La Salle Care Home Inc.

87465 Incidental Medical and Dental Care (a)A plan for incidental medical…care shall be developed…plan shall encourage routine medical…care and provide for assistance in obtaining such care...(4)The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interview and record review, Resident 1(R1) did not received medication ordered by physician which posed a potential health, safety or personal rights risk to persons in care.

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities. Residents shall have all of the following personal rights ...care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by: Based on investigation interviews with Witness 1 and administrator, the licensee did not comply with the section cited above, as resident was not properly supervised which led to three elopements, which posed an immediate safety, and personal rights risk to residents in care.

87211 Reporting Requirements (a)(1)A written report shall be submitted to the licensing agency…within seven days of the occurrence of any of the events specified…(D) Any incident which threatens the welfare, safety or health of any resident, such as… unexplained absence of any resident. This requirement is not met as evidenced by:Based on interview and record review, facility failed to provide report of elopement incidents to Licensing as required which posed a potential health, safety or personal rights risk to persons in care.

Based on a record review, the licensee did not comply with the section cited above in resdient records did not inlcude current appraisal which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited as there is no active administrtor certificate on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Disregard--- unalbe to delete- Merla Ventura 1st aid expires 9/21/25Roger Ventura 1st aid expires 9/25/25

Based on record review the licensee did not comply with the section cited above as an Appraisal Needs and Services form was not included in resdient file, which poses/posed a potential health, safety or personal rights risk to persons in care.

87224(d) Eviction Procedures. The licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons. This requirement was not met as evidenced by: Based on observations, interview and record review, the licensee did not comply with the section cited above when they issued an invalid eviction notice to R1, which posed a potential personal rights risk to residents in care.

Based on interview, the licensee did not comply with this section when family member performed work and did not have criminal record clearance which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation the licensee did not comply with the section cited above as bleach was left unattended in bathroom, which poses an immediate health, safety or personal rights risk to persons in care.

Based on an interview, the licensee did not comply with the section cited, as licensee was unalbe to provide any peronnel records which poses a potential health, safety or personal rights risk to persons in care.