Santo Nino Residential Care Home #1

Maintain required personnel records for staff

Based on observation, interview, record review the licensee did not comply with the section cited above 1 out of 2 staff files were not in facility premises which poses/posed a potential health, safety or personal rights risk to persons in care.

Safe, healthful, comfortable accommodations

87468.1 Personal Rights of Residents in All Facilities (a)(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement was not met as evidenced by: Based on observation, record review and interview the licensee did not ensure resident's bedroom and furnishings were free from bedbugs, which poses an immediate health, safety and personal rights risk to 4 residents in care.

Ensure hazardous items are locked and not unattended

Storage Space and Acess(a) .. the licensee shall ensure that disinfectants, cleaning solutions... which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This requirement is not met as evidenced by Based on observaton and the licensee did not ensure cleaning solutions were inaccessible to 4 residents in care. LPAs observed Comet cleaning product on top of a toilet in bathroom outside of bedroom #2, which poses an immediate health, safety, or personal rights risk to 4 residents in care.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation (a) Thefacility shall be...in good repair at all times,...for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by Based on observation the licensee did not ensure the facility was in good repair at all times. LPAs observed dust, cobwebs, a broken window screen exterior of Bedroom 4, uncovered waste basket in bedroom 1 with unknown brown residue on the wall next to the waste

Update reappraisal at required intervals

Based on interview, the licensee did not comply with the section cited above. LPA requested to review R3's needs and Services plan. ADM stated she has not completed R3's Needs and Services Plan. This poses/posed a potential health, safety or personal rights risk to persons in care.

Record centrally stored prescriptions and refill data

Based on record review, the licensee did not comply with the section cited above. While reviewing R1's centrally stored medication log, LPA observed the log did not have start dates for 5 medications. While reviewing R3's Medications, LPA observed medication M1 was not listed on the Centrally stored medication log. This poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain separate complete record for each resident

Based on record review, the licensee did not comply with the section cited above. Resident R1-R3 did not have the following forms in there file: LIC627C, LIC613. Residents R2-R3 did not have a LIC601 in there file. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview, the licensee did not comply with the section cited above. LPA requested to review S1's training records and first aid training. ADM stated S1 has not completed his/her training for 2024 or his/her first aid training either. This poses/posed a potential health, safety or personal rights risk to persons in care.

Allow licensing inspection and controlled record removal

Based on interview, the licensee did not comply with the section cited above. LPA requested to review ADM's documents. ADM stated she has the completed all the required documents but has them on her computer. ADM stated her printer does not work. ADM did not provide copies for LPA to audit. This poses/posed a potential health, safety or personal rights risk to persons in care.

Complete admission suitability appraisal

Based on interview, the licensee did not comply with the section cited above. LPA requested to review R1-R3's preadmission appraisal. ADM was unable to provide LPA with a copy to review. ADM stated the form was not filled out. This poses/posed a potential health, safety or personal rights risk to persons in care.

Track resident cash safeguard records

Based on interview the licensee did not comply with the section cited above. LPA requested to review R1-R3's Resident Personal Property & Valuables form, (LIC621). ADM stated she has not filled out this form for R1-R3. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview, the licensee did not comply with the section cited above. LPA requested to review the facility fire/earthquake/disaster drill log. ADM stated she does not have a log. This poses/posed a potential health, safety or personal rights risk to persons in care. ADM stated she will send the plan of action to LPA by POC date, January 2, 2025.

Maintain facility in clean, safe, sanitary condition

Based on observation, the licensee did not comply with the section cited above. LPA observed the bathroom next to bedroom #2, had the sliding shower door which was stuck. ADM stated she doesn't know how long its been stuck. the bathroom closest to bedroom #3, LPA observed the sink was clogged. This poses/posed a potential health, safety or personal rights risk to persons in care.

Keep window screens clean and in repair

Based on observation, the licensee did not comply with the section cited above. LPA observed the screens in the bathroom windows between bedroom #3 and & 2 had dirt/grime on the screens. LPA observed the screen door, from the backyard, leading into bedroom #4 had dirt & grime. This poses/posed a potential health, safety or personal rights risk to persons in care.