Residential First Care, Llc

Based on record review, the licensee did not comply with the section cited above, three (3) out of four (4) residents did not have a current Needs and Services Plan on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

87464(d) 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 specified in Section 87457...This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above. Staff failed to supervise R1 resulting in R1 sustaining a hip fracture from a fall while in care, which posed an immediate health and safety risk to residents in care.

87507 (f) Admissions Agreements. The licensee shall comply with all applicable terms and conditions set forth in the admission agreement…This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as licensee manually added verbiage after the admissions agreement was signed by R1’s POA which contradicted with the original terms, which poses a potential personal rights violation to residents in care.

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities. Residents shall have all of the following....: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement is not met as evidenced by: Based on the investigation, the licensee did not comply with the section cited above, as residents are being checked approximately twice per night indicating residents are being left in soiled diapers for a long period of time, which poses a potential health and safety risk to residents in care.

Based on LPA observation, the licensee did not comply with the section cited above as R2's medication was not properly documented on the CSMDR due to prescription number not matching, 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 as R1 has no capacitiy for self-care and is neither or hospice nor did the facility submit an exception waiver request to admit or retain R1 at the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working...(2) Request a transfer of a criminal record clearance as specified...This requirement is not met as evidenced by: Based on interview and review of Guardian, Staff #1 has been working in the facility since February 2023, but does not have criminal background clearance and is not associated to this facility, which poses an immediate safety risk to residents in care.

Administrator - Qualifications and Duties(d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)..all requirements for an administrator shall apply.(2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidence by:Based on interviews conducted Administrator did not comply with the request of the LTCO representative who requested to review R1's file to further assist R1 in a specific matter.