently as necessary or once every 12 months...to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. This requirement is not met, as appraisals for clients #3 and #4--who are diagnosed with dementia--are dated more than 12 months ago. Licensee failed to ensure that appraisals are completed annually, which poses a potential health, safety or personal rights risk to clients in care.

Label and preserve medicine compliance standards

Based on observation medications for client #2, the licensee did not comply with the section cited above, as staff write start dates and other iinformation on Rx labels. This poses a potential health, safety or personal rights risk to persons in care.

Based on client record review, the licensee did not comply with the section cited above, as clients #1, #4, #6 are diagnosed with dementia, but appraisals are not updated annually. This poses a potential health, safety or personal rights risk to persons in care.Appraisal for client #1 dated 2015, client #4 6/2020, client #6 5/23.