Varenita of Simi Valley

The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: name of resident, physician, drug name, strength, quantity, date filled, prescription number and the name of the issuing pharmacy. This requirement is not met as evidenced by: Based on medication review, the licensee did not comply with the section cited above as meds for 3 out of 5 residents were not documented on the CSMDR and meds for 2 out of 5 residents were missing start dates, which poses a potential health and safety risk to residents in care.

Assist residents with self-administered medication

(4) 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 as R1's medications Melatonin 3mg and Carbamazepine 200 mg eachmissing one extra dose, which poses an immediate health and safety risk to residents in care.

Based on record review, the licensee did not comply with the section cited above as three out of ten staff do not have the required annual training completed, which poses a potential health, safety or personal rights risk to persons in care.

Request a transfer of criminal record clearance

Based on record review, the licensee did not comply with the section cited above as S1 was hired by the facility on 04/29/2023 but have not been associated to the facility since 02/21/2024, which poses an immediate health, safety or personal rights risk to persons in care.

(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, and a general description of the additional costs, except for an increase in the rate due to a change in the level of care of the resident....This requirement is not met as evidenced by:

87468.1(a)(1)(3) Personal Rights of Residents in All Facilities (a)Residents in all residential care facilities for theelderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationshipswith staff… and to be free from... punishment, humiliation, intimidation, abuse, or other actions of a punitivenature… This requirement was not met as evidenced by:

Food quality controls and rejected damaged goods

Based on LPAs observation during inspection, the licensee did not comply with the section cited above as a substantial amount of non-perishable items were in poor condition as they were observed past their expiration date, which poses a potential health, safety or personal rights risk to persons in care.

(a) The department may prohibit any person from... continuing the employment of, or allowing in a licensed facility or certified family home, or allowing contact with clientsof a licensed facility or certified family home by, any employee, prospective employee, or person who is not a client who has: (2) Engaged in conduct that is inimical to the health, morals, welfare, or safety of either the people of this state or an individual in, or receiving services from, the facility or certified family home.This requirement is not met as evidenced by:

The licensee shall be responsible for assuring that a record of centrally storedprescription medications for each resident is maintained for at least one year...This requirement is not met as evidenced by: Based on LPA observation and record review, the licensee did not comply with the section cited above as R1’s centrally stored medication and destruction record is missing centrally stored medication expiration and start date, which poses a potential health and safety to residents in care.

Keep bath, laundry and kitchen floors clean

Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.Floor surfaces… shall be maintained in a clean and odorless condition. This requirement is not met as evidenced by: Based on LPA observation during the facility walkthrough, the licensee did not comply with the section cited above, as R1’s bedroom has a lingering smell of pet urine, which poses a potential health and safety risk to residents in care.

Document behavioral expression and related causes

(c) The licensee shall arrange a meeting with the resident, the resident’s representative, if any, appropriate facility staff,...when there is significant change in the resident’s condition, or once every 12 months, whichever occurs first,..This requirement is not met as evidence by: Based on interviews and resident records review the licensee/facility staff did not comply with the section cited above as R1's reappraisal were not done when a change in condition occured, which poses a potential health, safety and personal rights risk to residents in care.

Safe, healthful, comfortable accommodations

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: (2) To be accorded safe, healthful and comfortable accommodations...This requirement was not met as evidenced by: Based on LPA observation, the licensee did not comply with the section cited above as facility staff were observed NOT wearing masks/face coverings properly (on their chin) while inside the facility during an outbreak, which poses an immediate health, safety, and personal rights risk to persons in care.