Purisima Hills

Based on observation and physical test, the licensee did not comply with the section cited above in one count of Carbon Monoxcide Detector not fuctioning properly, which poses an immediate health, safety or personal rights risk to persons in care.

87507(5) Refund conditions. (E)Pre- admission fees shall be refunded according to the following conditions:1. A 100 percent refund of a preadmission fee shall be provided to an applicant or the applicant’s representative if: a.The applicant decides not to enter the facility prior to the facility completing a preadmission appraisal as defined in Section 87457. b. The licensee fails to provide full written disclosure of preadmission fee charges and refund conditions. This regulation was not met by lack of evidence of 100% refund. Which poses a danger to Residents in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Personal Rights All Residents...(a) Residents in all residential care facilities for the elderly shall have following personal rights: (11) To have visitors…permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement is not met based on interviews/records review, licensee did not comply when a visitor to the facility was informed by Staff that they had the right to deny visitation to family members, which posed a potential health and safety risk to residents in care.

Personal Rights...(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement is not met as evidenced by: Based on interviews and records review, licensee did not comply with section cited above by failing to report an incident and change of condition to a resident’s responsible party, which posed a potential health and safety risk to residents in care.

Addt'l Personal Rights Residents...(a)…residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, services that meet individual needs…delivered by staff sufficient in numbers, qualifications, competency… This requirement is not met based on records review, licensee did not comply with the section cited above when Resident #1 eloped from facility without staff knowledge, and was not provided medical attention by facility which posed an immediate health and safety risk to residents in care.

Based on LPA observation, the licensee did not ensure staff were wearing face masks in the facility, which poses an immediate health, safety and personal rights risk to residents in care.

Based on observation and interview, LPA observed service tag of November 16, 2018 on the fire extinguisher. The licensee did not comply with the section cited above in 1 count which poses an immediate health, safety or personal rights risk to persons in care.

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). Based on observation and interview, LPA observed an open container with knives on top of the refridgerator. The licensee did not comply with the section cited above in 28 counts which poses an immediate health, safety or personal rights risk to persons in care.

87303(a) Maintenance and Operation: The facility shall be clean, safe, sanitary, and in good repair at all times. This requirement has not been met as evidenced by: Based on 7 out of 9 interviews conducted revealed the broken bed, cluttered and dirty resident’s room, and visible debris and clutter in the driveway and garage reflects that facility staff did not properly maintain the facility which poses a potential health and safety risk to residents in care.

87307(d)(1) Personal Accommodations and Services: Sufficient room shall be available to accommodate persons served in comfort and safety. This requirement was not met as evidenced by:Based on record review, observation, measurement, and interviews conducted, the Licensee/Administrator did not provide... ...comfortable and/or safe accommodations as follows: bathrooms were not wheelchair accessible, the TV remote control did not work, and the hand crank on R1’s bed was inoperable posing a potential health and safety risk to residents in care.

87465(c)(2) Incidental Medical and Dental Care: Once ordered by the physician the medication is given according to the physician's directions. Based on records reviewed and interviews conducted, Licensee/Administrator did not secure R1’s medication list; and did not ensure all medications were administered as directed which poses an immediate health and safety risk to resident in care.

87468.1(a)(1) Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on observation and interviews conducted, Licensee/Administrator did not accord dignity to residents in their personal relationships when 8 out of 10 interviewees stated Administrator made inappropriate and demeaning comments to residents and other persons which poses an immediate health and safety risk to residents in care.

87555(a) General Food Service Requirements: The total diet shall be of quality and in the quantity to meet the needs of residents… All food shall be selected, stored, prepared, and served in a safe and healthful manner. This requirement was not met as evidenced by: Based on records reviewed and interviews conducted, facility staff did not provide meals reflecting good quality and/or an ample quantity which poses an immediate health and safety risk to residents in care.

87705(a)(4) Care of Persons with Dementia: There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his or her appraisal. This requirement was not met as evidenced by:Based on records reviewed and interviews conducted, R2’s whereabouts were unknown when facility staff did not prevent R2 from wandering from the facility on two separate occasions which poses an immediate health and safety risk to residents in care.