Bethel Assisted Living

(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:(1) To be accorded dignity in his/her personal relationships with staff and other persons. This is not met as evidenced by: This is not met as evidenced by based on interviews and records review, the Licensee did not ensure that staff filmed resident with consent. It was learned that S1 was facetiming R1 with the camera facing the resident as R1’s family walked in. S1 confirmed that they were facetiming another staff member to show R1. This poses a potential health, safety and personal rights risks to persons in care.

(4) The licensee shall assist residents with self-administered medications as needed.This is not met as evidenced by:Based on interview and record review, the facility did not ensure that R1 was provided the correct medication at the time of med pass. It was learned that during medication pass R1 was provided another resident's routine medication instead of their own. This poses an immediate health, safety and personal rights risks to persons in care.

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This is not met as evidenced by: Based on observation, record review, and interview, the licensee did not ensure that the facility has sufficient staffing to meet the residents needs. LPA conducted 12 staff interviews, 9 out 12 reported that they cannot meet the residents needs. This poses an immediate health, safety, and persons rights risks to persons in care.

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 87355(c)This is not met as evidenced by: Based on record review and observation, the Licensee did not ensure that S1 was currently associated to this facility as of 12/05/2023.LPA reviewed both LIS and Guardian and did not observed S1 currently associated to the facility at this time. This poses an immediate health, safety, and personal rights risks to persons in care.

General. Good physical health of personnel shall be verified by a health screening, including a T.B. test, performed and signed by a physician not more than six months prior to or seven days after employment. LPA observed staff did not have a health screening and TB test results in S1's file.

87303 Maintenance and Operation(e) Water supplies and plumbing fixtures shall be maintained as follows:(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement was not met as evidenced by measurement of the water temperature. Water temperature measured 122 degrees F. in rm#121 resident bathroom . This poses an immediate health and safety risk.

Maintenance and Operation. (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This regulation was not met as evidence by: The licensee did not ensure that the facility was maintained clean, that the facility was safe and sanitary for the safety and well being of residents.Based on interviews, the facility had bedbugs.This poses a potential risk to residents in care.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. Based on interview with ED, LPAs observed ED was made aware of possible fraudulent charges by residents family member on 4/19/2021. LPAs obsevred ED reported but not until the incident was substantiated with an internal invesitgation. This posseses a potential threat to health and safety and to residents in care.