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32 | BEDROOMS: Residents’ beds were observed to have full bed rails at the time of the inspection. Bedrooms’ number #2 and #3, were empty. Bedroom #2 was being used a staff’s bedroom at the time of the inspection. Facility representative stated that the night staff uses it for sleeping, since they haven’t had more than two residents since facility opened. The pre-licensing visit states that nocturnal (NOC), will be awake night staff only. There is no staff room designated in the facility sketch; consequently bedroom #2 cannot be used for staff use unless the facility licensee decides to make changes to the facility application. Facility representative has agreed to clean out the room. There was a linen closet in the hallway with extra towels and linens.
BATHROOMS: There are two (2) bathrooms total. The resident bathroom(s) have a shower with non-skid materials. The toilet and shower have grab bars. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 105*F and 120*F.
OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for client use. There is a side gate for client use and is single latched. The laundry room is located on the exterior of the house attached to the home. Cleaning supplies and toxins were observed stored and the room will be inaccessible to residents in care. The garage is located detached to the home, and the LPA observed supplies are stored in the garage. No bodies of water were observed.
RECORDS: Records review began at 1:01 p.m., Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. One out of two residents’ files did not have updated required documentation. Personnel records were reviewed for, and were observed to be missing health assessments, criminal record clearances, first aid/CPR training, and the appropriate trainings. File for Administrator was not located at the facility. Two out of two staff files were missing: Health screenings/TB clearances, required 40-hour training, Criminal statement, Personnel Record, etc.MEDICATIONS: Medications review began at 1:50 p.m.; medications are centrally stored and locked in a cabinet in the kitchen area; medications are labeled and were checked for expiration dates. Medications were properly documented on the centrally stored medications and destruction record; for two out of two residents (Resident #1, Resident #2), the pill count was off during the medication audit.
The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties.Citations were issued. Exit interview conducted. A copy of the report was issued and Appeal Rights were issued.
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