Jason's Retreat

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Published
0.000
Contact Information
Licensee Name
Bakersfield Recovery Services Inc.
600 Bernard and 2000 Baker Street, Bakersfield, CA 93305
Facility Name
Identification Number
150004AN
Reviews & Findings
Dates of Review
October 17 & 18, 2016
Type of Review
COMPLIANCE REVIEW
Deficiencies

1) Title 9, Section 10561(b)(1) Reporting Requirements Class B

The above section states, in part, “Upon the occurrence of any of these events licensee shall make a telephonic report to department licensing staff within one (1) working day followed by a written report within seven (7) days. (B) Any facility related injury or any resident which requires medical treatment.”

The licensee was deficient in meeting this regulation because the operations manual did not contain a policy regarding resident injury related incidents being reported to the Department.

2) Title 9, Section 10572(a) Health Related Services

The above section states, “The licensee shall ensure that residents receive and/or referral to needed medical or dental services.”

The licensee was deficient in meeting this regulation because residents do about and/or referral to needed medical or dental services.

3) Title 9, Section 10572(c) Health Related Services Class B

The above section states, “First aid supplies shall be maintained and be readily available in the facility.”

The licensee was deficient in meeting this regulation because a thermometer, scissors, and antiseptic solution was not contained in the first aid supplies.

4) Title 9, Section 10573(a)(7) Food Service Class B

The above section states, in part, “All food shall be selected, transported, stored, prepared and served so as to be free from contamination and spoilage and shall be fit for human consumption.”

The licensee was deficient in meeting this regulation because food was stored improperly in the following areas:
• 600 Bernard Street – food contained in room 2, 3, 7, and detox room; kitchen contains unsealed food items
• 2000 Baker Street – food contained in room 1; kitchen contains unsealed food items

5) Title 9, Section 10573(a)(14) Food Service Class B

The above section states, in part, “All foods or beverages capable of supporting rapid and progressive growth of microorganisms which can infect or intoxicate food shall be stored in covered containers at 45 degrees Fahrenheit (7.2 degrees Celsius) or less.”

The licensee was deficient in meeting this regulation because all locations did not contain a thermometer within the refrigerators.

6) Title 9, Section 10573(a)(16) Food Service Class B

The above section states, “Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies.”

The licensee was deficient in meeting this regulation because the counselor office house contains cleaning products and food items stored in the same area at 2000 Baker Street.

Deficiencies 2

7) Title 9, Section 10573(a)(17) Food Service Class B

The above section states, in part, “All kitchen, food preparation, and storage areas shall be kept clean, free from litter and rubbish.”

The licensee was deficient in meeting this regulation because the following areas were not kept clean:
• 600 Bernard Street – kitchen contains dirty ovens; kitchen refrigerator has been frosted over, and does not contain original shelving

8) Title 9, Section 10581(a) Buildings and Grounds Class C

The above section states, in part, “Facilities shall be clean, safe, sanitary, and in good repair at all time.”

The licensee was deficient in meeting this regulation because of the following:
• 600 Bernard Street – unfinished patch work, wall scuffs, and peeling paint contained throughout the house; bedroom 1 contains broken dresser drawer and broken window; bedroom 2 contains dust near fan; bedroom 3 contains broken drawer and broken blinds; bedroom 4 contains broken dresser drawer, and dust throughout room; bedroom 5 contains broken dresser drawer; bedroom 6 contains exposed wiring; bedroom 7 contains broken dresser drawers, broken dresser knobs, and dirty blinds; detox bedroom contains dirty carpet, broken closet rack, and broken blinds; kitchen contains damaged tile counter top, and broken drawers.
• 2000 Baker Street – kitchen contains broken linoleum floor upon entrance; hallway carpet is frayed; bedroom 2/loft contains torn carpet.

9) Title 9, Section 10584(c) Fixtures, Furniture, Equipment and Supplies Class 8

The above section states, in part, “The licensee shall provide lamps or lights as necessary in all rooms and other areas.”

The licensee was deficient in meeting this regulation because of the following:
• 600 Bernard Street – bedroom 1 contains missing light bulb; bedroom 2 contains missing light bulb; bedroom 6 contains 3 missing light bulbs, and a light that is not working; group room contains missing bulbs; kitchen refrigerator contains missing bulb.

