South County Retirement Home Inc.

87411 General Personnel Requirement (b)All persons who supervise employees or who supervise or care for residents shall be at least eighteen (18) years of age. This requirment is not met as evidenced by: Based on record review, LIC/ADM did not ensure that S2 was at least 18 years of age at time of hire S2 on 10/08/2024. S2s CA ID/DL confirms S2 is under age18. S2 works partime at the facility, which pose/poses an immediate health, safety & personal rights risks to persons in care.

Based on record review, the licensee did not comply with the section cited above. Based on a review of R1-R5's centrally stored medication record, R1-R5's medication start dates is not listed for all 5 residents. While reviewing R2's medications, LPA observed Medication M1 & M2 were not listed on R2's Centrally Stored Medication record. This poses/posed a potential health, safety or personal rights risk to persons in care.

1569.69(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements. this requirment was not met at evidenced by; Based on Interview & record review. S1 admitted assiting with medication without medication training. Medication training records did not show S1 recive medication training in 2021 and 2022. ADM also confirmed this. This poses a potential health , safety and personal rights risk to residents.

Incidental Medical and Dental Care (h)(5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met by: Based on interview and observation, the administrator did not comply by storing resident medication in small brown envelopes 4 days in advance which poses a potential Health, Safety, or Personal Rights risk to persons in care

87303(a) Maintenance and Operation: (a) The facility shall be in clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of mainteance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met by: Based on observation of the covered patio at the backyard has swarm of at approximately 40 flies above the 10 seated residents who were smoking. The outside table observed with an empty can soda, tables with melted cheese and a peeled orange fruit which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

87465 - Incidental Medical and Dental Care - (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health... This requirement was not met as evidenced by: Based on interviews and records review, the facility did not contact 911 until two days after R1's injury that resulted in fracture. This posed an immediate threat to the health and safety of residents in care.

87463 - Reappraisals - (a) The pre-admission appraisal shall be updated... to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical... condition. This requirement was not met as evidenced by: Based on interviews and records review, the facility did not update R1's care plan when it became evident that R1 was a fall risk, resulting in fracture. This posed an immediate threat to the health and safety of residents in care