Emerald Residential Care Home

Based on staff record review, the licensee did not comply with the section cited above in 3 out of 3 medications staff files reviewed, which poses a potential health, safety or personal rights risk to persons in care.- Medications staff #6, #7, #8 have not had annual medication training. Last training was in 2024.

Right to personal privacy in daily care

Based on observation, the licensee did not comply with the section cited above, as 2 staff are observed preparing to eat lunch in bedroom of client #2, 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 during facility tour, the licensee did not comply with the section cited above, as Albuterol and Claritin are stored in dresser in room of client #1, which poses an immediate health, safety or personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

Based on client records review, the licensee did not comply with the section cited above in 2 out of 5 client files reviewed, which poses a potential health, safety or personal rights risk to persons in care.Medical assessments for clients #3 and #5 are not signed and identified by a physician.

Health screening and fitness requirements

Based on staff record review, the licensee did not comply with the section cited above in 3 out of 5 staff files reviewed, which poses a potential health, safety or personal rights risk to persons in care.- Health screenings are not maintained for staff #2, #3, #5, and TB test result is needed for staff #3, who was employed in 2020.

Request transfer of criminal record exemption

Based on staff record review, the licensee did not comply with the section cited above in 1 out of 5 staff files reviewed, which poses an immediate health, safety or personal rights risk to persons in care.- Criminal record clearance for Staff #3 is not associated to this facility, and needs to be transferred.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above, as Ajax cleanser is stored in common bathroom, Comet cleanser stored in bathroom of client #1, and Comet cleanser and liquid Fabuloso stored in bathroom of client #4, accessible to clients, who are present. This poses an immediate health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above, as wooden hand rail outside of kitchen exit to driveway is broken, which poses a potential health, safety or personal rights risk to persons in care.

Based on staff record review, the licensee did not comply with the section cited above in 1 out of 5 staff files reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There is no evidence that Staff #3 has received annual training, including 8 hours of dementia training and 4 hours of training restricted health conditions, postural supports and hospice care.

Based on staff record review, the licensee did not comply with the section cited above in 2 out of 5 records reviewed, which poses a potential health, safety or personal rights risk to persons in care.- There is no evidence of required training for staff #2 and #5, who started working in August 2025.

Based on observation, the licensee did not comply with the section cited above, as there is no internet capable device for client use only, which poses a potential health, safety or personal rights risk to persons in care.

PERSONAL RIGHTSResidents in all RCFEs shall have the right... to have access to individual storage space for private use. This requirement is not met, as personal belongings of staff--clothing, suitcases, purse, plastic bags--are stored in room of client #4, adjacent to dining room. Licensee failed to ensure that clients have their own personal storage space, which poses an immediate personal rights risk to clients in care.

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 are no canned fruits maintained and minimal fresh vegetables for 2 day supply. Licensee failed to maintain 7-day supply of canned food and 2-day supply of fresh vegetables, which poses a potential health and safety risk to clients in care. Minimal amount of broccoli crowns and lettuce and frozen mixed vegetables observed.

Maintain separate complete record for each resident

RESIDENT RECORDSThe licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirement was not met, as 1 out of 5 client file is not available for review. Licensee failed to ensure that all client records are made available for licensing agency review, which poses a potential health, safety or personal rights risk to clients in care.File for client #5 is not available.

Record centrally stored prescriptions and refill data

INCIDENTAL MEDICAL CAREA record of centrally stored Rx medications for each resident shall be maintained and include names of the resident for whom prescribed, prescribing physician and pharmacist, drug name, strength and quantity, dates filled, started & expiration, prescription number and instructions.This requirement was not met, as meds for client #3 and Senna 12/14/24 for client #2 are not recorded on Centrally Stored Medication Record, which poses a potential health, safety or personal rights risk.

REAPPRAISALSThe pre-admission appraisal, as specified in Section 87457... shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. This requirement is not met, as there is no current appraisal or IPP for client #4, who was admitted 8/2022. Licensee failed to ensure that updated appraisals are maintained for cll clients, which poses a potential health, safety or personal rights risk to client in care

Obtain baseline medical assessment before resident admission

MEDICAL ASSESSMENTPrior to a person's acceptance as a resident, the licensee shall obtain documentation of a MD assessment, signed by a licensed medical professional... and made within the last year, to be kept in the resident's record. This requirement is not met, as there are no MD reports and/or TB test results on file for 3 out of 5 clients. Licensee failed to ensure that MD reports and/or TB test results are maintained for all clients, which poses a potential health, safety or personal rights risk. No MD report/TB test results for C1, C3,C5.

PERSONNEL RECORDSThe licensee shall ensure that personnel records are maintained on...each employee.... contain the following info:Employee's full name, Social Security #, date of employment, written verification that the employee is at least 18 years of age...home address and phone number, educational background, past experience, including types of employment and former employers, type of position for which employed. This requirment was not met, as job applications are not maintained for 2 out of 7 staff, which poses a potential health or safety risk. No job applications for S4 & S7.

