Villa Antonio

Update reappraisal at required intervals

Based on interview and record review, the licensee did not comply with the section cited above. R1-R3's Needs and services plans are not updated and are over 12 months old. ADM stated he has not updated R1-R3's Needs and services plans. This poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. While reviewing resident R2's medications, LPA's observed medication #1's bottle did not contain the prescription label. This poses/posed a potential health, safety or personal rights risk to persons in care.

Submit and maintain current mailing address

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption ... This requirement is not met as evidenced by: Based on interviews, record review and observation the ADM did not ensure S2's spouse received a fingerprint clearance from the Department pior to S2 residing at the facility, which poses an immediate health, safety, and personal rights risk to persons in care

1569.50 Denial, suspension or revocation of license; ...exclusion from licensee without right to petition for reinstatement (a)(3) Conduct that is inimical to the health, morals, welfare, or safety ... from the facility or the people of the State of California. This requirement was not met as evidenced by; Based on interviews conducted, and evidenced reviewed, the facility staff verbally abused a resident in care. 2 Out of 3 staff admitted a staff member verbally abused a resident. This poses an immediate threat to residents health, safety and personal rights.

1569.625 Staff training; legislative findings; contents (b)(1)The department shall adopt regulations to require staff members of residential care facilities for the elderly ...This training shall consist of 40 hours of training....This requirement was not met as evidenced by; Based on staff training records review & interviews, Staff did not receive training on mandated reporting/elder abuse & filling out SOC341. ADM also acknowledged he/she did not provide training on mandated reporting of elder abuse. This poses an immediate threat to residents health, safety & personal rights

Dignity in personal relationships

87468.1 Personal Rights of Residents in All Facilites (a)(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met as evidenced by; Based on evidence reviewed and interviews with conducted, 2 Out of 3 staff admitted that S1 verbally abused resident R1. The facility staff did not acccord dignity to residents in care. This poses an immideate threat to health, saftey and personal rights risk to person in care.

87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by Based on evidence reviewed & interviews with conducted, 2 Out of 3 staff admitted that S1 verbally abused resident R1. 2 Out of 3 staff acknowledge the verbal abuse occured a month ago & they did not report it. This poses an immideate threat to health, saftey & personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

87202(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. ...This requirement was not met as evidenced by Based on observation & interview, the ADM did not comply with the section cited above. LPA observed S2 leaving the storage unit with his/her spouse. S2 admitted that he/she was resting in the storage area. This poses a potential health, safety or personal rights risk to persons in care.

Based on interview & record review, the ADM did not comply with the section cited above. ADM stated the facility has not done a fire drill in the past year. This poses a potential health, safety or personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

Based on observation & interview, the ADM did not comply with the section cited above. LPA observed a mattress in the storage unit. ADM stated the storage unit is being used as a rest area. S1 admitted that he/she sleeps in the storage room with his/her 6-year-old child until his/her spouse picks them up. This poses a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

LPA observed a can of WD-40 lubricant and can of paint next to the storage units in the facility's backyard. ADM stated the residents have access to the backyard. ADM stated he/she has dementia residents. This poses an immediate health, safety or personal rights risk to persons in care.

Notify agency before locking doors or gates

LPA observed several knives and a tool bag containing things such as scissors next to the storage unit in the backyard. ADM stated the residents have access to the backyard. ADM stated he has residents with dementia. This poses an immediate health, safety or personal rights risk to persons in care.