The Trousdale

Care and supervision as defined by statute and rules

87464 Basic Services(f) Basic services shall at a minimum include:(1) Care and supervision, this requirement is not met as evidenced by based on interview and record review, the facility did not check R1's vitals ask requested by R1's responsible party after R1 expressed not feeling well poses an immediate health risk to residents in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care..(a) A plan for incidental medical and dental care shall be developed by each facility... (4)The licensee shall assist residents with self administered medications as needed. The requirement is not met as evidenced by based on interview, record review and observation, the facility did not assist R1 and R2's medication which poses an immediate health and safety 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 me as evidenced by: Based on observation, interview, and record review, the facility did not ensure R1's shower mat was placed on the floor following R1's fall as specifically requested by R1's responsible party for fall prevent which poses an immediate health and safety risk to residents in care.

Care and supervision as defined by statute and rules

87464 Basic Services..(f) Basic services shall at a minimum include:(1) Care and supervision.. this requirement is not met as evidenced by based on interviews and record review, there was no facility staff present providing supervision to ensure consent was obtained prior to R1 receiving 2nd doses of Flu and COVID-19 vaccines which posed an immediate health and safety risks resident in care.

Store centrally held medications in locked secure place

87465 Incidental Medical and Dental Care..(h) The following requirements shall apply to medications which are centrally stored:..2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees... This requirement is not met as evidenced by based on interviews and record review, R1's medication shall be centrally stored and inaccessible to R1, however, R1 found medication in his/her room which posed an immediate health and safety risks to residents in care.

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

Safe, healthful, comfortable accommodations

87468.1Personal Rights of Residents in All Facilities..(a) Residents in all residential care facilities for the elderly 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 facility did not follow R1's physician's order upon admission as indicated on the LIC602 "no use of Alcohol" and served R1 alcohol until a 2nd physician's order of no alcohol was obtained which posed an immediately health risk to resident 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 the toxins, chemicals and sharp were unlocked in the Memory Care unit which poses an immediate health, safety or personal rights risk to persons in care.

Food quality controls and rejected damaged goods

Based on observation and interview, the licensee did not comply with the section cited above as expired food items were observed in the kitchen which poses an immediate health, safety or personal rights risk to persons in care.

Obtain required California clearance or exemption

CRIMINAL RECORD CLEARANCEAll 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, request a transfer of a criminal record clearance as specified in Section 87355(c) This requirement was not met, as staff 1, who is a private companion to client 1, does not have criminal record clearance associated to facility. Licensee failed to ensure that persons with client contact maintain criminal record clearance and association with facility, which poses a health, safety or personal rights risk.