Valley Pines

(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. This requirement is not met as evidenced by: Based on interview, record review and observation the licensee did not ensure that staff checks and changes R1’s throughout the night resulting in R1 being left soiled throughout the night which poses an immediate health, safety and personal rights risk to persons in care.

(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement is not met as evidenced by: Based on interview, record review and observation the licensee did not ensure to provide staff (S1) and (S2) with training which poses/posed a potential health, safety, and personal rights risk to persons in care.

Each facility shall document in writing the findings of the pre-admission appraisal and any reappraisal or assessment which was necessary in accordance with Sections 87457, Pre-admission Appraisal, and 87463, Reappraisals. If supporting documentation from a physician is required, this input shall also be obtained and may be the same assessment as required in Section 87458, Medical Assessment. This requirement is not met as evidenced by: Based on interview, record review and observation the licensee did not ensure to update R2's reappraisal and physician's report upon a change on condition based on the licensee's observations which poses a potential health, safety and personal rights risk to persons in care.

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) 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. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not met as evidenced by: Based on interview, record review, and observation the licensee did not ensure to submit a written incident report and death report to the licensing Department for R1 during an incident that occurred in March 2024 which poses a potential health, safety and personal rights risk to persons in care.