Ventura Townehouse

Protection from punishment and intimidation

87468.1 Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation...This requirement was not met, evidenced by, during interviews from the investigation staff on several ocassions attempted to have R1 sign documents that R1 didn't want to sign. This is a potential health and safety risk to residents in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities: (5) To be served food of the quality...necessary to meet their nutritional needs. This requirement was not met, evidenced by, during today's physical plant inspection, LPA LPA observed expired non-perishable canned goods stored on the shelves in the kitchen. LPA also observed several cans to be dented, which should have been discarded. This is health and safety risk to residents in care.

87555 General Food Service Requirements: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement was not met, evidenced by, during todays visit it was reported the facility recently experienced a pest control issue in the kitchen area and received treatment to to address the problem. Documentation reviewed during the visit confirmed that the exterminator conducted a scheduled treatment on 02/11/2025. This poses as a potential health and safety risk to residents in care.

87555 General Food Service Requirements: (15) All persons engaged in food preparation and service shall observe personal hygiene and food services sanitation practices which protect the food from contamination. This requirement was not met, evidenced by during today's observations, LPA observed staff preparing desserts without gloves. Interviews by staff reported, they are required to wear gloves. This is a health and safety risk to residents in care.

Health and Safety Code section 1569.655:(a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents or makes increases in any of its rate structures for services, the licensee shall provide no less than (60) days' prior written notice to the residents or the residents' representatives setting forth the amount of the increase, the reason for the increase...This requirement was not met, evidenced by, based on interviews and documentation, the facility did not provide proper notice for the new installation of the internet service. This poses as a potential health and safety risk to residents in care.

Safeguards for Resident Cash, Personal Property, and Valuables: (f)No licensee or employee of a facility shall make expenditures from residents' cash resources for any basic service specified in this Chapter. or any basic services...This requirement was not met, evidenced by; based on documentation and interviews, the facility are charging residents an additional $55.00 a month for internet service, that was not previously identified in the admission agreement. This poses as a potential health and safety risk to residents in care.

Maintain facility in clean, safe, sanitary condition

87303 (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. Thisrequirement is not met as evidenced by: Based on the LPA observation and interviews the licensee/administrator did not ensure the roof area/ceiling of the dining room area of the facility to be in repair at all times which poses an Immeidate Health, Safety or Personal Rights risks to persons in care.

Facility personnel sufficiency and competence

87411(a)Personnel Requirements - General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment, and grounds.This requirement is not met as Based on the LPAs interviews the staff did not ensure proper staffing inregards to the meeting the needs of the residents in a tinely manner which poses an immediate Health, Safety or Personal Rights risks to persons in care.

Maintain facility in clean, safe, sanitary condition

Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of...procedures for the safety and well-being of residents employees and visitors. This requirement has not been met, evidenced by, based on the confirmed there are current roof leaking issues. This is a potential health and safety risk to residents in care.

Acceptance obligations tied to pre-admission appraisal needs

87464 Basic Services (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal….This requirement is not met as evidenced by: Based on LPA’s observation, interview and record review, the licensee did not comply with the section cited above as R1 had a fall due to lack of supervision which posed an immediate health and safety risk to persons in care.

1569.269 Enumerated rights; severability. (a)(3) To confidential treatment of their records and personal information and to approve their release, except as authorized by law.This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as S1 gave emergency personnel S2’s confidential information in error on 5/23/22 which posed a potential health and personal rights risk to persons in care.

1569.269 Enumerated rights; severability. (a)Residents of residential care facilities for the elderly shall have all of the following rights: (5) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment.This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as R1 sustained skin tears which poses a potential health and personal rights risk to persons in care.

Fire approval and staff access to unlock systems

87705 Care of Persons with Dementia (f)(2) The following shall be stored inaccessible to residents with dementia: Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants.This requirement is not met as evidenced by: Based on LPA's observations and record review, the licensee did not comply with the section cited above as medications and toxic substances were observed accessible to residents which posed an immediate health risk to persons in care.

Limit staff assistance with self-administered drugs

87465 Incidental Medical and Dental Care Services(a)(5) The licensee shall assist residents with self-administered medications as needed.This requirement is not met as evidenced by: Based on medication review, the licensee did not comply with the section cited above in 1 out of 3 resident medications which poses an immediate health risk to persons in care.

Fire approval and staff access to unlock systems

87705 Care of Persons with Dementia (f)(2) The following shall be stored inaccessible to residents with dementia: Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants.This requirement is not met as evidenced by: Based on LPA's observations and record review, the licensee did not comply with the section cited above as toxic substances were observed accessible to residents which posed an immediate health risk to persons in care.

Regular observation and documentation of resident changes

87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning... When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed...This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as staff failed to communicate with R1's responsible person and physician regarding R1's change in condition which posed an immediate health and personal rights risk to persons in care.

No stage 3 or 4 pressure injuries

87615 Prohibited Health Conditions (a)(1) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: Stage 3 and 4 pressure injuries.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as R1 who was not on hospice developed a stage 4 pressure injury while residing in the facility which posed an immediate health risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 1 out of 10 resident records which poses a potential health risk to persons in care.

Store centrally held medications in locked secure place

Based on LPA's observations the licensee did not comply with the section cited above in 2 out of 10 resident medications which poses an immediate health and safety risk to persons in care.

Notify agency before locking doors or gates

87705 Care of Persons with Dementia(f)(1) The following shall be stored inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).This requirement is not met as evidenced by: Based on LPA's observations and record review, the licensee did not comply with the section cited above as a knife and scissors were observed accessible to residents which posed an immediate health risk to persons in care.

Fire approval and staff access to unlock systems

87705 Care of Persons with Dementia (f)(2) The following shall be stored inaccessible to residents with dementia: Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants.This requirement is not met as evidenced by: Based on LPA's observations and record review, the licensee did not comply with the section cited above as over-the-counter medication, toxic substances, cleaning supplies and disinfectants were observed accessible to residents which posed an immediate health risk to persons in care.

1569.269 Enumerated rights; severability.(a)(6) Residents of residential care facilities for the elderly shall have all of the following rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are... qualifications, and competency to meet their needs.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as staff were not following R1's doctors order to elevate R1 feet which poses a potential health and personal rights risk to persons in care.