Magnolia Gold Home Care

Based on interview and record review, the licensee did not comply with the section cited above in two (2) out of four (4) record of medication administration which poses/posed a potential health, safety or personal rights risk to persons in care.

HSC:1569.269 Enumerated Rights;severabiltiy (a) Residents of RCFE shall have all the following rights: (10) To be free from neglect, finacial exploitation, involuntary seculsion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement has not been met by evidence by:Based on interviews wtih residents and care partners a prepondrance of evidence has deemed that R1 was subject to sexual abuse.

87506 Resident Records(a) The licensee shall ensure that seperate complete, and current record is maintained for each resident in the facility...available to facility staff...and licensing. This requirement is not met as evidence by: Based on interview and record review, the licensee did not comply in 2 out of 5 resident records.which poses a potential health, safety or personal rights risk to persons in care.

HSC 1569.625(b)(1) The department shall...require 40 hours of training....staff...shall complete 20 hours...including 6 hours of dementia care...4 hours of postural supports, restricted health conditions, hospice care...the remaining 20 hours shall include 6 hours dementia care within 4 weeks.This requirement is not met as evidenced by:Based on record review, the licensee did not comply with the section cited above in 1 out of 5 staff members which poses a potential health, safety or personal rights risk to persons in care

87412(a) - Personnel RecordsThe licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.This requirement is not met as evidence by: Based on observation and record review the licensee did not comply with section cited in 3 out of 5 personnel records as evidence of messing 1st aid training and health screening which poses a potential health, safety or personal rights risk to persons in care.

87405(d)(a)(1)- (d)The administrator shall have the qualifications specified... (1) Knowledge of the requirements for providing care and supervision appropriate to the residents.This requirement is not met as evidenced by: inspection, the licensee diLPAs interviews, observations and records reviewed which show that Adminstrator has not been present a sufficent number of hours to properly meet the responsibilities of operating the facility. This is an immediate risk to the health and safety of all residents in care.

87211(a)(1)(D):Reporting Requirements:(a) Each licensee shall furnish to the licensing agency...(1)A written report shall be submitted to the licensing agency...within seven days of the occurrence of...(D)Any incident which threatens the welfare, safety or health of any resident.. This requirement is not met as evidenced by: *Based on records reviewed the Licensee did not comply with the section cited above and did not submit reports to CCL as required. This poses a potential health and safety risk to residents in care.

Based on the individual's pre-admission appraisal....(3) a written order from a physician...order. This is evidenced by: Based on review of residents' records there was no written order by physician for 1/2 bed rail which poses a potential risk to the health and safety of residents in care.

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. licensee and the administrator may be one and the same person. The administrator...This is evidenced by: Based on observation of expired Administrator's Certificate dated 6/30/23 and no renewal on file with the Dept. which poses a potential risk to the health and safety of residents in care.

87608 Postural Supports (a) Based on the individual's pre-admission appraisal....(3) a written order from a physician...order. This is evidenced by: Based on review of residents' records there was no written order by physician for 1/2 bed rail which poses a potential risk to the health and safety of residents in care.

87309(a) STORAGE SPACE - Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.This requirement was not met as evidence by:** Based on observations LPA found unlocked cabinet containing chemicals accessible to residents. In addition, LPA 1 knife and 1 scissor located near the kitchen stove in a container, and unlocked laundry room and garage with cleaning supplies. This poses as an immediate health and safety risk to residents in care.

(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.(c) All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction. Based on observation LPA observed a cabinet, head and footboard, tree branches and clothes rack located in the side yard passageway that poses a potential hazard to residents in care.

87202 Fire Clearance: (a)All facilities shall maintain a fire clearance approved by the city, county,... fire department...Prior to accepting or retaining...the following ... the applicant or licensee shall notify the licensing agency & obtain an appropriate fire clearance approved by the... fire department...(2) Bedridden persons This requirement was not met as evidenced by: Based on observation, interviews, and record review - Administrator did not ensure the regulation above due to having bedridden resident (R1) in a non-ambulatory bedroom (not approved for bedridden residents). This is an immediate health & safety risk to residents 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... This requirement was not met as evidenced by: Based on interviews, records reviewed,and observations made, the facility did no ensure the regualtion due to staff observed without wearing a mask and not screening visitors for COVID symptoms. This is a potential health & safety risk to residents in care.

87555General Food Service Requirements - (b) The following food service requirements shall apply: (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement was not met as evidenced by: Based on interviews and records reviewed, the facility failed to ensure resident (R1) was following a modified diet according to their diabetic diagnosis. Staff provided food items such as apple pie and peanut butter sandwiches because resident had requested it.

87608 Postural Supports- (a)... Postural supports may be used under the following conditions. (5)... (A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement was not met as evidenced by: Based on LPA's observation and records reviewed, residents (R1 & R2) were observed with half bed rails and the facility does not have prescriptions from the resident's doctors. Administrator did not ensure residents had prescriptions prior to the use of half bed rails. This is a potential safety and personal rights risk to residents in care

87465(h)(2) Incidental Medical & Dental Care: (h) The following requirements shall apply...(2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by: Based on observation and interviews conducted, Administrator did not ensure medications to be kept locked and inaccessible to residents. This is an immediate health & safety risk to residents.

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: (13) To have access to individual storage space for private use. This requirement was not met as evidenced by: Based on interviews and observations, Administrator did not ensure the above regulation due to Staff (S1)'s personal belongings were stored in R1's bedroom closet. This is a potential personal rights violation to residents in care

87355 Criminal Record Clearance - (e)All individuals subject to a criminal record review...shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement was not met as evidenced by: Based on record review, observation, and interviews conducted: Administrator did not assocaitate individual (I1) prior to working, residing or being present in the facility.This is a potential safety and personal rights risk to the residents in care.

87465(h)(2) Incidental Medical & Dental Care: (h) The following requirements shall apply...(2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by:Based on observation and interviews conducted, Administrator did not ensure medications to be kept locked and inaccessible to residents. This is an immediate health & safety risk to residents.

87307(a) Personal Accommodations and Services: (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. This requirement was not met as evidenced by:Based on observation and interviews conducted, Administrator did not ensure the regulation above due to allowing S1 to sleep in a metal twin bed inside resident (R1)'s bedroom (#2). This is a personal rights risk to residents (R1) in care.

87555(b)(8) General Food Service Requirements:(b) The following food service requirements shall apply: (8) All food shall be of good quality.This requirement was not met as evidenced by: Based on observations, Administrator did not ensure the regulation above due to 3 yogurt containers and citrus slices observed with mold and expired dates. This a potential health & safety risk to residents in care.

87465(h)(5) Incidental Medical & Dental Care: (h)The following requirements shall apply to medications which are centrally stored:(5)Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement was not met as evidenced by:Based on observations and interviews conducted, Administrator stated they pre-poured medication for 5 of 5 residents. This is a potential health & safety risk to residents in care.

87355 (e)(2) - Criminal Record Clearance(e) All individuals subject to a criminal record review...(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance...This requirement was not met as evidenced by: Based on record review, observations, and interviews conducted: Administrator did not request a transfer of a criminal record clearance for individuals (I1 & I2) prior to working at the facility. This is an immediate safety risk to the residents in care.