SUNSET VISTA FIRST LLC

Based on observation and interview, the manager failed to ensure that there was a means of exiting the facility that controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed potential egress dangers to residents. Findings include: 1. The Compliance Officer observed a laundry room door on the south side of the facility which had a key in the lock that allowed residents to open the door to the backyard of the facility. 2. The Compliance Officer observed that the laundry room door led to a backyard with a six foot high by four foot wide hole in the backyard fence which led directly to a residential street. 3. In an interview, E1 confirmed that the door in the laundry room had a key in the lock which allowed residents direct access to the backyard. E1 also confirmed that there was a six foot high by four foot wide hole in the backyard fence which led directly to a residential street.

Based on observation and interview, the manager failed to ensure medication stored by an assisted living facility was stored in a separate locked room, closet, cabinet, or self-contained unit. The deficient practiced posed a potential risk to the health and safety of residents. Findings include: 1. The Compliance Officer observed a bottle of Levothyroxine and Hydrocodone stored in a cabinet which was not secure and was accessible to residents. 2. The Compliance Officer observed all of R1's and R2's medications, were stored in a cabinet that was not secure and was accessible to residents. 3. In an interview, E1 reported that the bottle of Levothyroxine, the bottle of Hydrocodone and all of R1's and R2's medications were stored in a cabinet which was not secure and was accessible to residents.