Vanessa Care Home Ii.

“stick so client cannot access the door to exit. Side yard gate on south side is padlocked. Licensee failed to ensure that exits are accessible to clients, which poses an immediate health, safety or personal rights risk to clients in care.”

“to or 7 days after employment or licensure. A report shall be made of each screening, signed by the examining physician. This requirement is not met, as there is no TB test result for Staff #3 & #4 & no health screening for staff #4.”

“record. This requirement is ot met, as MD reports for clients #2 and #4 are dated more than 12 months ago. Licensee failed to ensre that annual routine medical evaluations are documented, which poses a potential health, safety or personal rights risk to clients in care.”

“appraisal shall be referred to as the reappraisal. This requirement is not met, as appraisals for clients #2, #3, #4 are dated more than 12 months ago. Licensee failed to ensure that appraisals are updated annually.”

“were falsified. Licensee disseminated false information regarding first-aid training for staff, which poses an immediate health, safety, or personal rights risk to clients in care. National CPR Foundation certificates of completion for staff #2, #3, #4, #6 observed 9/20/24 are dated 5/11/25.”

“physician not more than 6 months prior to or 7 days after employment or licensure. This requirement was not met, as there is no health screening and TB test result for staff #2. Licensee failed to ensure that all staff have health screeningTB test result, which poses a potential health, safety or personal rights risk to clients in care.”

“Based on observations made, interviews conducted, and temperature readings taken and observed, the temperature is mainly 65F in some areas. The temperature does go down further to around 63F near rooms 4 and 5. These readings and observations made do not meet the minimum temperature of 68F as outlined in regulations. This poses a potential health and safety risk to residents in care.”

“Based on observation, the licensee did not comply with the section cited above, as detached storage shed in backyard is not locked, and Lysol liquid cleaner and laundry cleaning fluids are stored inside. This poses an immediate health, safety or personal rights risk to persons in care, as cleaning liquids are not secured. POC Due Date: 09/20/2024 Plan of Correction 1 2 3 4 Padlock was installed on storage shed in LPA's presence. Deficiency corrected and cleared.”

“Based on observation, the licensee did not comply with the section cited above in 1 out of 5 resident rooms, as Centrum multivitamins, Vitamin C, Milk of Magnesia, Tylenol and Magnesium are stored in room #3, where client #1 resides. Client is not able to self store and administer medications, per MD. This poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/20/2024 Plan of Correction 1 2 3 4 Supplements and Tylenol were removed from room #3 in LPA's presence. Deficiency corrected and cleared.”

“Based on staff record review, the licensee did not comply with the section cited above in 2 out of 5 staff records reviewed, which poses a potential health, safety or personal rights risk to persons in care. - Health screenings and TB test results for staff #2 and #4 are not on file. POC Due Date: 10/04/2024 Plan of Correction 1 2 3 4 Copies of health screenings and TB test results for staff #2 and #4 will be sent to CCLD BY DUE DATE”

“Based on staff record review, the licensee did not comply with the section cited above, as there is no documentation that caregivers have received required 8 hours of annual dementia training and 4 hours of annual hospice care, restricted health conditions, and postural supports training. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/04/2024 Plan of Correction 1 2 3 4 Staff #4 and #5 will receive at least 8 hours of dementia training and 4 hours of hospice care, restricted health conditions and postural supports training annually, and BY DUE DATE. Proof of training to be sent to CCLD BY DUE DATE.”

“Based on staff record review, the licensee did not comply with the section cited above, as there is no evidence that caregivers have received required 8 hours of annual medications training. This poses a potential health, safety or personal rights risk to persons in care. - There is no evidence that staff #4 and #5 have received required 8 hours of annual medications training. POC Due Date: 10/04/2024 Plan of Correction 1 2 3 4 Staff who handle medications will receive annual medications training and at least 8 hours of medications training by DUE DATE. Proof of training to be sent to CCLD BY DUE DATE.”

“This requirement is not met as evidenced by: Deficient Practice Statement 1 2 3 4 Based on client record review, the licensee did not comply with the section cited above, as client #5 is diagnosed with dementia, and appraisal is dated in 2019. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/04/2024 Plan of Correction 1 2 3 4 Appraisal/Needs and Services Plan for client #5 will be updated, signed and dated. Copy to be sent to CCLD BY DUE DATE.”

“Based on client record review, the licensee did not comply with the section cited above, as there is no MD order for half bed rails for client #4, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/04/2024 Plan of Correction 1 2 3 4 MD order for half bed rails for client #4 will be sent to CCLD BY DUE DATE.”

