Bonnie's Care Home

Prior to, or within two weeks of the resident’s admission, the licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff, and a representative of the resident’s home health agency, if any... to prepare a written record of the care the resident will receive in the facility, and the resident’s preferences regarding the services provided at the facility. This requirement was not met as evidenced by LA Jensen's record review for R1. This poses a potential risk to the health, safety and personal rights of residents in care.

Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff. This requirerment was not met as evidenced by: Based on LPA Jensen's interview with staff and observation of a blank LIC 621 the faciity did not follow it's own policies for safeguarding resident valuables.

a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment...(b) The medical assessment shall include, ...an examination for communicable tuberculosis. This requirement was not met as evidenced by LPA Jensen's review of staff files in which 2 of 2 residents did not have TB tests documented.

Personnel Requirements - GeneralAll RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement was not met as evidenced by: Based on LPA Jensen's file review, S1 has not had training since 2022. This poses a potential risk to the health safety and personal rights of residents in care.

Personal RightsTo be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by: Based on an interview with R2 and LPA Jensen's measurement of the bedroom doorway, R2 cannot exit the bedroom in her wheelchair. This poses an immediate risk to the health, safety and personal rights of residents in care.

Fire SafetyAll facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidenced by: Based on LPA Jensen's observation and care providers statement that the facility does not have carbon monoxide detectors. This poses an immediate risk to the health safety and personal rights of residents in care

Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement was not met as evidenced by: Based on LPA Jensen's observations the facility did not have 2 days worth of perishable foord or 7 days worth of non-perishable food

Resident RecordsThe licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility ... readily available ... to licensing agency staff. This requirement was not met as evidenced by: Based on LPA Jensen's record review, R1 lacked a pre-placement appraisal, needs and service plan and complete hospice care plan. This poses an immediate risk to the health, safety and personal rights of residents in care.

Buildings and GroundsThe licensee shall take measures to keep the facility free of flies and other insects. This requirement was not met as evidenced by: Based on LPA Jensen's observation of insects on the floor and in the cupboards.

The licensee... shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This requirement was not met as evidenced by: Based on Licensee's confirmation that staff were not associated and notice of intent to sell or transfer had not been given despite technical assistance being provided by LPA Jensen on 7/19/2024. This poses an immediate risk to the health, safety and personal rights of residents in care.

The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). ...(2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met based on: The Licensee/Administrator's own admission that she was not aware of requirements surrouding resident records and admission agreements. This poses a potential risk to the health, safety and personal rights of residents in care.

Hospice Care of Terminally Ill ResidentsA current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following:...A description of the area of licensee’s responsibility for implementing the plan including, but not limited to, facility staff duties; record keeping; and communication with the hospice agency, resident’s physician, and the resident’s responsible person(s), if any. This description shall include the type and frequency of the tasks to be performed by the facility. This requirement was not met based on LPA Jensen's review of the resident file and lack of a hospice care plan for R2. This poses a potential risk to the health, safety and personal rights of residents in care.

Resident RecordsThe licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met based on: Based on the Licensee/Administrator's own admission that facility records were not created upon acceptance of R1 and a lack of required records for R2 based on LPA Jensen's file review. This poses an immediate risk to the health, safety and personal rights of residents in care.

Admission AgreementsThe licensee shall provide a copy of the signed and dated current admission agreemen... immediately upon signing the admission agreement or modification. This requirement was not met based on: the Licensee's own admission that a signed copy was not provided to the resident's responsible party. This poses a potential health, safety and personal rights risk to residents in care.

Termination of admission agreement upon death of resident; ... (c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued..., within 15 days after the personal property is removed. The Licensee failed to meet this requirement when they altered their original admissions agreement to state that no refunds woud be given.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in 2 of 5 residents when they transitioned to bedridden, which poses/posed a potential health, safety or personal rights risk to persons in care.

Termination of admission agreement upon death or a resident... refund of fees paid... notice of contract terminationBased on interview and record review, the licensee did not comply with the section cited above when they included a section in their admissions agreement refusing to refund money to residents which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above when 2 out of 5 residents transitioned to a bedridden condition without having the proper fire clearance in place. This which poses/posed an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above when 8 screens out of the total number of windows and sliders that the facility possessed were damaged. LPA witnessed insects inside the facility. This poses/posed a potential health, safety or personal rights risk to persons in care.

Personal Rights of Residents in all FacilitiesTo 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 facility was found to be deficient as evidenced by the posting of altered visiting hours and policies which contradicted the visiting policies already set forth in the facility program and Admission Agreement (LIC 604).

Personnel Requirements-GeneralAll RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69This facility was found to be deficient as evidenced by the presence of facility personnel who were not properly trained to adequately provide care and supervision to the residents.This posed an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

Basic ServicesPersonal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. This facility was found to be deficient as evidenced in that it did not properly make sure that facility residents' basic care needs were always met and fulfilled by sufficient facility care staff.This posed an immediate threat to the Health, Safety, and Personal Rights of the residents in care.

Based on observation, the licensee did not comply with the section cited above in that several bedroom and common room window screens were either ripped, torn, or in need of repair which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above since the backyard will need to be cleaned up and the debris/unused items will need to be removed which poses/posed a potential health, safety or personal rights risk to persons in care.