Health screening and fitness requirements

PERSONNEL REQUIREMENTSAll personnel...shall be in good health, & physically & mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than 6 months prior to or 7 days after employment or licensure. A report shall be... signed by the examining physician...whether the person is physically qualified to perform the duties to be assigned... has any health condition that would create a hazard... No health screening/ TB test results for S2, S3, S6, S7

SAFEGUARDS FOR RESIDENT CASHEach licensee shall maintain adequate safeguards and accurate records of cash resources & valuables entrusted to his care, including....records of residents' cash resources maintained as a drawing account shall include a ledger accounting (columns for income, disbursements and balance) for each resident, and supporting receipts filed in chronological order. Each accounting shall be kept current. This requirement is not met, as P & I records & cash for C2 and C5 are not accurate& staff were unable to describe cash handling procedure & recordkeeping.

HEALTH & SAFETY CODEA facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required.... shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met, as there is no record of any disaster drills preformed, which poses an immediate health and safety risk to clients.

HEALTH AND SAFETY CODEEach employee who ...continues to assist with the self-administration of medicines, shall also complete 8 hours of in-service training on medication-related issues in each succeeding 12-month period.This requirement is not met, as there is no evidence of medications training in 2024 for 2 staff. Licensee failed to ensure that staff who handle medications received annual continuing medications training, which poses a potential health, safety or personal rights risk to clients in care. No medication training in 2024 for Staff #5 and #6.

HEALTH AND SAFETY CODETraining requirements shall...include an additional 20 hours annually, 8 hours of which shall be dementia care training, as required by subdivision (a) of HSC 1569.626, & 4 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 requirement is not met, as there is no evidence that 2 staff received annual continuing training in 2024, which poses a potential health, safety or personal rights risk to clients in care.No annual training for staff #5 and #6.

HEALTH AND SAFETY CODE(Initial) training shall consist of 40 hours... 20 hours, including 6 hours specific to dementia care...and 4 hours specific to postural supports, restricted health conditions, and hospice care... before working independently with residents. The remaining 20 hours shall include 6 hours specific to dementia care and shall be completed within the first 4 weeks of employment. This requirement is not met, as there is no evidence that 2 out 5 new staff received initial training, which poses a potential health, safety or personal rights risk to clients in care. No info on training for staff #2 and #7

Dignity in personal relationships

PERSONAL RIGHTSResidents in all RCFEs shall have ...the right...to be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement is not met, as there are video baby monitors in 3 clients' rooms, so staff can monitor clients from the kitchen. This poses an immediate personal rights risk to clients in care. Cameras are placed in rooms of clients #1, #3, #4, and provide video and audio surveillance.

Obtain required California clearance or exemption

CRIMINAL RECORD CLEARANCEAll individuals subject to a criminal record review pursuant to H & S Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility, request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement is not met, as 5 staff out of 7 staff files reviewed DO NOT have criminal record clearance associated to this facility. This poses an immediate health, safety or personal rights risk to clients, and civil penalty is assessed at $100/each. Three staff have been employed for over 7 months.

Maintain an approved first aid kit on-site

INCIDENTAL MEDICAL CAREA complete first aid kit shall be maintained and be readily available in a specific location in the facility. The kit shall be a general type approved by the American Red Cross, or shall contain at least... specific items. This requirement was not met, as first aid kit only contains Medihoney, several bandaids, a flex fabric, cold pack, and tweezers. Licensee failed to ensure that first aid kit is complete, which poses a potential health, safety or personal rights risk to clients in care.

Facility must clear fire safety for bedridden persons

FIRE CLEARANCEAll facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services.... Prior to accepting or retaining ...bedridden persons, the licensee shall notify the licensing agency & obtain an appropriate fire clearance approved by the city, county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement is not met, as client #4 is bedridden, but there is no approved fire clearance for bedridden, which poses an immediate health and safety risk.

Provide resident hot water for personal care

MAINTENANCE AND OPERATIONHot 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 and not more than 120 degree F .This requirement is not met, as hot water temperature tested at 132 degrees in common bathroom, which poses an immediate health and safety risk to clients in care.

Ensure hazardous items are locked and not unattended

STORAGE SPACEThe licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not met, as Comet cleanser stored in bathroom cabinet in private bathroom of client #1, which posed an immediate health, safety or personal rights risk to clients in care.

Obtain required California clearance or exemption

All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement was not met as evidenced by: Based on records review, licensee failed to request a transfer of criminal record clearance for S1 and S2 which poses an immediate health and safety risk to clients in care. It is confirmed that S1 and S2 are not associated to the facility on this day 7/1/2022.

Submit and maintain current mailing address

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by: Based on records review, licensee failed to obtain a criminal record clearance for S1 which poses an immediate health and safety risk to clients in care. It is confirmed that S1 does not have a criminal record clearance on this day.