Villa Santa Barbara

Store centrally held medications in locked secure place

87211(a)(1)(D) A written report shall be submitted to the licensing agency...within seven days…(D) Any incident which threatens the welfare, safety or health of any resident…This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above when the facility did not submit Serious Illness/Injury report when 911 was called for R1 due to an unwitnessed fall which poses an immediate health and safety risk to residents in care.

Eviction report must be filed within five days

Assist residents with self-administered medication

Eviction report must be filed within five days

87224(f) Eviction Procedures: 87224(f) Eviction Procedures: A written report of any eviction shall be sent to the licensing agency within five (5) days.This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above as facility staff failed to submit an eviction notice to CCLD which posed a potential health, safety, and personal rights risk to persons in care.

87211(a)(1)(D) A written report shall be submitted to the licensing agency...within seven days…(D) Any incident which threatens the welfare, safety or health of any resident…This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above when the facility did not submit Serious Illness/Injury report for R1 who self-admitted into the hospital which poses an immediate health and safety risk to residents in care.

Store centrally held medications in locked secure place

Assist residents with self-administered medication

Facility maintenance and healthful environment

87307(d)(2) (d) The following space and safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment.This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above when staff conducted a facility water shut off for six days without clear communication and without healthful and sanitary accommodations which poses a potential health and safety risk to residents in care.

Right to sufficient care and qualified staff

87468.2(a)(4) Additional Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (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 is not met as evidenced by:Based on interviews and records review, the licensee did not comply with the section cited above. Facility staff did not ensure R1’s call button was responded to timely, which posed an immediate 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 above when it was determined that there was an unexplainable under-count of R1's medications which poses an immediate health, safety or personal rights risk to persons 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 above when it was determined that there was an unexplainable overcount of R1's medications which poses an immediate health, safety or personal rights risk to persons in care.

Dispose of unused medications with required witness

Based on observation, interviews conducted, and record review, the licensee did not comply with the section cited above as there were 8 bottles of expired medications located in the care center belonging to R1 which poses an immediate health and safety risk to residents in care.

87468.2(a)(4) …Residents…have all of the following personal rights: 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 is not met as evidenced by: Based on interviews conducted, record review and observation, the licensee did not comply with the above cited section, as the licensee did not ensure resident’s call buttons were responded to timely which posed an immediate health and safety risk to residents in care.