AFFINITY SENIOR LIVING 1

Official classification

Type B

Official code

87412(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours... This requirement is not met as evidenced by: Deficient Practice Statement Based oninterview and record review, the licensee did not comply with the section cited above with (2) staff files that did not have the documented annual 20 hours of training which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/19/2024 Plan of Correction The administrator stated they would send these copies to the LPA by the POC due date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

CCR

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above with not having the required amount of drills per year which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/19/2024 Plan of Correction The adminsitrator stated they would have the drill conducted and documentation would be sent to LPA by the POC due date.

Official classification

Type A

Official code

87705(4)(a)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. This requirement was not being met as evidenced by: Based on interviews with staff, LPA found that staff sleep during the night shift. Administrator is aware of this, and found that as long as nothing is going on, it was permitted. This is an immediate health and safety risk to residents in care.

Official plan of correction

Licensee agrees to develop a plan how they are going to address staff sleeping at night time, and submit to LPA by POC date.

Deadline recorded: Mar 10, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights of Residents in Privately Operated Facilities: (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) 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 was not being met as evidenced by: Based on staff interviews, LPA found that R2 was secured to a rocking chair at night to prevent them from walking throughout the facility. This presents an immediate personal rights risk to residents in care.

Official plan of correction

Licensee agrees to submit in-service training regarding the personal rights of residents in care, and submit to LPA by POC date.

Deadline recorded: Mar 10, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)(2)(D)

Regulation authority

CCR

What the official deficiency says

Personal Accommodations and Services: (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (D) Not more than two residents shall sleep in a bedroom. This requirement was not being met as evidenced by: Based on observation, and interview, LPA found three residents residing in the same room. This presents a potential health and safety and personal rights risk to residents in care.

Official plan of correction

Licensee stated that they will relocate a resident from Room #6 to adhere to the regulation and submit proof of such by POC date.

Deadline recorded: Mar 23, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)(3)(B)

Regulation authority

CCR

What the official deficiency says

Personal Accommodations and Services:(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of:(B) Bedroom furniture, which shall include, for each resident, a chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers. This was not being met as evidenced by: Based on LPA observation, and interview with staff, R1 has clothes in plastic bags on their floor. LPA did not observe a chest that was capable of storing all of R1's belongings.

Official plan of correction

Licensee stated they will provide a chest of drawers to the resident and provide proof of such to LPA by POC date.

Deadline recorded: Mar 16, 2023. A deadline is not proof that correction was completed.