“Based on observation, the licensee did not comply with the section cited above in 1 out of 5 residents rooms observed, which poses an immediate health, safety or personal rights risk to persons in care. Client #2 resides in room 1 with a sliding glass door, which is secured with a screw so client cannot access the door "because she escapes," per staff. POC Due Date: 09/23/2024 Plan of Correction 1 2 3 4 Screw was removed from sliding glass door in LPA's presence. Licensee to submit plan of correction describing how client will be monitored by staff without securing exit door shut.”

“Based on observations, cabinet with chemicals and toxins were unlocked and accessible to residents which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/04/2023 Plan of Correction 1 2 3 4 Administrator immediately locked the chemicals and toxins in LPAs presence. Deficiency is corrected and cleared.”

“Based on observations, LPA observed an expired gallon of milk in the fridge. In addition, LPA observed open bottles of mayonnaise and mustard in the kitchen pantry. POC Due Date: 11/04/2023 Plan of Correction 1 2 3 4 Administrator immediately threw out the expired milk and stored the open bottles of mayonnaise and mustard in the fridge in LPAs presence. Deficiency is cleared and corrected.”

“Based on observations, LPA observed sharps unlocked and ccessible to residents which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/04/2023 Plan of Correction 1 2 3 4 Administrator immediately locked knives in a cabinet in LPAs presence. Deficiency is cleared and corrected.”

“Based on observation, door alarms on resident doors; from resident rooms to outdoor passageways were observed to be off which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/04/2023 Plan of Correction 1 2 3 4 Administrator turned all alarms on in LPAs presence. Administrator to conduct an in-service training with staff to ensure all door alarms are on at all times.”

“Based on record review and interviews, Administrator acknowledged the facility did not have an infection control plan which poses a potential health and safety risk for residents in care. POC Due Date: 11/10/2023 Plan of Correction 1 2 3 4 Administrator to submit an infection control plan to LPA by 11/10/2023.”

“Based on observations, water temperature throughout the facility measured between 85.1 degrees F to 95.7 degrees F. POC Due Date: 11/10/2023 Plan of Correction 1 2 3 4 Administrator will have outside contractors come to the facility to adjust water temperature to ensure water temperature in rooms and communal sinks is between 105 degrees F and 120 degrees F. Administrator shall notify LPA when water temperature has been fixed.”

“Based on obserations, LPA observed furniture on the outdoor passageway which can cause tripping hazards and fire safety hazards. POC Due Date: 11/10/2023 Plan of Correction 1 2 3 4 Administrator will remove furniture on the outdoor passageway and provide LPA with photos”

“Based on record review, administrator was unable to provide LPA with staff training documentation; dementia care, safe food handling, emergency disaster drills, etc. POC Due Date: 11/10/2023 Plan of Correction 1 2 3 4 Administrator to provide LPA copies of staff training for staff files reviewed.”

“Based on record review, facility did not have the following information readily available; resident roster with resident date of birth, resident's medication list, resident's emergency contact sheet, and resident needs and service plan (for each resident) POC Due Date: 11/10/2023 Plan of Correction 1 2 3 4 Administrator will put together a binder containing all of the information as mentioned above.”

“Based on record review, facility failed to notify Licensing within five days of the initiation of hospice care for Resident 1 (R1). POC Due Date: 11/10/2023 Plan of Correction 1 2 3 4 Administrator shall review CCR 87632 and submit acknowledgement of regulation to LPA.”

“Based on record review, facility does not have a hospice plan of operation/ care plan for residents who are receiving hospice services. POC Due Date: 11/10/2023 Plan of Correction 1 2 3 4 Administrator to submit a hospice care plan to LPA by 11/10/2023. This plan should include; staffing, training, services being provided.”

“Based on record review, facility did not have a plan of operation for residents with dementia. POC Due Date: 11/10/2023 Plan of Correction 1 2 3 4 Administrator to submit a plan of operation regarding caring for residents with dementia to LPA by 11/10/2023. This plan should include; staffing, training, services being provided.”

“Based on record review 4/4 residents did not have an updated physician's report done within the last year. 3/4 resident records observed, were residents who have a diagnosis of dementia. POC Due Date: 11/10/2023 Plan of Correction 1 2 3 4 Administrator will reach out to resident's physicians to request for an updated physician's report. Administrator to submit copies to LPA”

“Based on record review; 4/4 resident records observed did not have an indiviudualized needs and service plan. POC Due Date: 11/10/2023 Plan of Correction 1 2 3 4 Administrator shall complete a needs and service plan for each resident and submit a copy to LPA”