Peninsula Reflections

Care and supervision as defined by statute and rules

87464 Basic Services (f)- Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c).Violation of this regulation is not met as evidenced by: Based on file reviewed, it was noted R1 has a diagnosis of late onset Alzheimer's dementia and is unable to leave the facility unassisted. In addition, based on staff interviewed, the alarm did turn on when R1 opened the exit door in the dining room, however staff were assisting other residents and was not able to respond timely. Nevertheless, facility failed to ensure there was proper supervision resulting in R1 eloping from the facility.

87705 Care of Persons with Dementia(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually...Violation of this regulation is not met as evidenced by: During file reviews, LPA observed R1 has a diagnosis of late onset Alzheimer's Dementia and the medical assessment/physician's report maintained in R1's file is from 2/28/2023. Facility failed to ensure an updated annual medical assessment/ physician's report is maintained in R1's file.

Facility personnel sufficiency and competence

Personnel Requirements – General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by: Based on interviews and review of documents, R1 had sustained a fracture due to a fall happening in the facility. Staff were present during the fall.

Protection from punishment and intimidation

Personal Rights of Residents in All Facilities - To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement has not been met as evidenced by: As a result of the investigation sufficient evidence showed that S1 knowingly pushed the pillow down against the face of R1 even though he was aware that his actions could directly jeapoardize the life, and health and safety, of R1.A civil penalty of $10,000 is being assessed against the facility per Health and Safety Code § 1569.49 for a violation that the Department constitutes as physical abuse