Granada Manor

Based on observation, the licensee did not comply with the section cited above in that multiple prescription medications were unsecured in the front living room area 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 multiple canned and dry food products in the pantry had passed their expiration dates which poses a potential health, safety or personal rights risk to persons in care.

Based on observation & record review, the licensee did not comply with the section cited above in that three (3) of five (5) staff members (S1, S2 & S3) did not have proof of current year annual training in their personal files which poses a potential health, safety or personal rights risk to persons in care.

Based on observation & record review, the licensee did not comply with the section cited above in that the licensee did not submit an updated LIC 999 Facility Sketch showing two (2) separate rooms in the garage to Community Care Licensing (CCL) so that a Fire Inspection can be scheduled to approve the added room 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 unsecured toxins were observed in the front living room and the staff room next to the front living room which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above in that activities are not provided in compliance with regulation, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above in that passageways were blocked due to walkers present and blocking, poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA observation and record review, the licensee did not comply with the section cited above in that S1 and S2 did not have current 1st Aid/CPR certification, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above in R1 and R2 did not have current appraisal, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above in that Emergency fire exit path on right facing side of the facility is blocked by multiple items and obstructed, which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above in that the only indoor area accessible to residents for activiies and for recreation does not provide sufficientt space for residents to use for activities and leisure, which poses a potential health, safety or personal rights risk to persons in care.

Based on LPA observation, the licensee did not comply with the section cited above in that ramp on deck leading to grass has a soft spot and is broken/worn through, tree house and ladder on tree in backyard is not secured, must be made inaccessible to residents, dead insects found in the window sills of bedrooms #1 and #2, which poses an immediate health, safety or personal rights risk to persons in care.

87411(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 is not met as evidenced by: Based on LPA and Administrator interview, Licensee provides care to residents but has not completed required trainings. Required trainings not current.

87307(a)(2)B) Personal Accommodations and Services - No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage storage area, shed or similar detached building.This requirement is not met as evidenced by: Based on LPA and Administrator interview, the licensee did not comply with the section cited above as resident (NCR1) is currently using room designated as living room as a sleeping room, which poses a potential health, safety or personal rights risk to persons in care.

87705(c)(4)(A)Care of Persons with Dementia Licensees who retain residents with dementia shall be responsible for ensuring the following:...have at least one night staff person awake and on duty...This requirement is not met as evidenced by: Based on LPA and Administrator interview the only staff currently working with residents are herself and Clayton Anderson, Licensee. Administrator confirmed there are no overnight awake staff currently working.

Based on LPA and Administrator record review, the licensee did not comply with the section cited above in [3] out of [5] resident records with a diagnosis of dementia, which poses a potential health, safety or personal rights risk to persons in care.

87303(a) Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times… ***This requirement has not been met as evidenced by: Based upon observations and statements made, the front porch railing is in disrepair in that the railing is loose. This poses an immediate risk to the residents in care.

87468.1(a)(1) PERSONAL RIGHTS OF RESIDENTS. Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons. ***Based upon statements made, this requirement has not been met as evidenced by: Residents state that the residents are told to go to bed at 8:00 or 8:30 each night by staff. This is an immediate violation of the residents’ personal rights.

87203 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 LPA observation during the inspection 2 of 2 fireextinguishers were not currently serviced which poses a potential health and safety risk to the clients in care. LPA observed the last inspection to be 9/23/19.