Arbor House

Safe, healthful, comfortable accommodations

Personal 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, furnishings and equipment. This regulation has not been met as evidenced by: According to interviews S1 discovered during a night time unannounced visit to the facility 3 staff persons, S2, S3, and S4 in the garage of the facility with alcohol, cups, and music playing.

87411 Personnel Requirements – General(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (4) Knowledge required to safely assist with prescribed medications which are self-administered. This requirement was not met as evidenced by caregiver did not ensure that the correct medication is given to the resident.

Maintain and operate facility under definitive plan

Plan of operation: Each facility shall have and maintain a current, written definitive plan of operation... Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval… The plan and related materials shall contain the following…Statement of purposes and program goals…Administrative organization, Staffing plan, qualifications, and duties. Plan for training staff, as required by Section 87411(c).Violation of this regulation is evidenced by: Based on observations, LPA visited the facility on 9/8/2022 and 10/20/2022 and observed 2 staff members present during the AM shift. In addition, interviewed staff indicated there are normally 2 staff members present during the AM shift.

Obtain required California clearance or exemption

87355 Criminal Record Clearance: (e) All 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: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c)Violation of this regulation is not met as evidence by: Based on records review, and information collected, it was indicated that Staff #1 (S1) is not fingerprint cleared to work at the facility which poses an immediate health and safety threat to residents in care.

Maintain facilities for fire and panic safety

87203 FIRE SAFETY: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.Violation of this regulation is not met as evidenced by: Based on observations and information collected, the licensee did not comply with the section cited above, as the garage was being used by staff for sleeping, which poses an immediate health, safety, or personal rights risk to persons in care.

Safe, healthful, comfortable accommodations

87468.1 Personal 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, furnishings and equipment.Violation of this regulation is not met as evidenced by: According to interviewed staff, it was indicated that there was a COVID positive staff (S1) assisting 3 COVID negative residents at the facility. Additionally, S1 exposed the three residents to an infectious disease, COVID-19, by providing care and supervision to residents in care. Nevertheless, the administrator admitted that she allowed S1 to assist the residents which poses a health and safety risk to the residents in care.

Certified administrator requirements and substitute coverage

87405(a) Administrator Qualifications: ll facilities shall have a qualified and currently certified administrator… The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section… Violation of this regulation is evidence by interviewed staff indicating that the current administrator will mainly come to the facility to drop off groceries once every 2 weeks or come to the facility sporadically. In addition, LPA Charitra interviewed the administrator and it was acknowledged that he/she comes to the facility 3x a week for 2-4 hours. Nevertheless, administrator has failed to spend a sufficient number of hours in the facility to give adequate attention to the administration of the facility.

Maintain and operate facility under definitive plan

Plan of operation: Each facility shall have and maintain a current, written definitive plan of operation... Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval… The plan and related materials shall contain the following…Statement of purposes and program goals…Administrative organization, Staffing plan, qualifications, and duties. Plan for training staff, as required by Section 87411(c). Violation of this regulation is not met by facility administrator and interviewed staff indicating that the program design requires a 1:1 care between caregivers and residents; however, there are only two staff members providing care and supervision to 3 residents. Additionally, the interviewed staff indicated that the facility has not been meeting the 1:1 care noted in the program design due to the insufficient number of staff at the facility. Nevertheless, the licensee failed to follow the program design and find an alternative solution to meet the program design.

Maintain facility in clean, safe, sanitary condition

Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision ofmaintenance services and procedures for the safety and well-being of residents, employees and visitors. Violation of this regulation is evidence by LPA’s observations noted in LIC9099 and the interviews indicating that thefacility faucet in the men’s bathroom was broken and that the toilet in the resident bathroom required multiple flushes if there is a lot of toilet paper or bowel in the toilet.

Personal Accommodation and Services: Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough toprovide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply… Resident bedrooms shall be provided which meet, at a minimum, the following requirements… No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage storage area, shed or similar detached building… Violation of this regulation is evidence by all staff interviewed acknowledged that S1 sleeps in the garage.