Family House

Maintain facility in clean, safe, sanitary condition

87303(a) Maintenance and Operation- The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services. This requirement was not met as evidenced by: tour of some facility resident rooms, the facility does have light colored carpet with some stains in different areas that are very visible. Administrator stated the carpet is older and they do clean it, but they will see about replacing the rug because they can see the stains the LPA was seeing/pointing out. This is a risk to residents' personal rights.

Assist residents with self-administered medication

Incidental Medical and Dental Care - A plan for incidental medical and dental care shall be developed by each facility. The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Per LPA's review of medication records, the MAR sheet, it was identified that on 10/9 there were two medications that were not provided to R1 as prescribed; One medication is provided once in the am, the other medication is provided twice a day, in the am and in the pm. Administrator could not provide any information why these medications were not provided. This is a risk to residents' health & safety.

Store centrally held medications in locked secure place

87465(h)(2) Incidental Medical and Dental Care- The following requirements shall apply to medications which are centrally stored: 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: R1's prescribed liquid medication had been left out on resident's dresser in their room; This medication was not centrally stored and locked up, as required, This is a risk to the health & safety of residents' in care.

87307(e )(1)Personal Accommodations and Services- The licensee shall supervise residents as needed and as determined by the resident's appraisal pursuant to Section 87457, Pre-Admission Appraisal or Section 87463, Reappraisals, when residents are in proximity to or when there is use of the following items: Ranges, ovens, heaters, fireplaces, wood stoves, inserts, and other heating devices. LPA called out to staff Rhonell and told them that there is no staff here in the kitchen supervising the stove that is on, and the pot of corn boiling on the stove. Caregiver Rohnell went to the stove and turned the burner off, and called out to caregiver Mildred, who was cooking the meal. There are residents' in care that are at risk if they have access to the hot stove, and pot of boiling water on a hot stove.This is an immediate health and safety risk to residents' in care.

LPA observed refrigerated medication in a small, unlocked refrigerator in the kitchen; LPA observed that the two medication bottles were left unlocked and accessible to residents in care, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.

Per LPA record reviews, Licensee lacked proof of conducting required quarterly drills per health & Safety Code, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.

Obtain baseline medical assessment before resident admission

Based on LPAs record reviews, resident's (R2) medical assessment was not complete, many sections were left blank on many pages of the assessment. A note on a page of the LIC602 medical assessment referred the reader to see attached "problem list and medication list." These items were not observed attached to the medical assessment. Administrator couldn't provide the medical assessment documents to the LPAs for review. the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.

Health screening and fitness requirements

Based on LPAs record review and staff interviews, staff (S2) lacks a health screening chest x-ray or an intradermal test as required. S2 has been working for approximately six (6) months. the licensee did not comply with the section cited above] which poses/posed a potential health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

87465(h)(2)Incidental Medical and Dental Care- The following requirements shall apply to medications which are centrally stored: 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: LPA observed that there was a medication lock box in a small refrigerator that was not locked, and the key was hanging off the lockbox handle. This left the medications accessible to residents, and those not qualified to handle medications. This is a risk to the health and safety of residents in care.

Based on [(observation), LPA observed the patio/deck to have areas with a drop to the ground and another with a drop to the cement ramp, there is no fencing, the ramp leads directly out to the front of the home and directly to a busy street, this a hazard to residents in care, the licensee did not comply with the section cited above in the facility backyard area and patio/deck, which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview with the Administrator, and LPA's record review, the licensee did not comply with the section cited above in required emergency plan drills, last emergency drill were completed 1/27/20 & 9/14/20, which poses an immediate health, safety or personal rights risk to persons in care.

Safe, healthful, comfortable accommodations

Personal Rights 87468.1(a)(2)- Residents in assisted living.-ensuring personal rights are not violated at any time.This requirement was not met as evidenced by: LPA's observation of a staff caregiver/cook not wearing a mask and cooking food in the facility kitchen.Staff are to wear mask in the facility at all times. This is a risk to health & Safety and/or to personal rights of residents in care.

Conformance with applicable laws and regulations

Administrator Qualifications and Duties- 87405(d)(2) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply: (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by: LPA's observations upon entering the facility, the staff didn't screen the LPA as required. This is a risk to health & Safety and/or to personal rights of residents in care.

Private visitor access without prior notice

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: (11)To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon.This requirement was not met as evidencced by: LPA's investigation, per record reviews, and interviews with staff, the resident visitors were denied visitation with the resident. This is a violation to personal rights of the resident(s) in care.

Safe, healthful, comfortable accommodations

87468.1(a)(2) 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, furnishings and equipment. This requirement was not met per LPA's observation of staff's(S1) mask not fitting them appropriately, it was very large and kept falling under the staff's nose, fully exposing their nostrils. This is not in compliance with the mask guidelines and mask mandate. This is an immediate risk to health and safety and/or immediate risk to personal rights of the residents. CP assessed at $250.

Safe, healthful, comfortable accommodations

Based on LPA's observations during the inspection. Caregivers Rhunel and Marlyn were not wearing face masks when the LPA arrived to the facility, and did not put a mask on, until the LPA asked the staff to put a mask on as required. which poses an immediate health, safety or personal rights risk to persons in care.

Fire approval and staff access to unlock systems

Based on LPA's observation , medications accessible to residents in care. On staff's unlocked bedroom, staff had a weekly medication holder,, which held their daily medications, which poses an immediate health, safety or personal rights risk to persons in care.

Conformance with applicable laws and regulations

Based on LPA's observations, staff did not screen the LPA when having them enter the facility or at any time once inside the facility, the licensee did not comply with the section cited above in the required screening of a visitor, which poses an immediate health, safety and/or personal rights risk to persons in care.