Lady of Perpetual Help Rfe #1

The unannounced annual inspection identified three deficiencies related to recordkeeping and compliance. Specifically, the facility was cited for incomplete resident reappraisal documentation, failure to document required quarterly emergency drills, and insufficient documentation of staff first aid training. All cited deficiencies were classified as Type B, indicating potential but not immediate health or safety risks.

The inspection revealed multiple deficiencies across several critical areas. The most severe finding was a Type A citation regarding an improperly cleared staff member, indicating an immediate risk. Additionally, the facility failed to maintain required records for staff training (CPR/First Aid), staff health screenings, and resident admission agreements, all of which are cited as Type B deficiencies.

The facility underwent an annual/required inspection on September 25, 2023. While general areas like food storage and resident rooms were found compliant, a significant deficiency was noted regarding fire safety documentation. Specifically, the facility failed to maintain a current fire clearance as required by CCR 87202(a).

This report is a Complaint Investigation Report concerning allegations of staff mistreatment, inappropriate physical contact, and resident falls. The investigation found that the allegations were unsubstantiated due to a lack of sufficient evidence to prove the alleged violations occurred.

The inspection identified several deficiencies, including immediate health and safety risks related to unsecured toxic chemicals (Type A). Additionally, there were multiple Type B deficiencies concerning failure to follow COVID-19 mitigation protocols for screening staff, residents, and visitors. The facility must address these critical and non-compliance issues promptly.