Sunrise Manor Residential Care Home

Based on records reviewed, the licensee did not comply with the section cited above. The facility's last drill was conducted on July 2024. This poses/posed a potential health, safety or personal rights risk to persons in care.

Provide adequate lighting for room safety and comfort

Based on observation, the licensee did not comply with the section cited above. LPA observed the hallway bathroom farthest from homestead road, LPA observed the bathroom had very dim lighting. ADM stated she would change that light bulb. This poses/posed a potential health, safety or personal rights risk to persons in care.

Request a transfer of criminal record clearance

Based on records, the licensee did not comply with the section cited above. Based on a review on Guardian, staff S1 and S3 are not assoicated with the facility. ADM stated both staff S1 and S3 work at the facility. This poses/posed a potential health, safety or personal rights risk to persons in care.

Update reappraisal at required intervals

Based on interview and records reviewed, the licensee did not comply with the section cited above. 3 Out of 3 residents records reviewed (R1-R3) did not have current, up to date Needs and services plans. This poses/posed a potential health, safety or personal rights risk to persons in care.

Annual routine visit with medical professional

Based on interview and records reviewed, the licensee did not comply with the section cited above. 3 Out of 3 residents physicans reports have not been updated. ADM stated she has not informed the residents responsible parties/ residents themselves to received an annual routine visit. This poses/posed a potential health, safety or personal rights risk to persons in care.

Track resident cash safeguard records

Based on records reviewed and interview, the licensee did not comply with the section cited above. LPA requested to review R1-R3's safegaurds for personal property form. ADM did not produce a copy of the forms to review. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and records reviewed, the licensee did not comply with the section cited above. While touring the resident bedroom farthest from homestead road (and door exiting to Los Padres Blvd), LPA observed a resident R1 using a bed with full bed rails. LPA asked to see the doctors order for full bed-rails. ADM stated she has the order, but cannot find it. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and records reviewed, the licensee did not comply with the section cited above. LPA requested to review staff S1-S3's training records. ADM stated she conducted the trainings, but has no documentation. This poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation(a) 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 of observation, two air vents above the stove and in the hallway were not covered and filled with dust which poses a potential health, safety or personal rights risk to persons in care.

Passageways and stairways kept clear

87307(d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction.This requirement is not met as evidenced by: Based on observation and interview, the licensee did not ensure that sliding exit doors tracks were free of obstruction. LPAs observed a pole obstructing the sliding exit door tracks which poses an immediate health, safety or personal rights risk to persons in care.

Complete admission suitability appraisal

87457(c)Prior to admission ... shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above when 1 out of 2 resident files did not create an Appraisal/ Needs and Services plan which poses a potential health, safety or personal rights risk to persons in care.

Document required significant condition changes

87463 (b) The licensee shall immediately bring any such changes to the attention of the resident's physician and his family or responsible person.This requirement is not met as evidenced by: Based on interview and record review, R2's Appraisal/Needs and Services Plan was not signed by R2 and/or R2's responsible party which poses a potential health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

87465 (h)(2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.This requirement was not met as evidenced by: Based on observation, 1 prescription medication was in the refrigerator unlocked and a drawer in the kitchen which contains resident's medication was unlocked and accessible to residents which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Record centrally stored prescriptions and refill data

87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored:(6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes:This requirement is not met as evidenced by: Based on observation and record review, R1's 5 out of 10 centrally stored medications and R2's 6 out of 6 centrally stored medications were not recorded on the Centrally Stored Medication log which poses a potential health, safety or personal rights risk to persons in care.

Signed rights acknowledgement in resident record

87468 (b)(1)(A)The licensee shall have each resident and the resident's representative sign a copy of these rights, and the signed copy shall be included in the resident's record.This requirement is met as evidenced by: Based on interview and record review, R2's file did not contain a signed Personal Rights of Residents in All Facilities which poses a potential health, safety or personal rights risk to persons in care.

Notify agency before locking doors or gates

87705 Care of Persons with Dementia(f) The following shall be stored inaccessible to residents with dementia:(1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).This requirement is not met as evidenced by: Based on observation, LPAs observed more than 5 tools were in the backyard, not locked and accessible to residents with Dementia poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Keep window screens clean and in repair

87303 Maintenance and Operation (c) All window screens shall be clean and maintained in good repair.This requirement was not met as evidenced by: Based on observation, two window screens in resident's room and 1 door screen for exit door was not clean and not in good repair which poses a potential health, safety or personal rights risk to persons in care.

80087(a)(1) -Buildings and Grounds- The facility shall be clean, safe, sanitary and in good repair at all times... (1) The licensee shall take measures to keep the facility free of flies and other insects. This requirement was not met as evidenced by: Based on interviews and records review, the licensee did not ensure that the facility remained free of bed bugs and did not report infestation to licensing. This presented a potential health and safety risk to residents in care.