Magnolia Court

87465(a)(5)Incidental Medical and Dental Care: A plan for incidental medical and dental care...The plan shall encourage routine medical and dental care and provide for assistance...with the following:The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on self-reported incident reports and interview with Executive Director, S1 gave the wrong medication to resident R1 and R2. This is an immediate health, safety and personal rights risk to residents in care.

Health and Safety Code1569.657provides:(a)For any rate increase due to change in the level of care......detailed explanation. This regulation was not met as evidenced by: Based on LPA's observations and review of records, the Licensee failed to provide the additional services that the new level of care and accompanying charges. This serves as an immediate health & safety and personal rights risk to residents in care.

87411(a) Personnel Requirements - General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidence by: Based on incident report and interview, facility failed to provide supervision to R1 resulting in an elopement. The absence of supervision is an immediate risk to the Health, Safety and Rights of resident in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) ... Personal Rights of Residents... following personal rights: (4) To care, supervision, and services that meet... need delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement was not met as evidenced by: :Based on interviews conducted and LPA’s observations of residents being unsupervised during feeding the Licensee failed to ensure that residents were assisted with feeding. This serves as an immediate health & safety and personal rights risk to residents in care.

87468.2 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...telephone... use of the Internet, and meetings of resident and family groups. This is evidenced by: Based on LPAs observations of photo including resident posted on internet without consent. This poses a potential health & safety and personal rights risk to residents in care.

87468.1(a)(11) 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: (11) To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. Based on record review and interview, the licensee did not comply with the section cited above when they stopped visitation at the direction of the resident’s responsible party which poses an immediate personal rights risk to persons in care.

87705(b)(2) Care of Persons with Dementia: Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials. Not met as evidence by** Based on a review of facility incident reports and resident records it was found that resident (R1) had eloped from the facility without supervision. R1 is diagnosed with dementia and based upon appraisal, requires special supervision for confusion and wander risk. This is an immediate health & safety risk to resident in care.

87307(d)(6) Personal Accommodations and Services. All outdoor and indoor passageways and stairways shall be kept free of obstruction.This requirements is not met as evidenced by: Based upon interviews, multiple staff (S1, S2, S3 & S4) stated that they have observed memory care unit doors being blocked by furniture, which poses an immediate health and safety risk to resident in care.

87464(f) - Basic services shall at a minimum include care and supervision as described in Health and Safety Code section 1569.2(c). These requirements were not met as evidenced by:Based upon LPA observation, resident (R1) was found left in soiled clothing (photos taken) In addition, interviews with staff (S3 & S4) stated observing residents being left in soiled clothing and not properly changed.

87411(a) Facility personnel shall at all times be sufficient in numbers & competent to provide the services necessary to meet resident needs…This requirement has not been met as evidence by:**Based on records review of alarm response system and interivews with multiple staff Administrator did not ensure that staff on duty responded in a timely manner to call system to assist residents (R2 & R3) in care. Call bell response times were between 1-3 hours, which poses an immediate risk to the health and safety of residents in care.

1569.625(b)(1) A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. This was not met as evidence by:**Based upon review of staff records it was found that 12 caregiving staff had received hoyer lift training on 6/13/2024, after resident (R1) had already been residing in the facility for several months requiring hoyer lift assistance. This serves as a potential health & safety risk

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:(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 an interview with the Administrator, staff did not adequately check on the resident and in turn provided inadequate information to the Responsible Party.

87464 Basic Services (d) he facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-admission Appraisal and providing the other basic services specified below, either directly or through outside resources. Based on interviews, record review conducted, Faciltiy did not ensure the regulation above when they did not follow instructions from home health agency for R1 This is a potential health, safety and personal rights risk to residents in care.

87465(a)(1) Incidental Medical and Dental Care. The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. Based upon records reviewed and statements taken, this requirement has not been met as evidenced by: Records and interviews revealed that the facility delayed medical treatement for R1. This poses a pontential health and safety risk to residents in care.

Based on observation the licensee did not comply w/section cited above in 2 of 2 memory care resident which is an immediate safety risk to person in care. LPA observed Medicated Salve, scissors and mouthwash unlocked and accessible during tour.

Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's directions. *** Based upon records and statements, this requirement has not been met as evidenced by: Facility reports several incidents where residents’ pain medications were replaced by other, non – narcotic over the counter medications. This posed an immediate risk to the health of the residents in care.

Incidental Medical and Dental Care. Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. **Based upon statements and records, this requirement has not been met as evidenced by: Facility reports several incidents where residents’ pain medications were replaced by other, non – narcotic over the counter medications. This posed an immediate risk to the health of the residents in care.

87646 Basic Services. Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c).Based upon records reviewed and statements made, this requirement has not been meet as evidenced by: On or about 08/22/2021, a resident eloped from the memory care unit unaccompanied by staff and remained away until returned by Vacaville Police 30 to 40 minutes later. This posed an immediate risk to safety of resident. $500 Civil Penalty issued for lack of supervision.