Casa Isabella Ii

Based on observation, the licensee did not comply with the section cited above in that an unsecured bottle of "Gorilla Glue" was observed in the bathroom attached to the semi-private room at the rear of the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in that Resident one's (R1) personal file was observed to not have a current LIC 625 Appraisal/Needs and Service Plan (last LIC 625 was done on 8/19/2024) which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that medications were left unsecured in a night stand in the walk in closet located off the bathroom attached to the semi-private room at the rear of the facility. which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that LPA observed that there were no functioning lights in the bathroom attached to the semi-private room at the rear of the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that Hot water temperatures for a sample of sinks in facility were observed to exceed the Title 22 regulations of 105 to 120 degrees Fahrenheit. Sample of sinks tested were at 142.7, 126 and 140.1 degrees Fahrenheit. which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in that LPA observed that R1 did not have an LIC 603 Pre-Admission Appraisal form which poses a potential health, safety or personal rights risk to persons in care.

87468.1(a)(9) Personal Rights. Residents in all residential care facilities for the elderly shall have all of the following person To have communications to the licensee from their representatives answered promptly and appropriately. ***This requirement has not been met as evidenced by: On or about Oct 20, 2022, R1’s Conservator was told that the Conservator could not remove R1 from the facility. This posed an immediate risk to the personal rights of R1

87507(g)(3)(B)(1) Admission Agreements. A comprehensive description of and the corresponding fee schedule for all additional items and services not included in the fees for basic services shall be listed. ***This requirement has not been met as evidenced by: R1 was charged in excess of fee for basic services without proper notice and explanation as required by regulation. This posed an immediate risk to R1’s personal rights.