Genesis Rcfe

First aid training requirements

Based on record review, the licensee did not comply with the section cited above in three out of four staff do not have a current First-Aid/CPR certification on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Annual routine visit with medical professional

Based on interview and record review, the licensee did not comply with the section cited above, as resident (R1) has not received an annual routine visit with a licensed medical professional within twelve months as their last medical assessment is dated 12/21/2021 which poses/posed a potential health, safety or personal rights risk to persons in care.

Complete admission suitability appraisal

Based on file review and interview with Licensee facility did not have pre-Admission appraisals for 2 of 4 residents in the facility which poses a potential risk to residents in care. LPA observed that R1, R2 were admitted without a preappraisal, no care plans are on file.

Health screening and fitness requirements

Based on review of records, Staff #4 & #5 lack a health screening report, and #4 lacks 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.

(g) If the applicant decides not to enter the facility prior to the facility’s completion of a preadmission appraisal or if the facility fails to provide full written disclosure of the preadmission fee charges and refund conditions, the applicant or the applicant’s representative shall be entitled to a refund of 100 percent of the preadmission fee. This requirement has not been met as evicenced by ***Based on interviews with licensee & outside party and documents obtained, Licensee did not comply with Health & Safety Code regulations provided. This is a potential risk to the health and safety of residents in care.

Complete admission suitability appraisal

Based on file review and interview with Licensee facility did not have preappraisals done for 5 of 5 residents in the facility which poses a potential risk to residents in care. LPA observed that R1, R2, R3, R4 & R5 were admitted without a preappraisal, no care plans are on file.

Based on record review, the licensee did not comply with the section cited above in 4 of 4 staff records reviewed. Records did not contain evidence of completed training. This poses/posed a potential health, safety or personal rights risk to persons in care

Document behavioral expression and related causes

Based on LPA/Licensee's file review showing that resident's care plans for 2 out of 2 residents (R2 & R3) were not been performed and signed by the resident of their representative within last 12 months. This is a potential risk to the health and safety of residents in care.

Based on file review and interview, the licensee did not conduct & document an emergency drill within the past quarter. This poses a potential health and safety risk to residents in care.

Maintain fire clearance before retaining specified persons

Based on observation, the Licensee did not comply with the section cited above in 2 out of 2 fire extinguisher was not serviced since August 4, 2021 which poses an immediate health, safety or personal rights risk to persons in care.

Notify agency before locking doors or gates

Based on observation, the Licensee did not comply with the section cited above in 1out of 1 kitchen drawer containing knives and other sharps, was witnessed by LPA/Licensee to be unlocked, which poses an immediate health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on LPA's observation, the licensee did not comply with the section cited above in 1 out of 1 kitchen sink cabinet containg toxins was unlocked, which poses an immediate health, safety or personal rights risk to persons in care.

First aid training requirements

This requirement is not met as evidenced by: Based on interview with Licensee, the facility did not ensure that all staff have current 1st aid. LPA learned that 4 of 4 staff do not have proof of current first aid certification which poses a potential health & safety risk to residents in care.

Safe, healthful, comfortable accommodations

Based on observation of S1 and S2 not wearing a mask upon LPA arrival. This is an immediate Health and Safety risk to residents in care.

Obtain required California clearance or exemption

Based on observation & record review Administrator didn't comply w/section cited above in 1 out of 4 staff weren't associated to facility which poses a potential health, safety or personal rights risk to persons in care. During visit on 5/12/2022 LPA observed staff S2 was working w/residents and not associated to facility

Based on file review & interviews, the licensee did not comply with the section cited above in 4 out of 4, adm agreement of residents in care which poses a potential personal right risk for residents in care.