10) Title 9, Section 10584(e) Fixtures, Furniture, Equipment and Supplies Class B

The above section states, in part, “All toilets, hand washing and bathing facilities shall be maintained in safe and sanitary operating conditions.”

The licensee was deficient in meeting this regulation because of the following:
• 600 Bernard Street – bathroom 1 contains broken tile surrounding toilet and shower; bathroom 2 contains damaged ceiling vent covers
• 2000 Baker Street – bathroom contains dirty shower curtain

11) Title 9, Section 10584(g) Fixtures, Furniture, Equipment and Supplies Class B

The above section states, in part, “The licensee shall provide clean linen in good repair, including lightweight, warm blankets, top and bottom bed sheets, pillow cases, mattress pads, bath towels, and wash cloths. The quantity of linen provided shall permit changing, at a minimum, once a week or with greater frequency if needed.”

The licensee was deficient in meeting this regulation because of the following:
• 600 Bernard Street – bedroom 6 contains 2 missing mattress pads
• 2000 Baker Street – bedroom 2 contains 3 missing mattress pads; bedroom 3 contains 1 missing mattress pad; bedroom 6 contains 8 beds, all with no mattress pads; detox room contains missing mattress pads

Deficiencies 3

1) Section 12015(a) Intake

The above section states, in part, “If a participant is appropriate for treatment, the following information shall be gathered 7. Previous Treatment.”

The provider was deficient in meeting this standard because previous treatment information was not gathered and/or contained in any participant files.

2) Section 12020 Health Questionnaire

The above section states, in part “Program staff shall review each completed health questionnaire. When appropriate, the participant shall be referred to licensed medical professionals for physical and laboratory examinations. A medical clearance or release shall be obtained prior to admission whenever a participant is referred to licensed medical professionals for physical and laboratory examinations. The referral and clearance shall be documented in the participant’s file.”

The provider was deficient in meeting this standard because referrals and in any participant files.

3) Section 12050 Referral for Medical or Psychiatric Evaluation and Emergency Services

The above section states, in part, “The program shall have readily available the name, address, and telephone number of the fire department, a crisis center, local law enforcement, and a paramedical unit or ambulance service.”

The provider was deficient in meeting this standard because these services were not posted or provided in any participant files.

4) Section 12055 Referral Arrangements

The above section states, in part, “The program shall maintain and make available to participants a current list of resources within the community that offer services that are not provided within the program. At a minimum, the list of resources shall include medical, dental, mental health, public health, social services and where to apply for the determination of eligibility for State federal, or county entitlement programs.”

The provider was deficient in meeting this standard because these services were not made readily available.

5) Section 26010(a) Health and Safety

The above section states, in part, “Programs shall be clean, safe, sanitary and in good repair at all times.”

The provider was deficient in meeting this standard because of the following conditions:
• 600 Bernard Street – unfinished patch work, wall scuffs, and peeling paint contained throughout the house; bedroom 1 contains broken dresser drawer and broken window, missing light bulb; bedroom 2
contains food in the room, dust near fan, missing light bulb; bedroom 3 contains food in the room, broken drawer and broken blinds; bedroom 4 contains broken dresser drawer, and dust throughout room; bedroom 5 contains broken dresser drawer; bedroom 6 contains exposed wiring, 3 missing light bulbs, and a light that is not working, and 2 missing mattress pads; bedroom 7 contains food in the room, broken dresser drawers, broken dresser knobs, and dirty blinds; detox bedroom contains food in the room, dirty carpet, broken closet rack, and broken blinds; kitchen contains damaged tile counter top, and broken drawers; group room contains missing bulbs; kitchen contains unsealed food items; kitchen contains dirty ovens; kitchen refrigerator has been frosted over, contains missing bulb, and does not contain original shelving; bathroom 1 contains broken tile surrounding toilet and shower; bathroom 2 contains damaged ceiling vent covers.

• 2000 Bernard Street – bedroom 1 contains food items; bedroom 2 c • bedroom 3 contains 1 missing mattress pad; bedroom 6 contains 8 detox room contains missing mattress pads; kitchen contains unse house contains cleaning products and food items stored in the same shower curtain.

Detailed Information
Census Data

TOTAL OCCUPANCY:
Approved: 59
Census: 59

TREATMENT CAPACITY:
Approved: 54
Census: 48