Sierra Oaks of Redding

87211(a)(1) Reporting requirements: Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below.......Any incident which threatens the welfare, safety or health of any resident. Evidenced by; during medication audit/review LPA's observed several medication errors that were not reported to licensing...Which possess a potential health, safety, personal rights risk to residents in care.

87208(a)(5) Plan of Operation…(a)The licensee shall have and maintain a current, written definitive plan of operation for the facility…. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval……..(5) Staffing plan, qualifications and duties. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. The licensee did not submit new staffing plan to community care licensing. Which poses a potential Health, Safety or Personal Rights risk to persons in care.

87303(i)(1) Maintence and operation...Facilities shall have signal system. This requirement is not met as evidenced by: Based on observation, in house 1 there is not a call system in place, which poses a potential Health, Safety or Personal Rights risk to persons in care.

87468.1(a)(2)(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on observation, interviews and record review, the licensee did not ensure the residents have safe, healthful and comfortable accommodations as the resident was wedged between the bed and wall for an unknow amount of time. Which poses a potential Health, Safety or Personal Rights risk to persons in care.

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 is not met as evidenced by:Based on observation, interviews and record review, the licensee did not ensure the resident was assisted with medications.Which : poses an immediate Health, Safety or Personal Rights risk to persons in care.

87625(b)(3) Managed Incontinence(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:(3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidenced by: the resident was found soiled. Which poses a potential Health, Safety or Personal Rights risk to persons in care.

80065 (b) Personnel RequirementsThe licensee shall employ staff as necessary to ensure provision of care and supervision to meet client needs. This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above. The licensee did not employ staff as necessary to ensure the resident care needs are taken care of. Which poses a potential Health, Safety or Personal Rights risk to persons in care.

Personal Rights - To be accorded safe, healthful, and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by the spread of scabies in the facility. This poses a potential risk to residents in care.

Based on observation, the licensee did not comply with the section cited above in two out of eleven bathrooms had damage which poses an immediate health, safety or personal rights risk to persons in care.

"Care and supervision" means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. This requirement was not met as evidenced by: Based on interviews of staff persons and records reviewed, the licensee did not ensure that the resident was protected from an injury.

Reporting Requirements - Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events ... This report shall include the resident's name ,...; and disposition of the case. Based on record review, the licensee did not comply with the section cited above because staff admitted they didn't notifiy responsible party of a fall, which poses/posed a potential health, safety or personal rights risk to persons in care.

Termination of admission agreement upon death of resident; removal of resident’s property; refund of fees paid; notice of contract termination and refunds. (c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility... This requirement is not met as evidenced by: based on Adminitrator did not refund one of one (1/1) responsible's party, which poses a potential health and safety risk to client in care.