L & S Gentle Care

Based on Licesing Program Analyst observation, the licensee did not comply with the section cited above in that water temperature in faucets used by residents including dementia residents for personal care such as shaving and grooming measured at 139.3 F, 139.2 F, and 137.8 F which poses an immediate health, safety or personal rights risk to persons 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:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by:Based on an observation/review, LPA observed/reviewed photos of a FaceTime still photo that was taken when the resident was getting changed which is an immediate health, safety and personal rights risk to the residents in care

87211 Reporting Requirements(a) 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. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by:LPA learned that the facility was made aware about the incident in early October 2023 and failed to report to the Department of Social Services-Community Care Licensing Division which presents an immediate health, safety and personal rights risk to the residents in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 6 residents that are diagnosed with Dementia did not have the required annual medical assessment as outlined in Title 22 reguatlions which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and medication record review, the licensee did not comply with the section cited above in 2 out of 6 residents were missing medication that were supposed to be retained in the Medication Closet which poses a potential health, safety or personal rights risk to persons in care.

87211 Reporting Requirements:(a) Each licensee shall furnish...:(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...(B) Any serious injury...occurring while the resident is under facility supervision. This requirement was not met as evidenced by: Based on record review and interviews conducted: Administrator did not ensure ensure incidents involving R1, R2 and R3 were reported to Community Care Licensing, which poses a potential health and saftey concern to resident in care.

87203 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 evidenced by: Based on Observation, Licensee did not comply by obstructing two facilty exits. which poses an immediate health, safety or personal rights risk to persons in care.**Immediate Civil Penalty assessed in the amount of $500.

(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, when facility 1 of 4 residents, when staff did not provide resident medcation as prescribed by their physcian, which poses an immediate health and safety concern.