Portola Place

Food quality controls and rejected damaged goods

87555(b)(8) General Food Service Requirements - All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This regulation has not been met as evidenced by: Based on observations made of the items in the facility refrigerator in the main kitchen, LPA found several expired items such as milk, barbecue sauce, and other items with past best use by dates. Additionally, LPA observed vegetable with mold and the reusing of containters that were for miso dressing and potato salad to store other food items hat were not originally in those containers. This poses an immediate health and safety risk to residents in care.

Annual routine visit with medical professional

87463(h) - Reappraisals -The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. This regulation has not been met as evidenced by: Based on resident files reviewed, R1's last doctor visit notated on the physician's report is 06/03/2024, which does not meet the annual routine medial visit as outlined in this regulation. This poses an immediate heatlh and safety risk to residents in care.

Dispose of unused medications with required witness

87465(i) Incidental Medical and Dental Care - Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s record nor disposed of according to the hospice’s established procedures or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. This regulation has not been met as evidenced by: Based on facility ovservations made, LPA Vado found medications from a prefious resident was not destroyed properly and was being stored in the facility's refrigerator in the main kitchen. This poses an immediate health and safety risk to residents in care.

87555(23) General Food Service Requirements - All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. This regulation has not been met as evidenced by: Based on observations made of the facility refrigerators, LPA observed uncovered fresh foods such as cantalope, celery, onions, and other fresh vegetables were not covered appropriately. This poses an immediate health and safety risk to residents in care.

Maintain facility in clean, safe, sanitary condition

87303(a) Maintenance and Operation - The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This regulation has not been met as evidenced by: Based on obseravtions made of the refrigerator in the main kitchen, LPA found that the shelves, storage drawers, and storage areas of the refrigerator as dirty, sticky, and needed to be cleaned. This poses as a potential health and safety risk for residents in care.

Provide resident hot water for personal care

87303(e)(2) Maintenance and Operation - Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot 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 (41 degree C) and not more than 120 degree F (49 degree C). This regulation has not been met as evidenced by: Based on facility observations made during water temperature testing, LPA found that the water temperature in the common bathroom for the facility, the water temerature was tested at 121F and increasing. This poses an immediate health and safety risk to residents in care.

87705(c)(5) Care of Persons with Dementia - Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This regulation has not been met as evidenced by: Based on records reviewed, LPA observed that the physician's report for R1 is not current. Residents with dementia require a new physicians report annually. This poses an immediate health and safety risk to resident in care.

87303(e)(2) Maintenance and Operation - Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot 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 (41 degree C) and not more than 120 degree F (49 degree C). This regulation has not been met as evidenced by: Based on facility observations made during water temperature testing, LPA found that the water temperature in the common bathroom for the facility, the water temerature was tested at 123F and increasing. This poses an immediate health and safety risk to residents in care.

Additional personal rights for private residential facilities

Based on observation and confirmation by administrator, the licensee did not comply with the section cited above, as symptom and temperature checks for staff and residents are not being done and recorded on daily basis, which poses a potential health, safety or personal rights risk to persons in care.