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Inspection visit

Routine inspection

GEORGE ANNE HOMELicense 41560096616 citations on this visit
16 citations recorded

Inspector’s narrative

What the inspector wrote

LPA Audrey Jeung toured facility and grounds, consisting of 6 private client bedrooms, 3 full bathrooms, kitchen/living/dining room. There is a detached staff unit/building that contains a bedroom with one bed, a large room with 2 bunk beds, kitchen, and full bathroom for staff. Awake night staff is employed. Two additional detached storage sheds are in the backyard, and washer and dryer are located in an alcove adjacent to staff unit/building. The spacious backyard is level, paved and landscaped, with 2 gazebos.. There are no accessible bodies of water or fire safety hazards observed. A comfortable room temperature is maintained, and lighting is sufficient for safety. Carbon monoxide detector is tested and operable. First-aid kit is maintained and complete. Medications are stored in hall and kitchen cabinets, and Centrally Stored Medications Records are maintained. Client and staff records are reviewed. A Disaster and Mass Casualty Plan is posted. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Maria Lu Johnson is a certified RCFE administrator that oversees facility operations. The following forms/information are requested to be updated returned to CCL by 9/17/24: • LIC 610 Emergency Disaster Plan (page 9, signed and dated) • Staff medication training policy (per H & S 1569.69) Deficiencies of the CA Code of Regulations, Title 22 are cited on following pages. See also Technical Advisory Notes--4 pages.

Citations

16 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.69(a)Type B

    Based on staff records review, the licensee did not comply with the section cited above, as there is no documentation that staff who handle or manage medications have received required medications training.This poses a potential health, safety or personal rights risk to persons in care.

  • 1569.695(b)Type B

    Based on staff records review, the licensee did not comply with the section cited above, as staff have not received training on responding to emergencies. This poses a potential health, safety or personal rights risk to persons in care.

  • 1569.695(c)Type B

    Based on absence of documentation and confirmation from staff, the licensee did not comply with the section cited above, as there is no documentation that of emergency drills.This poses a potential health, safety or personal rights risk to persons in care.

  • 1569.696(a)Type B

    Based on staff records review, the licensee did not comply with the section cited above, as there is no documentation that staff received 4 hours of training on postural supports, restricted health conditions, and hospice care.This poses a potential health, safety or personal rights risk to persons in care.

  • 87303(A)Type B

    Based on observation, the licensee did not comply with the section cited above, as there are discarded walkers, mattresses, furniture and 13 oxygen tanks in backyard, which poses a potential health, safety or personal rights risk to persons in care.

  • Provide resident hot water for personal care

    Based on observation, the licensee did not comply with the section cited above, as hot water temperature tested at 128 degrees in rear common bathroom. This poses an immediate health, safety or personal rights risk to persons in care.

  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    Based on observation, the licensee did not comply with the section cited above, as cleaning liquids are stored where accessible to clients. In bathroom in room #1 and common bathroom, purple liquid Fabuloso is stored. Pine Sol, degreaser, and other cleaning liquids are stored in unlocked cabinet under kitchen sink, and gallon of Clorox bleach observed in backyard in gazebo.This poses an immediate health, safety or personal rights risk to persons in care.

  • 87411(f)Type B

    Health screening and fitness requirements

    Based on staff records review, the licensee did not comply with the section cited above in 3 out of 6 staff files reviewed, which poses a potential health, safety or personal rights risk to persons in care.There is no health screening and TB test result for staff #2 and #3. Staff #1 has no health screening on file.

  • 87457(c)Type B

    Complete admission suitability appraisal

    Based on client records review, the licensee did not comply with the section cited above in 1 out of 6 client files reviewed, which poses a potential health, safety or personal rights risk to persons in care.There is no appraisal on file for client #5, who was admitted over 2 years ago.

  • Store centrally held medications in locked secure place

    Based on observation, the licensee did not comply with the section cited above, as clients' medications are stored in unlocked cabinets in hallway and kitchen, which poses an immediate health, safety or personal rights risk to persons in care.

  • Right to personal privacy in daily care

    Based on observation, the licensee did not comply with the section cited above, as there is a chair used to weigh all clients stored in room #4 for lack of a common storage area for the chair.This poses a potential health, safety or personal rights risk to persons in care.

  • Signed rights acknowledgement in resident record

    Based on client records review, the licensee did not comply with the section cited above in 2 out of 6 client files reviewd, which poses a potential health, safety or personal rights risk to persons in care.Personal rights forms are incomplete or missing for clients #1 and #2.

  • Maintain physician order documentation in resident record

    Based on client records review, the licensee did not comply with the section cited above in 6 out of 6 client files reviewed, which poses a potential health, safety or personal rights risk to persons in care.All clients have half bed rails on bed, but there are no MD orders on file.

  • 87705(c)(3)(A)Type B

    Based on review of staff training records, the licensee did not comply with the section cited above, as there is no evidence that staff have received required dementia training.This poses a potential health, safety or personal rights risk to persons in care.

  • 87705(c)(5)Type B

    Based on review of client records, the licensee did not comply with the section cited above in 4out of 6 client files reviewed, which poses a potential health, safety or personal rights risk to persons in care.Clients #1, #3, #4, #6 are diagnosed with dementia, but MD reports and appraisals are dated more than 12 months ago.

  • 1569.625(b)(2)Type B

    Citation deleted

FAQ · About this visit

Common questions about this visit

What happened during the September 3, 2024 inspection of GEORGE ANNE HOME?

This was an inspection of GEORGE ANNE HOME on September 3, 2024. 16 citations were issued: 3 Type A (serious) and 13 Type B.

Were any citations issued to GEORGE ANNE HOME on September 3, 2024?

Yes, 16 citations were issued (3 Type A, 13 Type B). The first citation was for: "Based on staff records review, the licensee did not comply with the section cited above, as there is no documentation th..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

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