Napa-sonoma Quality Care Home Llc

Keep prescriptions in original containers

LPA observed that in a drawer in the kitchen were pre-poured medications, pm medications, for residents in care. Regulation does not allow for pre-poured medications, facility is not in compliance., the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.

Food storage temperature control requirements

LPA observed the freezer in the garage to be dirty inside, with food stains, food crumbs, and in need of a deep cleaning. , 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.

Food handling safeguards during storage and service

LPA observed food not stored appropriately during the inspection; Food leftovers, cold soup in a small pot on the stove, two plates of food sitting in a cold counter-top oven, and leftover cold rice sitting in a rice cooker on the counter. Three small fruit plates uncovered on a shelf in the refrigerator, and a small, uncovered bowl of sliced apple that had turned brown in the refrigerator. LPA observed that food is not being stored appropriately in order to prevent them from potential contamination], the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

LPA observed the medication cabinet had the lock on it, and it had the key inserted and hanging in the lock. Resident medications were stored in this cabinet, and all medications were not secure and inaccessible 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.

Maintain facility in clean, safe, sanitary condition

LPA observed a resident room and bathroom with garbage cans without tight fitting lids, one of the garbage cans had a dirty diaper and other items used in cleaning and changing the resident. , 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 review of records, Staff #2 & #3 lack a health screening report, including TB test and results. 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.

Require fire clearance before non-temporary bedridden admission

Per file review and observations, the facility has retained a bedridden resident, R1, but does not have the proper fire clearance as required], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care. Civil Penalty will be assessed in the amount of $500, see LIC421IM.

Based on LPA's record reviews, S2 and S3 lack intitial training as required by H&S Code, 40 Hrs, with 20 initial hrs prior to working independently, S2 & S3 on shift only during the inspection, 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.

Food quality controls and rejected damaged goods

LPA observed vegetables in the refrigerator that were no longer fresh, and of good quality, some were old and rotting. LPA obtained pictures], the licensee did not comply with the section cited above in storage of food maintaining quality and nutritive values, which poses an immediate health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

LPA observed the large cabinet with all resident medications to not be locked, and a metal box in the refrigerator with medications that was unlocked, making all medications accessible to residents, and to staff/individuals that should not have access to the medications., the licensee did not comply with the section cited above,which poses an immediate health, safety or personal rights risk to persons in care.

First aid training requirements

Based on LPA's revord review, staff #3 lacks first aid certification, the licensee did not comply with the section cited above in 1t] out of 4 [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Right to personal privacy in daily care

Based on LPA's observation, the licensee did not comply with the section cited above in [1] out of [3] residents which poses an immediate personal rights risk to persons in care.

Safe, healthful, comfortable accommodations

Based on LPA's [(observation), the licensee did not comply with the section cited above in [1] out of [2] staff persons, which poses an immediate health, safety and/or personal rights risk to persons in care.

Maintain facilities for fire and panic safety

Based on LPA's [(observation) (interview) (record review)], the licensee did not comply with the section cited above-the garage has been renovated, a room was added and other renovations throughout the garage area, all work was done withoout required permits which poses an immediate health, safety risk to persons in care. Immediate Civil Penalty fine is assessed today in the amount of $500. LPA contacted the Fire Inspector Jim Thompson who came out to the facility and inspected the garage. LPA obtained a copy of Field Inspection Record from the Fire Inspector.