Janie's Home

1569.605Liability insurance; coverage requirements...Based on interview, observation and record review, This requirement is not met as evidenced by the facility did not provide a copy of the current liability insurance which poses a potential risk to residents in care.

Keep prescriptions in original containers

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed resident's medications were removed from its original container and poured into a cup and the administrator stated that those were prepared for lunch and dinner which poses an immediate health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed the water temperature in the bathrooms were over 157 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed sharps were not locked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Update reappraisal at required intervals

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R2's reappraisal was last completed on 1/17/2024 which poses/posed a potential health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as during the course of the inspection, LPA observed the medication room door was unlocked and opened which poses an immediate health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 3 out of 4 residents have bedrails by the head of the bed without a physician's order which poses an immediate health, safety or personal rights risk to persons in care.

On-the-job training requirements

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above based on record review, Staff #1 (S1) did not have proof that on-the- job training was completed which poses an immediate health, safety or personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above based on observation, interview and record review, 2 out of 4 residents did not have a current medical assessment which poses/posed a potential health, safety or personal rights risk to persons in care.

Health screening and fitness requirements

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as based on record review, Staff #1 (S1)'s health screen was incomplete which poses an immediate health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as based on observation, hot water temperature in the kitchen ad bathroom were measured at 139- 156 degrees F which poses an immediate 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 based on observation, record review and interview, the facility provided documentation indicating that the emergency and disaster drills were not completed accordingly which poses an immediate 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 as Staff #1 did not have proof that this training was completed which poses an immediate 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 as facility did not have a current Liability Insurance which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above as staff #1 (S1) did not have documents to proof that the initial training was completed prior to working which poses/posed a potential health, safety or personal rights risk to persons in care.

Requirement for building permit before construction

Based on observation, record review and interview the licensee did not comply with the section cited above as LPA observed an Accessory Dwelling Unit (ADU) as living space in the garage without a proper permit which poses an immediate health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation and interview the licensee did not comply with the section cited above as sharps and chemicals were not locked and accessible to resident in care which poses an immediate health, safety or personal rights risk to persons in care.

Maintain records of centrally stored medication dosages

Based on observation, interview and record review the licensee did not comply with the section cited above as 4 out of 4 residents did not have Centrally Stored Medication Record which poses an immediate health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

Based on observation, record review and interview the licensee did not comply with the section cited above as 3 out of 4 resident's appraisals were not signed by the facility representative and applicant and responsible party which poses an immediate health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

Based on observation, and interview the licensee did not comply with the section cited above as medications were observed in the living room to be unlocked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, record review and interview the licensee did not comply with the section cited above as drills were not completed accordingly which poses an immediate health, safety or personal rights risk to persons in care.

Update reappraisal at required intervals

Based on observation, record review and interview the licensee did not comply with the section cited above as 1 out of 4 resident's appraisal service needs and plan was incomplete which poses/posed a potential health, safety or personal rights risk to persons in care.

Submit and maintain current mailing address

87355 Criminal Record Clearance..(e) All individuals subject to a criminal record review..(1) Obtain a California clearance or a criminal record exemption as required by the Department This requirement is not met as evidenced by LPA observed S1 to be not fingerprint cleared which poses an immediately health risk to residents in care.

Requirement for building permit before construction

87305 Alterations to Existing Building or New Facilities... (a)Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by facility build a room in the garage without a proper building permit which poses an immediate health risks to residents in care.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation..a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not as evidenced by facility is under construction, facility appeared cluttered with construction supplies on the floor, kitchen supplies and spices on the floor, and kitchen appliances in the living room table. In addition, in the temporary kitchen, LPA cooking spices on the floor, cleaned and dirty bottles/containers were co-mingled on the floor, white unidentified powers on powder on the table, and kitchen utensils on the floor which poses an immediate health risk to resident in care.

Maintain required personnel records for staff

87412Personnel Records..(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by facility did not have S1 and S3's personnel files which poses an immediate health risks to resident in care.

Submit and maintain current mailing address

87355 Criminal Record Clearance..(e) All individuals subject to a criminal record review..(1) Obtain a California clearance or a criminal record exemption as required by the Department This requirement is not met as evidenced by LPA observed S1 to be not fingerprint cleared which poses an immediately health risk to residents in care.

Conformance with applicable laws and regulations

87405 Administrator - Qualifications and Duties..(d) The administrator shall have the qualifications..(2) Knowledge of and ability to conform to the applicable laws, rules and regulations...This requirement is not met as evidenced by administrator build a room in the garage without going through the proper procedure(s), administrator failed to provide notification to residents, CCL, and responsible parties of the construction, and failed to ensure the facility is clean, safe, sanitary and in good repair at all times which poses an immediately health risk to residents in care.

87468.1 Personal Rights of Residents in All Facilities..(a) Residents in all residential care facilities.. shall have all of the following personal rights:4) To be informed by the licensee of the provisions of law regarding complaints and of procedures for confidentially registering complaints,.. this requirement is not met as evidenced by facility removed all the required posters due to the construction which poses a potential health risks to residents in care.

Safe, healthful, comfortable accommodations

87468.1Personal Rights of Residents in All Facilities..(a) Residents in all residential care facilities shall have all of the following personal rights:..(2) To be accorded safe, healthful and comfortable accommodations.. This requirement is not met as evidenced by residents and responsible parties reported that the facility was very noise during the construction and resulted one resident moved out which poses an immediate health risks to residents in care.