Family Senior Care Home I

Store centrally held medications in locked secure place

87465 Incidental Medical and Dental Care (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 is not met as evidenced by: Based on observation and record review, 3 medication bottles were not kept in a safe and locked place which is not accessible to persons other than employees which poses/posed a potential health, safety or personal rights risk to persons in care.

87608 Postural Supports (a)(5)(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care...This requirement is not met as evidenced by: Based on record review and observation, R2 has a bed rail that extended the entire length of the bed and R2 is not receiving hospice care at this time which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain physician order documentation in resident record

87608 Postural Supports (a)(3)A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record....This requirement is not met as evidenced by: Based on observation and record review, 3 out of 5 residents used a half bed rail and did not have a written order from a physician on file which poses/posed a potential health, safety or personal rights risk to persons in care.

87463 Reappraisals (f) The licensee shall ...communicate with the resident and,... the resident's representative, about any significant change in condition and the recommendation... Documentation of such communication shall be added to the resident’s record. This requirement is met as evidenced by:Based on record review of R5's Appraisal/Needs and Services Plan was not signed by R5's responsible party which poses/posed a potential health, safety or personal rights risk to persons in care.

Annual routine visit with medical professional

87463 Reappraisals (h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment.This requirement is not met as evidenced by: Based on record review, R5's file contained a medical assessment completed on 6/13/2023 and there was no other documentation of R5 receiving an annual routine visit with R5's physician which poses/posed a potential health, safety or personal rights risk to persons in care.

Conformance with applicable laws and regulations

87405 - Administrator Qualification (d) The administrator shall have the qualification as specified in Section 87405(d)(1) through (7). (2) Knowledge of and the ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by. Based on interview, ADM did not exhibit understanding of the applicable laws, rules and regulations by assuming that the exemption transfer approval from the old license automatically transfer to the new license.

Request a transfer of criminal record clearance

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review ... prior to working, residing or volunteering in a licensed facility:(3)Request and be approved for a transfer of a criminal record exemption. This requirement is not met as evidenced by: Based on interview and record review, S3 did not have an approved transfer of a criminal record exemption. S3 provides care and supervision to the residents at the facility which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Submit and maintain current mailing address

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review ... prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the DepartmentThis requirement is not met as evidenced by: Based on observation, interview and record review, staff S2 did not have a California Criminal Record Clearance and S2 was providing care and supervision to the residents at the facility which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Obtain required California clearance or exemption

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review ... prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance.This requirement is not met as evidenced by: Based on observation, interview and record review, staff S1 and S3 did have a California Criminal Record Clearance but was not assosicated to the facility, which poses/posed an immediate Health, Safety or Personal Rights risk to persons in care.

Facility personnel sufficiency and competence

87411 Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement is not met as evidenced by: Based on record review, interview and observation R1's 2 out of 13 meds not administered to R1 as prescribed by the R1's physician which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Prohibit false or misleading facility statements

87207 False Claims No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility.This requirement is not met as evidenced by: Based on record review, interview and observation, R1's MARs noted medications were given to R1 but medication was not administered based on medications counted in bottle which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Health screening and fitness requirements

Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 staff did not have chest x-ray or an intradermal test not more than 6 months prior or 7 days after employment which poses an immediate health, safety or personal rights risk to persons in care.

Require physician order and label for PRN medication

Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 4 resident records contained a medication list which not was signed by a physician, which poses an immediate health, safety or personal rights risk to persons in care.