Llc Luvinhome

Based on interview and record review, the licensee did not comply with the section cited above in two (2) out of three (3) persons which poses/posed 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 one (1) out of four (4) persons which poses/posed a potential health, safety or personal rights risk to persons in care.

87615 Prohibited Health Conditions: (a) Persons who require health services for... those specified below... shall not be admitted or retained in a residential care facility for the elderly:(1) Stage 3 and 4 pressure injuries. This requirement is not met as evidence by: Based on interviews and record review, administrator did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

87465 Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall be developed by each facility...(2) The licensee shall provide assistance in meeting necessary medical and dental needs...This requirement is not met as evidence by: Based on interviews and record review, administrator did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section cited above in 3 out of 3 staff files reviewed and found missing proof of negative TB results which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 staff medication training records reviewed which poses an immediate health, safety or personal rights risk to persons in care.

Based on(observation, interview, and record review, the licensee did not comply with the section cited above in 2 out of 2 staff training records reviewed which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 3 out of 3 resident medication records inspected which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 3 out of 3 resident files found missing a care plan 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 5 instances of expired food found which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 1 residents observed to have a peg tube feeding without Licensee having applied for an exception fro CCL, 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 by having a lose chain on the cabinet door making chemicals accessible, which poses an immediate health and safety risk to persons in care.

Based on observation and interview of licensee the facility failed to conduct fire and earthquake drills in the facility at least once every three months which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by setting medications up for more than 24 hours for 4 of 4 residents which poses an immediate health & safety risk to residents in care. LPA observed containers for 4 residents in a container in the kitchen in a cubby of the cabinet. 7 days of medication is pre-poured at a time, which poses an immediate health and safety risk to persons in care.

Based on observation record review, the licensee did not comply with the section cited above by not having staff and a resident file not located at the facility and not available to the LPA during normal business hours, which posed a potential health and safety risk to persons in care.

87625 Managed Incontinence - (b)...the licensee shall be responsible for the following: (3) Ensuring ...that the facility remains free of odors from incontinence.This requirement was not met as evidenced by: Based on observations and statements received from NBRC, Administrator did not ensure the regulation above due to Resident (R1)'s bedroom having a strong foul odor of urine. This is a potential personal rights and health risk to residents in care.

87608 Postural Supports: (5) Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. (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 observations, statement and review of facility documents, Administrator did not ensure the regulation above due to Resident (R1, R2, R3) having half bed-rails without a doctor's order for assistance with mobility. R3 has a lapbelt in wheelchair. This is a potential personal rights, safety, and health risk to residents in care.

87303 Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times... This requirement was not met as evidenced by: Based on interviews conducted, Administrator did not ensure the regulation above due to corroborating statements and witnesses of bathroom observed with dired feces on the toilet seat. This is a potential health, safety and personal rights risk to residents in care.

87464 Basic Services: (f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident...such as...bathing...This requirement was not met as evidenced by: Based on interviews conducted, Administrator did not ensure the regulation above due to disclosing they were holding off on showers for resident during isolation. This is a potential health, safety and personal rights risk to residents in care.

87211 Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require: (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)... This requirement was not met as evidenced by: Based on records reviewed and interviews conducted, Administrator did not ensure the regulation above due to submitting on 06/30/2022. This is a potential health, safety and personal rights risk to residents in care.

87411 Personnel Requirements - General: (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement was not met as evidenced by: Based on records reviewed and interviews conducted, Administrator did not ensure the regulation above as staff are missing or have not received required training. This is a potential health, safety and personal rights risk to residents in care.