Lavender Hills Assisted Living Ii

87705(c)(4) Care of Persons with Dementia-Licensees who accept and retain residents with dementia shall be responsible for ensuring: There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs. Based upon observation and interview the Licensee failed to provide enough care staff to ensure the safety and health care needs of 1 of 1 residents who went AWOL.This poses an immediate Health, Safety and/or Personal Rights risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in two of six residents did not have an updated medical assessment which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation record review, the licensee did not comply with the section cited above in three out of six file reviewed did not have an order for the postual supports utilized by the residents which poses a potential health, safety or personal rights risk to persons in care.

87468.1 Personal Rights (a)(8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs.This requirement was not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee did not ensure that resident’s (R1’s) representative/POA was contacted when (R1) was sent to the ER on multiple times between, November 2021- June 2022, which posed a health and safety risk and/or personal rights violation to residents in care.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (15) To send and receive unopened correspondence in a prompt manner. This requirement was not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee did not ensure that (R1)’s incoming and outgoing mail was processed timely in May 2021 and September 2021, which posed a personal rights violation to residents in care.

87465(a)(4) Incidental Medical and Dental Care.(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on documentation review, the Licensee did not ensure that (R1) received medications as ordered on 5/25/22, when (R1) received (2) medications,50 mg. Pregabalin and 25 mg. Hydralazine, which posed an immediate health and safety risk to residents in care.

87224 Eviction Procedures (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5) Change of use of the facility. (A) The licensee may, upon no less than sixty (60) days written notice, evict a resident due to change of use of the facility. (1) In addition to written notice to quit requirements specified in Section 87224(d), written notice to evict due to change of use of the facility shall be made to the resident or the resident’s responsible person and shall include all requirements specified in Section 1569.682(a)(2)(A) through (F) of the Health and Safety Code. This requirement was not met as evidenced by: Based on documentation reviewed, the Licensee did not ensure that they abided by their (60) day notice issued on 5/10/22, and not move residents (and R1) from House #1 to House #2, until on/around 7/10/22, which posed a potential health and safety risk to residents in care.