Agape Pajarillo Care Home

87463(i) When there is significant change in condition... or once every 12 months, whichever occurs first, the licensee shall arrange...meeting or conference call to share the reappraisal with the resident, the resident's representative, if applicable, and appropriate facility staff... This requirement not met by licensee as evidenced by:Upon record review, five of six residents did not have a current Appraisal Needs and Servce plan which poses/posed a potential health, safety or personal rights risk to persons in care.

87217 (i) Upon discharge of a resident, all cash resources, personal property and valuables of that resident which have been entrusted to the licensee shall be surrendered to the resident, or his responsible person. A signed receipt shall be obtained. This requirement has not been met as evidenced by: licensee holding R1 personal belongings after R1 moved out. This poses/posed a potential violation of R1’s personal rights.

87465 (a)(4) The licensee shall assist residents with self-administered medications as needed.This requirement has not been met as evidenced by: Clonidine patch prescription states to be changed every seven (7) days but was not changed for approximately sixty (60) days. This poses an immediate health and safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in three out of four residents did not have an Appraisal Needs and Service Plan which poses a potential health, safety or personal rights risk to persons in care.

H&S 1569.618(c)(3) Administration and management of residential care facilities; substituted qualifications; employee scheduling- (c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following:(3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement was not met as evidenced by: The facility failed have a staff present in the facility who has CPR training. This is a potential risk to the health & safety of residents in care.

Based on record review, the licensee did not comply with the section cited above in two out of two staff records reviewed and there were no staff training logs, which poses a potential health, safety or personal rights risk to persons in care.