Monteverde Manor Iii

Certified administrator requirements and substitute coverage

Maintain facility in clean, safe, sanitary condition

Admit resident care meeting requirements

Admit resident care meeting requirements

Based on resident records reviewed, only 1 of 4 residents, currently have an appraisal needs and service plan (LIC625) on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

Based on resident records reviewed, 1 of 4 residents only have a written order on file indicating the use of a 1/2 bedrail, which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation of resident food supplies, LPA discoverd that the main refrigerator in the kitchen does not maitain a cold temperature so there are no food items stored in this location, but is now stored in the garage. LPA measured the temp at 77F in the refrigerator. LPA also found stored medications in the refrigerator as well, which poses an immediate health, safety or personal rights risk to persons in care.

Certified administrator requirements and substitute coverage

Based on records reviewed, the administrator/licensee, Dino Martin, does not have an active or pending administrator certificate at this time. Certifiate is posted in facility expired as of 12/18/2024. This poses and immediate health and safety or personal rights risk to persons in care.

Based on observations made to the refrigerator, LPA observed several medications unlocked in the refrigerator. The refrigerator itself did not have a lock on the doors and the medications inside were unlocked and accessible to resients in care, which poses an immediate health, safety or personal rights risk to persons in care.

Based on obseravations made and records reviewed, 1 of 1 resident is observed to have full bedrails on his/her bed and is not under hospice care. This is considered as prohibited per regulations and poses an immediate health, safety or personal rights risk to persons in care.

Prohibit tying or restricting resident hands or feet

POSTURAL SUPPORTS 87608(a)(5) - Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This regulation has not been met as evidenced by: Based on observations made, residents number R1, R2, and R4 have full bed rails. Licensee failed to prohibit use of full bed rails, which poses an immediate health, safety or personal rights risk to clients in care.

Provide resident hot water for personal care

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) 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 degrees C) and not more than 120 degree F (49 degrees C). This regulation has not been met as evidenced by: Based on observation, the licensee did not comply with the section cited above in 2 out of 2 bathroom faucets which delivered hot water at 135 degrees Fahrenheit, which poses an immediate health, safety or personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

87458(a) Medical Assessment - (a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This regulation has not been met as evidenced by: Based on resident files reviewed, R3 does not have a physicians report on file.This poses a potential health and safety risk for residents in care.

Maintain physician order documentation in resident record

POSTURAL SUPPORTS 87608(a)(3) - A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record.This requirement has not met as evidenced by: Based on observations made, R3 is observed to have hafl bed rails in place but there is no order on file for the resident to have the bed rails in place. Those poses a potential health and safety risk.

Based on record review, the licensee did not comply with the section cited above in 1 out of 3 resident records which did not have all medications listed for the client, which poses/posed a potential health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

87303(e)(2): Maintenance and Operations: Based on observation, the licensee did not comply with the section cited above in 2 out of 2 bathroom faucets which delivered hot water at 134 degrees Fahrenheit, which poses an immediate health, safety or personal rights risk to persons in care.

Obtain required California clearance or exemption

Based on record review, it was indicated that S1 is not associated to the facility. Although Administrator was able to provide LPA with fingerprint clearance documentation and proof of association submission to CCLD, S1 did not get associated due to insufficient documents.