Royal Oaks Home Care

Based on observation, the licensee did not comply with the section cited above as records review revealed the facility sketch has not been updated, which poses a potential, health and safety risk to residents in care.

Based on record review the licensee did not comply with the section cited above as S1 and S2 did not have current First Aid Certificates on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 2 staff files reviewed; staff which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 5 out of 6 resident files reviewed; R1,2,3,4,5 did not have a completed needs and services plan. This poses a potential health, safety and personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 staff training records reviewed did not have proof of required training completed which poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 2 staff files reviewed; staff 1 and 2 did not recieve required shadowing and training hours to assist with medications. This poses a potential health, and safety risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above; the exit door alarms not working properly which poses/posed a potential health and safety risk to persons in care.

Based on LPA's observations, the licensee did not comply with the section cited above as there were two pairs of scissors found in two unlocked drawers in the hall bathroom, which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA's observations, the licensee did not comply with the section cited above as vitamins were observed in the open staff room and cleaning supplies were observed in the open garage adjacent to the kitchen, which poses an immediate health, safety or personal rights risk to persons in care.

87615 Prohibited Health Conditions(a) 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:(2) Gastrostomy tubes. Based on observation, interview and record review, the licensee did not comply with the section cited above, as R1 has a g-tube, which poses an immediate health and safety risk to residents in care.

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, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. Based on observation, interview and record review, the licensee did not comply with the section cited above, as R1 was physically restrained by S1, which poses a potential health and safety risk to residents in care.

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: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. Based on observation, interview and record review, the licensee did not comply with the section cited above, as R1 was physically restrained

§1569.652 Termination of admission agreement upon death of resident; removal of resident’s property; refund of fees paid; notice of contract termination and refunds (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 to the individual, individuals, or entity contractually responsible for the fees or, if the deceased resident paid the fees, to the resident’s estate, within 15 days after the personal property is removed.This requirement is not met as evidenced by: Based on information provided by administrator, decedent passed away 1/17/22, decedent's wife removed all property by

Based on LPA's observation, there were lighters accessible in the unlocked garage, which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA's observation there were vitamins and medications in a kitchen cabinet not securely locked in the kitchen; Lysol and Calmoseptine in an unlocked cabinet in the bathroom; and laundry detergent in the unlocked garage, which poses an immediate health, safety or personal rights risk to persons in care.