Maravilla

Request a transfer of criminal record clearance

Based on record review, the licensee did not comply with the section cited above when S1 was disassociated from the facility in error which poses an immediate health and safety risk to residents in care. Civil Penalty Assessed.

Maintain facility in clean, safe, sanitary condition

Based on observation and interviews conducted, the licensee did not comply with the section cited above as #2 Elevator was inoperable which poses a potential health and safety hazard to residents in care.

87465(a)(2) The licensee shall provide assistance in meeting necessary medical and dental needs. This includes transportation which may be limited to the nearest available medical or dental facility which will meet the resident's need. This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited when they did not seek timely and appropriate medical attention for R1, which posed a potential health and safety risk to residents in care.

Regular representative updates on care

(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. Based on interview and record review, the licensee did not comply with the section cited when they did not inform R1’s responsible party of a fall with injury, which posed a potential health, safety and personal rights risk to residents in care.

Right to sufficient care and qualified staff

(a)(4) To 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 record review and interviews the Licensee did not comply with the regualtion above residents call button are not answered timely which poses a potential health, safety and personal rights risk to residents in care.

Submit and maintain current mailing address

87355(e)(1) Criminal Record Clearance: ...Obtain a California clearance or a criminal record exemption as required by the Department...This requirement is not met as evidenced by: Based on record review the licensee did not comply with regualtion above as R1's private caregiver has not completed a criminal background clearance which poses an immediate risk to residents in care.

Right to sufficient care and qualified staff

Additional Personal Rights of Residents...(a)Residents shall have rights...(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in competency to meet their needs. This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with this section when staff lacked competency in mixing up R1 & R2, which posed a potential health and safety risk to residents in care.

Give PRN medication by physician order

Based on observation, interviews conducted, and record review, the licensee did not comply with the section cited abovewhen it was determined that there was an unexplainable overcount of R1's medication which poses an immediate health, safety or personal rights risk to persons in care.

Report specified resident events within seven days

87211(a)(1) Reporting Requirements: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below… Based on records review, the licensee did not comply with the section cited above when staff did not submit a Serious Illness/Serious Injury report for R2’s change of condition within seven days of the occurrence which poses a potential health and safety risk to residents in care.

Notification to department after hospice care starts

87632(d)(2) Hospice Waiver: The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services. Based on records review, the licensee did not comply with the section cited above when staff did not notify R1’s hospice placement within five working days from date of placement which poses a potential health and safety risk to residents in care.

Fire approval and staff access to unlock systems

Care of Persons with Dementia (f)The following shall be stored inaccessible to residents with dementia: (2)Over-the-counter medication,..., and toxic substances ...,cleaning supplies and disinfectants. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the above section by failing to remove and secure R1’s antifreeze, thus allowing R1 to ingest the antifreeze causing death, which posed 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 requirement is not met as evidenced by: Based on interviews conducted, the licensee did not comply with the section cited above by Elevator 1 and Elevator 2 were not in working condition on 1/18/2023 and 2/10/2023; Elevator #2 was not working on 2/11/2023, 2/13/2023, and 2/14/2023. This posed a potential health and safety risk to residents in care.

Give PRN medication by physician order

87465(c)(2) Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's directions.This requirement is not met as evidenced by: Based on records review, the licensee did not comply with the section cited above when staff did not follow physician’s orders for medications, which posed an immediate health and safety risk to residents in care.

Fire approval and staff access to unlock systems

Based on observation, LPA and administrator observed cleaning product in an unlocked cabinet in the Memory Care Unit. The licensee did not comply with the section cited above in 4 counts which poses an immediate health, safety or personal rights risk to persons in care.

Submit and maintain current mailing address

Based on record review, LPA reviewed Guardian Roster and found 2 individuals on the facility schedule without a Criminal Record Clearance. The licensee did not comply with the section cited above in 2 counts which poses an immediate health, safety or personal rights risk to persons in care.

Obtain required California clearance or exemption

(e) All individuals subject to a...(1)...or(2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or Based on record review the licensee did not comply with regualtion above and was working without a tranfer assocaition which poses an immediate risk to residents in care.