Kimochi San Mateo

Based on review of staff training records, 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.- Based on record of Relais training, staff #3, #4, #5 have not received required 8 hours of annual medications training.Staff #3 and #4 need additional 1 hour and staff #5 needs additional 5 hours.

Based on staff training records review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.- Based on record of Relais training, 6 out of 6 staff did not receive required 4 hours of training on restricted health conditions, hospice care, postural supports training.Staff #1, #2, #6 received 2 hours of this training, and other staff received half an hour or no such training.

Based on review of staff training records, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.- Based on record of Relais on-line training, 3 out of 6 staff did not receive required 8 hours of dementia training.Staff #1 needs 2 more hours, #2 needs 2.75 more hours, #4 needs 3 more hours of dementia training.

Record annual routine visit documentation

Based on review of clients' record, 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.MD reports for clients #3 and #4 are dated 7/23 and 12/20, respectively. Client #3 is diagnosed with dementia.

Based on review of clients' records, 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.Appraisals for clients #3 and #4 are dated 10/19 and 12/20, respectively. Client #3 is diagnosed with dementia.

Maintain physician order documentation in resident record

Based on review of client records, the licensee did not comply with the section cited above, as clients #1 and #4 have half bed rails, but there are no MD orders maintained. This poses a potential health, safety or personal rights risk to persons in care.

Based on review of staff training records, the licensee did not comply with the section cited above, as 4 out of 4 staff files reviewed were missing training on postural supports, which poses a potential health, safety or personal rights risk to persons in care.