Maggie's Care Home

Type A - 87465 (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication...the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Based on records review and interviews with Licensee, there is a written order from a physician dated 5/30/25 increasing Olanzapine 5mg order to take two tablets daily at bedtime was decreased given urinary retention to Olanzapine 2.5mg to take 3 tablets by mouth daily at bedtime, but it was revealed that no adjustments were performed by the Licensee, which poses an immediate risk to the health and safety of clients in care.

LPA observed resident medications stored in open area on two refrigerator shelves, allowing the medications to be accessible to others/residents; Licensee/Administrator Heherson Garcia stated they were injectable medications/medications of a resident (resident (R1) LPA observed the kitchen cabinet where all other resident medications were being stored was observed to have a lock hanging off it but not secured closed/locked, allowing all medications to be accessible to all others/residents, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.

LPA observed that a residents room had a pad that had been used, it had dried urine stains visible on it. and it was folded up and in the the bathroom cubby,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.

Based on LPA's file review staff S3 lacks proof of Health & Safety Code required training-RCFE. lacks 40 hour initial training, and proof of 20 hour annual training, the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

LPA observed that washcloths were hanging on the bathroom towel bars for resident use in two resident bathrooms that are shared; LPA observed two showering scrubbers in the shower caddy, both were well worn, for resident use. LPA discussed having sufficient supply of washcloths/linens that can be used and put to wash to ensure sanitary conditions for residents and their hygiene care at all times. LPA observed that the bathrooms didn’t have paper towels for resident use to help ensure sanitary hygiene care for all residents. Administrator put paper towels in the bathrooms, 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.

HSC §1569.625(b) Staff training; legislative findings…This requirement is not met as evidenced by: Based on records review & interviews with Licensee, the facility did not ensure that staff (S1) had required staff training prior to provide care and supervision to residents in care which poses a potential risk to the health and safety of the residents.

87211(a)(1)(D) - Reporting Requirements - A written report shall be submitted to the licensing agency ...within 7 days of the occurrence of any of the events specified in (A) - (D). (D)Any incident which threatens the welfare, safety or health of any resident...This requirement was not met as evidenced by: Based on LPA’s records review and interviews conducted Licensee did not ensure that CCL was notified of R1’s AWOL incident on 5/9/222 which poses an immediate health & safety risk to residents in care.

Type A: 87411(a) Personnel Requirements-Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement has not been met as evidenced by: Based on records review, observations and interviews conducted with facility staff, Licensee did not ensure that staff (S1) was competent to provide services resulting in R1 wandered away from facility on 5/8/22 which poses an immediate risk to the health and safety of residents in care.

87355 Criminal Record Clearance (e)All individuals... shall prior to working, residing or volunteering in a licensed facility: (1)Obtain a California clearance or a criminal record exemption as required by the Dpt... This Based on LPA observation, record review and interview with Licensee did not ensure to obtain a criminal record clearance for individual (I1) prior to work, reside or provide care to residents in care which poses an immediate health, safety and personal rights risk to residents in care. ***Civil Penalty is being assesed for the amount of $100 per day.