Horizon Et Al, Llc

87202(a) Fire Clearance(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. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate 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 of the room located behind the laundry room on July 16, 2024, LPA observed a bed inside the room which was not observed on the original STD 850. The Local Fire Jurisdiction inspected the bedroom and notated on the STD Fire Safety Inspection Request Report that the room is not to be used for sleeping. Furthermore, the STD 850 Fire Safety Inspection Request Report summarized that the room does not meet requirements for a bedroom. This is an immediate health, safety and personal rights risk to the residents in care.

87465(c)(2) Incidental Medical and Dental Care(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met:(2) Once ordered by the physician the medication is given according to the physician's directions.This requirement was not met as evidenced by: Based on LPA observation on July 9, 2024, LPA observed that a resident was prescribed a medication order for 4:00 PM daily. However, during the Medication Administration Review review, LPA observed that the medication was being administered at 08:00 PM instead of what the medication order indicated which presents an immediate health, safety and personal rights risk to the residents in care.

87468.2(a)(1) Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups.This requirement was not met as evidenced by: During a tour of the facility on July 29, 2024, Licensing Program Analysts (LPAs) Farhaan Sarangi and Sarah Benson observed an audio/child monitoring device in Resident #1’s room which presents an immediate health, safety and personal rights risk to the residents in care.

87761(b)(b) Notwithstanding Section 87761(a) above, an immediate penalty of $100 per cited violation per day for a maximum of five (5) days shall be assessed if any individual required to be fingerprinted under Health and Safety Code Section 1569.17(b) has not obtained a California clearance or a criminal record exemption, requested a transfer of a criminal record clearance or requested and be approved for a transfer of an exemption as specified in Section 87355(e) prior to working, residing or volunteering in the facility. Civil Penalty assessed in the amount of $100.00

87355(a) Criminal Record Clearance(a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve or deny a facility license, or employment, residence, or presence in the facility, based upon the results of such review.This requirement was not met as evidenced by: Based on observation of facility records which included the Guardian on July 10, 2024, LPA observed that Caregiver #1 has not been background cleared and is currently “In Process” which presents an immediate health, safety and personal rights risk to the residents in care.

Based on observation, interview and record reveiw the licensee did not comply with the section cited above in one out of one counts no first aid manual was present at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review the licensee did not comply with the section cited above in one out of one medication was not labled with required information of resident name, physician, pharmacy or directions which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review the licensee did not comply with the section cited above in 3 out of 3 persons did not have 1st aid training which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview and record review the licensee did not comply with the section cited above in three out of three staff files did not have record of training which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation interview and record review the licensee did not comply with the section cited above in two out of two staff are not associated with the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on obervation interview and record review the licensee did not comply with the section cited above in three out of three staff files were not maintained which poses/posed a potential health, safety or personal rights risk to persons in care.

Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidence by: Based on observation of the doorknob being covered with a cover to prevent resident from getting out and it is a designated exit which poses an immediate Health and Safety, and Personal Rights risk to persons in care.