Reesejoy Care Home

87625 Managed Incontinence (b)In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:(8)Privacy shall be afforded when care is provided.This requirement is not met as evidence by: Based on observation during todays visit LPA observed staff assisting resident #1 with incontinent care in the living room without taking any precaution to protect the privacy of resident.

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

(b)...care may be provided to residents through a licensed home health agency provided the following conditions are met:(4) The licensee and home health agency agree in writing on the responsibilities...(A)The written agreement shall reflect the services, frequency and duration of care. This requirement was not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above as R1 was on homehealth, but there were no records onsite available to review, which poses a postential health, safety or personal rights

87464 Basic Services(f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement is not met as evidenced by: Based on record review and interview, the licensee failed to provide care and supervision resulting in R1's pressure injuries worsening which is an immediate health and safety risk to R1 in care.

87405(d)The administrator shall have the qualifications...If the licensee is also the administrator, all requirements for an administrator shall apply.(1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement is not met as evidence by: Based on interviews and records review the licensee did not comply with the section cited above as the Administrator did not demonstrarte sufficient knowledge, and qualifications as an Administrator, by not providing the required care to R1 which is an immediate health and safety risk

Incidental Medical and Dental (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible... This requirement was not met as evidenced by: Based on observation, Resident 1 had access to their medicine without any supervision, which poses an immediate health and safety risk to persons in care.

87507 Admission's Agreement (f)The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments.This requirement is not met as evidence by:Based on records review and interviews, licensee did not comply with section cited as the facility failed to comply with the specific terms written in its own resident admission agreement, by charging R1 a full month instead of a prorated amount which posed a potential health and safety risk to residents in care.

(2) For facilities with fewer than 16 residents, ensuring there is at least one night staff person awake and on duty if any resident with dementia is determined through ...observation, to require awake night supervision. ...This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the above section by not having awake staff to ensure R1 did not elope the facility after observing wandering and eloping behavior, & elopement resulted in injury which poses an immediate health and safety risk to resident in care.

Based on record review, the licensee did not comply with the section cited above in one out of five residents that had a positive TB test on file and no chest X-ray which posesa 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 one out of five staff that did not have annual training 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 two out of six staff that were not associated to the facility which poses an immediate 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 one out of five staff that did not have a staff file at the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above as hydrogen peroxide, Norisc Cream, body lotion, and Aquaphor in an unlocked restroom accesible to residents which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in 4 out of 5 which poses a potential health, safety or personal rights risk to persons in care.