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13 | Licensing Program Analyst (LPA) Dina Alviso arrived unannounced for the purpose of delivering findings on this complaint. LPA met with Augusto (Gus) Guevarra, House Manager/Lead, and discussed the findings. C1 and C2 both had been sent out for emergency medical assessments, due to having difficulty breathing. C1 was admitted on 1/23/22, and discharged 1/26/22, C2 was admitted on 1/17/22, and discharged 1/22/22. Per review of medical documentation, C1 and C2 were observed by medical staff to be in an unkempt way, lacking necessary hygiene care. There was also a diagnosis of C2 having a infestation of lice and scabies, lice in different stages, falling off of the client. Facility staff denied the resident had lice, and state they did not observe the lice on the client. Staff could not provide documentation showing that client behaviors and/or clients refusing to perform self hygiene care needs were being followed up on with Physicians, responsible partie;
Continued on LIC9099C.. |
| Substantiated | Estimated Days of Completion: |
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
06/17/2022
Section Cited
CCR
80072(a)(1)(2)(9) | 1
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7 | 80072 Personal Rights
(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: 1- To be accorded dignity in his/her personal relationships with staff and other persons. 2-To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. 9-To receive or reject medical care, or health-related services, and other clients for whom a guardian, conservator | 1
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7 | Administrator/Licensee to ensure all residents are being supervised and monitored as needed and all care needs are being met. Ensure resident rights are not being violated at any time. Licensee to ensure all staff, including Administrator Tony Gueverra, obtain Resident Persoanl Rights Training by an outside Agency. Licensee may check on the Department's website for personal rights training by a vendorized/qualified Trainer. |
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14 | , or other legal authority has been appointed. This requirement was not met based Department's investigation. Staff failed to ensure resident's hygiene needs were being met and/or behaviors regarding hygiene were being addressed by all required parties. Resident was diagnosd with a severe case of lice infestation and had not been seen in a timely manner by a Pysician, lice was falling off of the client. Resident was living with other peers in a care facility-lice is contagious. Residents observed by medical professionals to be unkempt. This is an immediate risk to persoanl rights of residents in care. | 8
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14 | Submit plan of obtaining the training and having all staff attend as required. POC due 6/17/22.
Follow-up with submitting proof of outside agency training, for all staff, no later than by 7/6/22. |
Type A
06/17/2022
Section Cited
CCR
85075.4(a) | 1
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7 | Observation of the Client 85075.4 (a)The licensee shall regularly observe each client for changes in physical, mental, emotional and social functioning.
1) Documentation of such observation shall not be required.
b) The licensee shall provide assistance when observation reveals needs which might require a change in the existing level of service, or possible discharge or transfer to another type of facility. c)The licensee shall bring observed changes, including but not limited to unusual weight gains or losses, or deterioration of health condition, to the attention of the client's physician and authorized representative, if any. d) A client suspected of having a contagious or infectious disease shall be isolated and a physician contacted to determine suitability of the client's retention in the facility. This requirement was not met as required based on Department's Investigation, | 1
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7 | Licensee/Administrator to submit how the facility will observe any changes in clients in care and how they will also document and contact all required parties to help address observed changes and/or |
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14 | Facility could not provide any proof/documentation of clients refusing hygiene care due to any behaviors and/or jany other issues. There was no documentation of having notified the Physician, Psychiatrists, responsible parties of client behaviors and refusinf to do hygiene care, staff could not provide any updates/plan on trying to encourage clients to bathe/shower. C2 was diagnosed with a severe case of infestation of lice, lice in different stages were falling off of the client when medically assessed by a professional. Medical professionals observed and stated the residents were unlempt-C1 & C2. This is an immediate risk to residents health and safety. | 8
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14 | decline in any way, physically, mentally, emotionally, etc, per regulations. In-service all staff in all staff positions in "Observation of the Client" and how to ensure staff are reporting observed changes as required. POC due 6/17/22.
Follow-up with submitting proof of in-service training, for all staff, no later than by 7/6/22. |